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Author: Great Britain. National Audit Office
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 52
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Book Description
The most fundamental change introduced by the NHS and Community Care Act 1990 was to separate the job of purchasing health care services from that of providing them. Since April 1991, health authorities and general practitioner fundholders (purchasers) have had to negotiate contracts to purchase from hospitals and community health services (providers), services which will improve people's health. The contract is the all important link between purchasers and providers. In this report, the National Audit Office focuses on three aspects of contracting: contracting information; the types of contract; and the contracting process.
Author: Great Britain. National Audit Office
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 52
Get Book Here
Book Description
The most fundamental change introduced by the NHS and Community Care Act 1990 was to separate the job of purchasing health care services from that of providing them. Since April 1991, health authorities and general practitioner fundholders (purchasers) have had to negotiate contracts to purchase from hospitals and community health services (providers), services which will improve people's health. The contract is the all important link between purchasers and providers. In this report, the National Audit Office focuses on three aspects of contracting: contracting information; the types of contract; and the contracting process.
Author: Pauline Allen
Publisher: Policy Press
ISBN: 1447346114
Category : Medical
Languages : en
Pages : 194
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Book Description
This timely book is the most comprehensive account yet of recent commissioning practice in the English NHS and its impact on health services and the healthcare system. Drawing on eight years of research, expert researchers in the field analyse crucial aspects of commissioning, including competition and cooperation, the development of Clinical Commissioning Groups and contractual mechanisms. They also consider the influence of recent commissioning reforms on public health infrastructure. For academics and policy makers in health services research and policy, this is a valuable collection of evidence that deepens understanding of how commissioning works.
Author: A J. Culyer
Publisher: Elsevier
ISBN: 0080544177
Category : Medical
Languages : en
Pages : 1000
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Book Description
The Handbook of Health Economics provide an up-to-date survey of the burgeoning literature in health economics. As a relatively recent subdiscipline of economics, health economics has been remarkably successful. It has made or stimulated numerous contributions to various areas of the main discipline: the theory of human capital; the economics of insurance; principal-agent theory; asymmetric information; econometrics; the theory of incomplete markets; and the foundations of welfare economics, among others. Perhaps it has had an even greater effect outside the field of economics, introducing terms such as opportunity cost, elasticity, the margin, and the production function into medical parlance. Indeed, health economists are likely to be as heavily cited in the clinical as in the economics literature. Partly because of the large share of public resources that health care commands in almost every developed country, health policy is often a contentious and visible issue; elections have sometimes turned on issues of health policy. Showing the versatility of economic theory, health economics and health economists have usually been part of policy debates, despite the vast differences in medical care institutions across countries. The publication of the first Handbook of Health Economics marks another step in the evolution of health economics.
Author: Secretary of State for Health
Publisher: The Stationery Office
ISBN: 9780101743228
Category : Business & Economics
Languages : en
Pages : 92
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Book Description
This review incorporates the views and visions of 2,000 clinicians and other health and social care professionals from every NHS region in England, and has been developed in discussion with patients, carers and the general public. The changes proposed are locally-led, patient-centred and clinically driven. Chapter 2 identifies the challenges facing the NHS in the 21st century: ever higher expectations; demand driven by demographics as people live longer; health in an age of information and connectivity; the changing nature of disease; advances in treatment; a changing health workplace. Chapter 3 outlines the proposals to deliver high quality care for patients and the public, with an emphasis on helping people to stay healthy, empowering patients, providing the most effective treatments, and keeping patients as safe as possible in healthcare environments. The importance of quality in all aspects of the NHS is reinforced in chapter 4, and must be understood from the perspective of the patient's safety, experience in care received and the effectiveness of that care. Best practice will be widely promoted, with a central role for the National Institute for Health and Clinical Excellence (NICE) in expanding national standards. This will bring clarity to the high standards expected and quality performance will be measured and published. The review outlines the need to put frontline staff in control of this drive for quality (chapter 5), with greater freedom to use their expertise and skill and decision-making to find innovative ways to improve care for patients. Clinical and managerial leadership skills at the local level need further development, and all levels of staff will receive support through education and training (chapter 6). The review recommends the introduction of an NHS Constitution (chapter 7). The final chapter sets out the means of implementation.
Author: Anthony John Harrison
Publisher: Routledge
ISBN: 1351288741
Category : Medical
Languages : en
Pages : 363
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Book Description
Harrison and Prentice aim to provide a source of reference and reflection for those who are concerned with the planning of hospitals themselves or who are concerned with the health care delivery system as a whole. The authors set out a detailed framework for analyzing hospital services in relation to other providers, based on clinical quality, costs of provision, and access. The book also contains a series of recommendations for action.
Author: Norman Flynn
Publisher: SAGE
ISBN: 1446258408
Category : Political Science
Languages : en
Pages : 297
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Book Description
The highly-anticipated sixth edition of Norman Flynn's Public Sector Management continues to provide students with an insightful, jargon-free description, analysis and critique of the management of the public sector by the UK government. New to the sixth edition: Fully updated to take account of the coalition government and the impact of the financial crisis on public spending. Four new chapters on managing public finance, e-government, regulation and public-private partnerships. Expanded learning features including:, additional boxed examples, annotated suggestions for further reading and suggestions for discussion topics and references to journal articles. New companion website with free access to full-text journal articles, policy documents, links to useful websites, and relevant multimedia and social media resources. www.sagepub.co.uk/flynn6 Public Sector Management will prove invaluable reading for students studying public sector management as part of a business, management, social policy, politics or sociology degree.
Author: Christopher Johnston
Publisher: Bloomsbury Publishing
ISBN: 1526516578
Category : Law
Languages : en
Pages : 851
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Book Description
This leading textbook places medical decision-making in its legal context and provides practical guidance on the most ethically challenging cases that face the courts. It explains how the Mental Capacity Act works in practice and how the courts and lawyers wrestle with and resolve problems relating to the very essence of life: what is life? what is an acceptable quality of life? what treatment is so burdensome that it should not be attempted? These questions are posed, not in the abstract but, in real – often desperate, often urgent – situations. This is the essential guide for solicitors, barristers and judges specialising in Court of Protection work, clinical negligence, personal injury and human rights. Postgraduate medical ethics students and academics, NHS bodies and local authority professionals, health professionals and administrators in the NHS and private practice and those in Commonwealth countries with an interest in these topics will also find this book an invaluable resource. Medical Treatment: Decisions and the Law offers a readily accessible text for those dealing with the provision of medical treatment to those without capacity and related areas, providing a clear description of procedure as well as practical application of the law. Key developments for the Fourth Edition include: · The impact of the Covid-19 pandemic on decision making in the Court of Protection, particularly in relation to end of life decisions and vaccination · New chapters on two controversial issues: “the Right to Die?” and “Access to Healthcare: Choice” · Expanded chapter on Decisions for Children, covering recent high-profile cases such as Re Gard where continued provision of life sustaining treatment for babies or very young infants was at issue, and addressing the difficult issues around decision making by 16 to 17 year olds · Substantially updated chapter on Going to Court, covering how the incapacitous patient can be supported to participate in decisions about their treatment Discussion of “Escalation of Care” covering matters including NICE guidelines and care pathways and expanded coverage of issues concerning the funding of treatment. This title is included in Bloomsbury Professional's Clinical Negligence online service.
Author: Colleen M. Flood
Publisher: Psychology Press
ISBN: 9780415316163
Category : Business & Economics
Languages : en
Pages : 340
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Book Description
This volume examines the two models of health care reform - managed competition and internal markets - that are increasingly becoming the dominant paradigm in European and North American policy.
Author: Great Britain: Department of Health
Publisher: The Stationery Office
ISBN: 9780101788120
Category : Medical
Languages : en
Pages : 64
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Book Description
Equity and Excellence : Liberating the NHS: Presented to Parliament by the Secretary of State for Health by Command of Her Majesty
Author: Dalingwater, Louise
Publisher: IGI Global
ISBN: 179983929X
Category : Medical
Languages : en
Pages : 261
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Book Description
The National Health Service, or NHS, is the United Kingdom’s national healthcare system. It oversees the public’s health and ensures the medical wellbeing of the population of the UK. Governance network processes are complex because of the different nature of agendas and strategies of actors involved in health, but increasingly, because of the link between social and healthcare delivery, recent initiatives to provide a joined up or integrated approach have been presented. However, the extent of joined-up governance processes in the National Health Service is rather uneven. So far, reforms to try to improve the running of the NHS through the introduction of market mechanisms or increased decentralization have only served to exacerbate such tensions and resulted in further fragmentation of the public health system. The NHS and Contemporary Health Challenges From a Multilevel Perspective illustrates the complexities of governing public health services that are part of the NHS and takes an innovative approach by examining public health provision through a multiscalar lens, which reveals significant limits of the current governance model. The book raises the various challenges that clinical staff, public authorities, and the general public face in the provision of healthcare to uphold core values inherent in health systems. While highlighting topics including health governance, patient satisfaction, and public health, this book is ideally designed for policymakers, government officials, healthcare administrators, hospital managers, healthcare researchers, medical professionals, and students.
