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 ...
Total purchasing is potentially the most significant development in NHS purchasing of health services since the introduction of general practitioner fundholding in 1991. It offers fundholding practices the opportunity to purchase all of the health care not included in fundholding for patients on their lists. The study of 53 total ...
This paper offers health commissioning agencies and general practice fundholders a practical guide to developing and using health and race standards in their contract quality specifications. It draws on collective experiences of district health authorities over the years 1992-1995. Standards for acute and community providers are specified in the fields ...
This Review is based on the financial year 1995 to 1996. The first part examines the main events of the year in five key policy areas: creating the new NHS ; community care ; public health strategy; serving the consumer; and clinical knowledge. The second part of the work contains ...
This book describes the trend towards more diverse and devolved forms of purchasing and combinations of purchaser organisations within health authorities in the NHS. It presents a multi-dimensional profile of each of the current models of purchaser organisation. Trends and policy developments are discussed in relation to the likelihood that ...
Total purchasing offers fundholding practices the opportunity to purchase all of the health care not included in fundholding for the patients on their lists. This report provides the first comprehensive picture of how the idea of total purchasing is being implemented in all 53 'first wave' national total purchasing pilot ...
This protocol describes those components of the national evaluation of 53 'second wave' total purchasing pilot sites commissioned by the Department of Health from a Health Research Consortium headed by the King's Fund Policy Institute which form research contract 121/6090 dated 6 December 1995
This Review is based on the financial year 1994 to 1995. The first part examines the events of the year in four key policy areas: creating the new NHS ; promoting community care ; promoting public health ; promoting the interests of users. The second part of the work looks ...
This Review is based on the financial year 1993 to 1994. The first part describes developments in each of the main policy areas of `The health of the nation', the Patient's Charter and community care implementation. For the first time results of the systematic research into the effects of the ...