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  • Practice-based commissioning.

    Créateur:
    Curry, Natasha, King's Fund, and Thorlby, Ruth
    Publication date:
    Abstract:
    Practice-based commissioning (PBC) is a policy intended to give more decision-making power over NHS resources to general practitioners (GPs), and allow them to design and deliver completely new services or commission others to do so. It has a number of underlying policy objectives including delivering more cost effective and convenient ...

  • Payment by results.

    Créateur:
    King's Fund and Maybin, Jo
    Publication date:
    Abstract:
    In 2002 the Department of Health announced a fundamental change to the way in which NHS hospitals in England are paid for the work they do. Under this new system - Payment by Results (PbR) - hospitals are reimbursed for the activity they carry out using a tariff of fixed ...

  • Operating framework 2007/8.

    Créateur:
    King's Fund and Thorlby, Ruth
    Publication date:
    Abstract:
    In December 2006, the Department of Health issued its second 'operating framework', The NHS in England: The operating framework for 2007/08, which provides a set of rules and guidance for NHS organisations in England for the year ahead. Aimed primarily at managers and clinical staff, the operating framework for 2007/8 ...

  • NHS finances 2006/7 : from deficit to a sustainable surplus?

    Créateur:
    King's Fund, Maybin, Jo, and Thorlby, Ruth
    Publication date:
    Abstract:
    The NHS has moved from an overall net deficit to a net surplus within a year, according to the figures released by the government in June 2007 (Department of Health 2007), reversing a three year trend towards increasingly large gross deficits. The government argues that these latest figures show that ...

  • Deficits in the NHS.

    Créateur:
    King's Fund
    Publication date:
    Abstract:
    The NHS has rarely managed to balance its books exactly; in many years it has overspent, and in some it has carried a surplus. In the financial year 2005/6 it is likely to record a substantial overspend - in gross terms, around £900 million, equivalent to around £700 million net ...

  • Assessing the new NHS consultant contract : a something for something deal?

    Créateur:
    Williams, Sally, King's Fund, and Buchan, James
    Publication date:
    Abstract:
    The government's reforms of contracts and pay for NHS staff are designed not just to pay staff more but also to secure changes in working patterns and productivity that translate into benefits for patients. This paper assesses the impact of the new consultant contract in England. Its findings are based ...

  • Paying the patient : improving health using financial incentives.

    Créateur:
    King's Fund and Jochelson, Karen
    Publication date:
    Abstract:
    This work is the first in a series of papers on how people can be encouraged to adopt healthy behaviour. Input into these papers, through discussion and invited comment, will contribute to a final report at the end of 2008. This report, identifying programmes based on both positive and negative ...

  • Low income groups and behaviour change : a review of intervention content and effectiveness.

    Créateur:
    Markham, Wolfgang A., King's Fund, Michie, Sue, Jochelson, Karen, and Bridle, Chris
    Publication date:
    Abstract:
    This is the second paper in a series, Kicking Bad Habits, on how people can be encouraged to adopt healthy behaviour. Looking at interventions targeted specifically at low-income groups, this paper asks which interventions are effective in getting people to quit smoking, eat healthily and exercise. It reveals that the ...

  • Developing intermediate care : a guide for health and social service professionals.

    Créateur:
    King's Fund, Stevenson, Jan, and Spencer, Linda
    Publication date:
    Abstract:
    Intermediate care is the term used for the range of short-term, patient-focused services designed to promote and maintain the independence of older people otherwise facing inappropriate admission to hospital, long-term care or prolonged stays in hospitals. This new and evolving concept has attracted widespread interest. Practitioners are at many different ...

  • Case-managing long-term conditions : what impact does it have on the treatment of older people?

    Créateur:
    King's Fund, Rosen, Rebecca, Hutt, Ruth, and McCauley, Janet
    Publication date:
    Abstract:
    This review examines evidence for the effectiveness of case management for older people. Five outcome measures were considered: hospital admissions, use of emergency departments, length of stay, functional health status and costs. The review concludes that while there is come support in the literature for case management as a method ...