Total purchasing was the first major 'internal market' policy initiative to be extensively evaluated by the Department of Health and Scottish Office. This report draws together the main evidence from the evaluation in order to inform the development of the new primary care organisations in the NHS, which came into ...
This paper describes how creative writing was used as a method of evaluation by the Newcastle Health Partnership. It was found that in most people's work there was a tendency to focus on products and outcomes, leaving little time and space to reflect on the processes which made these outcomes ...
This report is the fifth in a series of papers. It focuses on the inter- and intra-professional issues related to the development of intermediate care services. Previous work has dealt with a conceptual framework to clarify understanding of intermediate care, and issues of implementation, evaluation and funding. The aim of ...
This item consists of two parts: firstly, a literature review covering the views of carers about the quality of services they receive; and secondly a report on work in progress on quality services. The report briefly outlines the general context for work on quality standards in service provision; highlights some ...
This report is the fourth in a series of papers. It focuses on the costs and financing of intermediate care services. Previous work has dealt with a conceptual framework to clarify understanding of intermediate care, and with issues of implementation and evaluation. In the past few years, intermediate care has ...
This report focusses on the fifth and final cohort of doctors who participated in the Clinical Leaders : Clinical Partners programme. It included experimental learning, reflection, relevant case material, bespoke and other simulations and shadowing
This report summarises the hospital activity analysis for two types of first-wave total purchasing pilots (TPPs), 'commissioner' TPPs and 'co-purchaser' TPPs. The main objective of the analysis was to compare changes in hospital activity, in the areas for which TPPs had objectives, with those of comparators. The authors conclude that: ...
This book offers a radical way of thinking about organisations as living systems, and practical methods of engaging with complex social and organisational issues, which the authors call 'working whole systems'. The whole system approach they have developed involves working with many types of stakeholder. It always engages local people ...
Primary care groups (PCGs) offer new opportunities for partnerships between health and social care. There is now widespread support for collaboration in order to achieve better integrated care for people with both short-term and continuing care needs. But there is also recognition that this is a complex task. As they ...
This report focuses on NHS trust mergers and mergers of health authorities. It was commissioned by the HEA to summarise the available literature. It describes common causes of failure, and suggests ways in which NHS leaders involved in merger can enable the organisational aims of the merger to be achieved, ...