Learning from the NHS Internal Market
Learning from the NHS Internal Market

Author: Julian Le Grand

Publisher:

Published: 1998

Total Pages: 212

ISBN-13:

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The 1990 NHS and Community Care Act was the most radical upheaval of the NHS since its foundation and attracted world-wide attention A comprehensive review of the evidence is offered to assess the impact of the NHS reforms on health authority purchasing; local commissioning; GP fundholding; total purchasing, and NHS trusts.

GPs and Purchasing in the NHS
GPs and Purchasing in the NHS

Author: Bernard Dowling

Publisher: Ashgate Publishing

Published: 2000

Total Pages: 296

ISBN-13:

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An analysis of the relative performance of health authorities and GPs as commissioners of health services. It centres upon two controversies about the NHS: the equality of hospital waiting times for fund-holding patients, and the fairness of the budgets received by fund-holding practices.

Changes in Health Care
Changes in Health Care

Author: Paul Anand

Publisher: Springer

Published: 2016-07-27

Total Pages: 174

ISBN-13: 1349137103

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This collection originated from a conference at Templeton College, Oxford by leading practitioners and researchers and has been revised, updated and edited for publication. The collection provides an evaluation of the implementation of health reforms and will be of interest to readers interested in health policy and health management.

Managing the Internal Market
Managing the Internal Market

Author: Ian Tilley

Publisher: SAGE Publications Limited

Published: 1993-06-28

Total Pages: 328

ISBN-13: 9781853961953

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Managing the Internal Market inquires into the management and operation of the key institutions of the NHS internal market in acute services, now in its fourth year of commissioning. It addresses the complexity and importance of 'managed competition' by offering both broad accounts by leading academics and chapters by practitioners - purchasers, providers, managers, doctors and nurses - two worlds not frequently brought together in a single volume. Only by listening to these different voices, with their particular interests and ways of viewing the internal market, will an adequate understanding begin to emerge.

Efficiency and the NHS
Efficiency and the NHS

Author: Ray Robinson

Publisher:

Published: 1988-01

Total Pages: 40

ISBN-13: 9780255362511

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The author takes a detailed look at the scope for improving patient services offered through an internal market. The potential for more efficient use of beds and staff time; The possibility of lower costs resulting from more specialisation; the effects of competition on NHS wages and salaries; and the implications for patient choice are all subjected to critical examination. Moreover, the danger of greater competition leading to more unequal access to health care is also highlighted. The study concludes that the potential merits of an internal market need to be demonstrated rather thab asserted. There is unsufficient evidence to warrant the wholesale adoption of the idea throughout the NHS in a single move. But there is sufficient evidence to support the case for experiment involving trade between districts within a single trial region.