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 directory has been compiled as a means of sharing some of the activities undertaken in the Nursing, Midwifery and Health Visiting Development Units (NDUs) which have formed part of the Nursing Developments Programme at the King's Fund. Descriptions have been included of both small and large scale work as ...
Community-oriented primary care (COPC) is an approach to health care which combines the principles and skills of public health and family practice. It offers participants an action-oriented framework for working together on health needs at practice level. In 1992, the King's Fund, in association with other organisations, initiated a pilot ...
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 ...
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 ...
The book describes the work of six King's Fund projects where the views of local Black communities were used to influence a range of service developments through changes in commissioning, quality standards and contracts. By bringing together the local lessons within a broad framework, the report maps the progress of ...
At the beginning of 1995 King's Fund Organisational Audit set up a project to develop organisational audit for health service commissioning. Six health authorities and five primary care organisations agreed to become pilots for the newly developed process. This report presents the results of the evaluation process, including the findings ...
This report gives an account of the development of the King's Fund London Programme. It was launched in 1979 to develop activities in relation to health care in London. Its broad aim is to identify, encourage and disseminate good practice in inner city areas through a coordinated programme of research ...