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 ...
This report is the third in a series of papers. It focuses on the evaluation of intermediate care services. Previous work has dealt with a conceptual framework to clarify understanding of intermediate care, and with issues of implementation. In the last year, interest in intermediate care has made an exponential ...
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 ...
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 ...
Six citizens' juries pilot schemes, sponsored by the Institute for Public Policy Research and the King's Fund, took place in the NHS between June 1996 and March 1997. This book evaluates all aspects of this experiment, from an explanation of the background to the pilots to descriptions of the jury ...
This working paper is the first report from the national evaluation of total purchasing pilot projects to provide evidence on the achievements of all 53 'first wave' pilots in England and Scotland. It also looks at the range of factors associated with more and less successful total purchasing in 1996-97 ...
This report draws together the interim findings from the first two years of a three year evaluation of all first and second wave TPPs in England and Scotland which began in October 1995, led by the King's Fund. The report discusses whether first wave TPPs have developed the organisational requirements ...
There have not been any set criteria against which to assess the merits of the various ways in which total purchasing has developed nationally. An important part of the evaluation of total purchasing in the first year was, therefore, an attempt to derive success criteria which would enable comparison between ...
This paper reconsiders the meaning and impact of projects, the most common device for spending development monies. They argue that projects can distort the priorities of the host organisation. There are four aspects to this problem: the disruption caused to an organisation by the existence of a project; the project ...