Many of the potential pitfalls of increasing purchaser plurality in the NHS are relevant in planning and developing general practitioner led locality commissioning. However, this involvement in commissioning or purchasing maternity care may actually provide the 'bite' necessary to move reluctant provider trusts more quickly towards services which meet the ...
The 1997 white paper 'The New NHS: modern, dependable' promised to put quality at the heart of the health service, announcing the formation of a National Institute of Clinical Excellence, a Commission for Health Improvement, evidence based National Service Frameworks, a new system of clinical governance in NHS trusts and ...
Considerable management challenges must be faced in order to ensure the successful operation of primary care groups (PCGs). The insights to be gained from those involved in total purchasing pilots (TPPs) are likely to prove valuable in informing the development of PCGs, and workshops were held to capture some of ...
In the spring of 1996, the Implementation Group of North Thames Research and Development allocated £50000 to each of thirteen health authorities for evidence into practice implementation projects. In autumn 1996, the King's Fund Management College was commissioned to evaluate the 17 approved projects. This is the second of three ...
This report summarises the main results of a survey of approaches to commissioning. All health authorities were surveyed and a 100 per cent response was achieved. The survey sought to map different approaches to commissioning and to assess the impact of these approaches from the perspective of health authorities. The ...
This report presents the findings of a project that aimed to understand the present state of knowledge of the clinical effectiveness of rehabilitation using the evidence of systematic reviews. Fifty-six systematic reviews covering a variety of disabilities, health problems, diseases and client groups were identified through a literature search. Data ...
The authors evaluated the implementation of Health at Work, a national programme of work which has begun to open up the workplace health agenda as an organisational and leadership development agenda. Through their research and evaluation strategy they established that: workplace health interventions can make a positive difference to workforce ...
This report describes the planning, implementation and outcomes of a process for involving local citizens and users and their organisations in informing the NHS Confederation's conference 'All Our Tomorrows' in July 1998, to celebrate 50 years of the NHS. The King's Fund was invited to contribute to the design and ...
While most GP practices participating in total purchasing have some experience of contracting with health care providers, the extension of their responsibilities has, in many cases, taken them into entirely new areas and posed a set of challenges for primary care-based purchasing. This paper concentrates on a central element of ...