How to ration health care is perhaps the most contentious issue currently facing the NHS. The debate is polarised between the view that decisions over rationing should be more explicit, systematic and democratic, and those who argue that such strategies are unrealistic and fail to understand both how the NHS ...
This paper presents the issues relating to rationing in the NHS. The group holds the view that rationing is unavoidable and feels that there should be a more explicit debate about the principles and issues involved. Questions are considered under four headings: preliminaries, ethics, democracy and empirical questions. The preliminaries ...
This book describes the trend towards more diverse and devolved forms of purchasing and combinations of purchaser organisations within health authorities in the NHS. It presents a multi-dimensional profile of each of the current models of purchaser organisation. Trends and policy developments are discussed in relation to the likelihood that ...
This protocol describes those components of the national evaluation of 53 'second wave' total purchasing pilot sites commissioned by the Department of Health from a Health Research Consortium headed by the King's Fund Policy Institute which form research contract 121/6090 dated 6 December 1995
This protocol describes those components of the national evaluation of 53 second wave total purchasing pilot sites commissioned by the Department of Health from a Health Research Consortium headed by the King's Fund Policy Institute which form research contract 121/6090 dated 6 December 1995