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 describes the outcome of a six month study of the management development requirements of the NHS in Scotland, undertaken by the King's Fund College. The report describes: the scope and content of the original brief for the work; the methodology adopted by the King's Fund team; and the ...
This paper aims to probe what it sees as a woefully under-explored area: the differences between the United Kingdom's four separate health systems. These systems, it argues, are diverging in terms of structures, management approaches, and the way social care relates to health.
The aim of this report is to describe the approach taken to integrated care in Northern Ireland, Scotland and Wales with a view to drawing out the lessons for England. The report has been written at a time when policy-makers in England have made a commitment to bring about closer ...
Since 1983, NatCen Social Research’s British Social Attitudes survey has asked members of the public about their views on, and feelings towards, the NHS and health and care issues generally. The latest survey was carried out between July and October 2015 and asked a nationally representative sample of more than ...
This report shows that public satisfaction with the NHS overall continued to fall in 2018. The four main reasons people gave for being satisfied with the NHS overall were: the quality of care; the fact that the NHS is free at the point of use; the range of services and ...