This report looks at the new role of district health authorities as purchasers of services for their residents. The report shows that non-executive members have the following contributions to make to the work of their authorities: bringing a wider range of experience than is available among the executive members; ensuring ...
The successful implementation of the NHS reforms hinges on the development of district health authorities as effective purchasers of health care for their residents. The NHS has always been provider driven and if services are to be delivered more efficiently and responsively then it is essential that health authorities are ...
This study describes the various approaches adopted by some DHAs in separating responsibility for purchasing and providing services. The approach finding most favour involves separating the purchaser and provider functions below the DGM (District General Manager) level. The strength of this approach is in enabling the purchaser and provider functions ...
In March 1990 the King's Fund College and NAHA were commissioned by the Department of Health to undertake a survey of the training and development needs of the now DHAs. The survey follows on from the discussion paper 'Managing with authority'. This report presents the results of the survey and ...
This working paper sets out some new thinking about the future role of district health authorities. It is intended to introduce into the wider discussion about the future of the NHS some specific ideas about the business of meeting health needs of the local population. As a set of proposals ...
This report from the Primary Health Care Group of the King's Fund Centre explores the context of primary care planning and provides examples of how joint working may be successfully achieved. It outlines why FPCs and DHAs need to work together and argues that primary care planning has been neglected ...
A summary of social characteristics in all district health authorities in England has not been published before. The items presented here are about children, the elderly, housing, migration and economic factors, and include a selection of composite scores. Similar information about electoral wards may be used to identify the most ...
This paper contains the results of part of a study relating to the information flow in and out of and within the district office. No attempt has been made to prescribe in detail a total system but it is hoped that the general principles and approach described will assist district ...