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 ...
The aim of this working paper is to present a profile of the thirty-five second wave Total Purchasing Pilots (TPPs) in England and Scotland as part of the national evaluation of TPPs. Its objectives are: to describe the basic characteristics of the second wave TPPs, particularly highlighting similarities and differences ...
Innovations introduced into the NHS such as total purchasing (TP) have raised issues about information requirements and information technology. Information and information systems for TP are inadequate, with major problems being centred on a lack of guidance on specific systems for TPPs and an absence of software standardisation. Poor activity ...
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 examines what is known about linkworkers, using information derived from a review of the literature and from interviews with those working in the field. It discusses how linkworkers might make a contribution to primary care in the future, and considers some of the organisational issues that will need ...
In September and October 1997, the King's Fund held two seminars for the professions allied to medicine (PAMs) in order to discuss their actual and potential contribution to public health. This contribution is varied and spans the categories of input to commissioning, health promotion, clinical effectiveness and evidence-based practice, and ...
This bulletin is based on ideas developed from two seminars for professions allied to medicine (PAMs) organised by the King's Fund in order to discuss their actual and potential contribution to public health. This bulletin covers the subject areas of what PAMs do in relation to public health, health promotion, ...
This paper explores the many meanings of democracy, seeks to define some criteria for assessing whether or not there is a 'democratic deficit' in the NHS, and examines the policy options that have been put forward for making the NHS more 'democratic'. The first section analyses the various ways in ...
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). ...