Primary care trusts (PCTs) provide a broad and complex range of community-based services. However, the commissioning and management of these services have been a challenge for the NHS and in particular for PCTs. As PCTs provide community health services, there is a potential conflict of interest for their role as ...
The experience of purchasing over the last two and a half years has demonstrated what might be possible. What seems clear is that the future agenda is massive, complicated and feels different both quantitatively and qualitatively. It is not just that people are busy, but they are addressing new dilemmas ...
This publication provides guidance for managers in regional and purchasing authorities and in provider units on how to improve NHS services provided to people from black populations. It should also be a basis on which community organisations and users' groups can evaluate race equality initiatives in local service provision. Managers ...
This book explores the changing relationship between payers and providers, and how these changing relationships affect patients; how the tensions between payers and providers are managed in the 1990s will be an increasingly important determinant of who gets what care, how good it is and how much it costs. A ...
Fundholding by general practices is the most innovative and potentially far reaching aspect of the NHS reforms. It also raises the most potential difficulties in implementation. The study falls into two parts. The first is a description of the preparatory period from January 1990, soon after practices were asked if ...
This document looks at collaboration in mental health services between service providers and service users, although much will be of interest to all groups involved in collaborative ventures. There are two components in the process of collaboration: firstly, users need to work together to find a collective voice; and secondly, ...