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 draws on the findings of three studies of the management costs of total purchasing (National Management Functions and Costs Study, and two studies undertaken as part of the National Evaluation of the Total Purchasing Pilots), to shed some light on the management costs of Primary care Groups (PCGs). ...
This study describes the aims, methods and interim findings of a study to evaluate the impact of total purchasing and extended fundholding on the provision of mental health services. All baseline telephone interviewing has now been completed and the authors report on findings from the analysis of semi-structured telephone interviews ...
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 ...
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 ...
Over the past two or three years, a rapid increase in the number of emergency medical admissions to acute hospitals has been widely reported and a number of studies in different parts of the country have been carried out aimed at explaining why these increases have occurred. In early 1995, ...
This report is concerned with efforts to assure quality in medical care, focussing on quality assurance efforts affecting care provided by doctors and hospitals (and to a lesser extent nursing homes). The study examines quality assurance in Sweden, Federal Republic of Germany, Belgium and England as these represent a range ...
This book aims to provide an account of the range of work carried out by the Family Practitioner Committees, the bodies responsible, in England and Wales, for administering the contracts of general practitioners, dentists, opticians and pharmacists. This is the first comprehensive study of FPCs. It analyses the political environment ...