The thesis of this paper is that an analysis of the GP budget holding proposal (in 'Working for Patients'), in the light of the US HMO movement and the managed care industry it has spawned, will provide valuable insight into how the British innovation might function, or not. The paper ...
This book has been written to provide practical help for people working in and around the health service who are keen to enhance users' experiences. A number of developments which are contributing to more responsive services have been gathered together and, by focusing on practicalities, the book helps to unravel ...
This paper is not intended as a critique of government policy, but rather as an exploration of the opportunities and constraints inherent in that policy and some of the processes which may be required to put the policy into effect. A fundamental tenet of this paper is that the needs ...
This working paper sets out some new thinking about the future role of district health authorities. It is intended to introduce into the wider discussion about the future of the NHS some specific ideas about the business of meeting health needs of the local population. As a set of proposals ...
The briefing paper provides a constructive analysis of the White Paper (Working for Patients). It argues that the White Paper outlines an ambitious and high risk strategy. The paper identifies main themes underlying the White Paper proposals: new institutional arrangements for the health services; the management of clinical activity; responsiveness ...
The briefing paper provides a constructive analysis of the White Paper (Working for Patients). The paper identifies main themes underlying the White Paper proposals: new institutional arrangements for the health services; the management of clinical activity; responsiveness patients; greater pluralism among providers; better management; new financial allocation mechanisms
This paper is intended as a contribution to the Prime Minister's Review of the NHS. It argues that the use of incentives, competition and better management has already led to significant progress in improving efficiency, effectiveness and consumer responsiveness within the NHS. The key challenge now is to build on ...
The purpose of this study was to try and obtain a first impression of the impact of the National Health Service (Reorganisation) Act 1973, which came into force on 1 April 1974 and to ascertain the extent to which the new administrative pattern had been translated into action and to ...
Against a background of apparent official disinterest in monitoring of the NHS reforms, the King's Fund decided to make such evaluative work the focus of a major grants programme. Seven projects have been selected for financial support, each to run over a three year period, 1990-1993. The work of the ...