The government's reforms of contracts and pay for NHS staff are designed not just to pay staff more but also to secure changes in working patterns and productivity that translate into benefits for patients. This paper assesses the impact of the new consultant contract in England. Its findings are based ...
This publication is a comprehensive review of health care and policy issues. It contains a calendar of events for the months March to May 2000 as well as discussion of key policy issues. Specific areas dealt with in this issue include: the National Beds Inquiry; consultants' contracts; National Institute for ...
While most GP practices participating in total purchasing have some experience of contracting with health care providers, the extension of their responsibilities has, in many cases, taken them into entirely new areas and posed a set of challenges for primary care-based purchasing. This paper concentrates on a central element of ...
In a previous working paper the results of a survey of the contracting arrangements of the 53 first wave total purchasing pilot (TPP) projects during 1996-97 were given. This working paper reports the results of a follow-up survey carried out for the 1997-98 contracting round. The survey was designed to ...
The aim of this working paper is to present a profile of the thirty-five second wave Total Purchasing Pilots (TPPs) in England and Scotland as part of the national evaluation of TPPs. Its objectives are: to describe the basic characteristics of the second wave TPPs, particularly highlighting similarities and differences ...
This paper looks at definitions of different types of accountability, political and administrative, and at the accountability of health authorities, GP fundholders and the pilot projects for total purchasing. The research has revealed models of financial, managerial and public accountability which are described. The paper concludes with discussion of the ...
This report aims to describe the experience and adequacy of budgetary and risk management arrangements of all first wave Total Purchasing Pilots (TPPs) in 1996/97. The results of a postal questionnaire sent to every TPP manager were analysed. The authors conclude that TPPs have taken seriously the management of expenditure ...
This is the third edition of the Organisational Audit manual. Since 1990 several individual sections of the manual have been revised in order to ensure that the standards remain at the forefront of good practice as well as to reflect the significant changes which have taken place in the organisational ...
The health service reforms of the 1990s have put special emphasis on making services more sensitive and responsive to users. This report looks at the work of four health authorities which have a history of activity on race issues and where there is a clear commitment to improving their services ...
This document summarises the main points which emerged from an exercise undertaken to establish the extent of work taking place in the area of contract specifications. Three regional health authorities (Trent, East Anglia and Wessex) and selected districts outside these regions with acknowledged track records in quality were targeted for ...