Despite initially rejecting the notion of an internal NHS market when it came to power in 1997, the Labour government has reintroduced competition to health services over the last three years. But, as it is the product of a series of separate policy developments, including extending choice of provider, expanding ...
This book - developed from a systematic review of evidence about the impact of the NHS internal market - asks what lessons can be learned from the internal market reforms, and how this knowledge can be used to aid policy-making in the future. It synthesises all the evidence on the ...
This report examines the findings of a national survey of NHS speech and language therapy managers and assesses the impact made by the reforms on this profession. It is divided into six parts. The introduction describes the context of the research and briefly reviews the literature which informed and seems ...
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 ...
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 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 ...