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.

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

Author: Bernard Dowling

Publisher: Routledge

Published: 2017-11-22

Total Pages: 262

ISBN-13: 1351794035

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This title was first published in 2000: The relative performance of health authorities and general practitioners as commissioners of health care services is a crucial question in the current health care policy debate, but hitherto a poorly researched area. This work addresses that topic, and represents a systematic direct comparison of GPs and health authorities as purchasers of health care services. In doing this it centres upon two of the chief controversies about the NHS internal market: the equality of hospital waiting times for fund-holding patients, and the fairness of the budgets received by fund-holding practices for commissioning effective surgery. In discussing the policy implications of the research, the book then addresses what lessons should be learned from the internal market about equity and efficiency in the service now that the present Labour Government is reforming the NHS with the introduction of Primary Care Groups and Primary Care Trusts

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.

Costs and Prices in the Internal Market
Costs and Prices in the Internal Market

Author: Diane Dawson

Publisher:

Published: 1994

Total Pages: 29

ISBN-13:

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The National Steering Group on Costing was established to help NHS units improve the quality of market information through development of standardised cost accounting procedures to be used in the setting of market prices. This paper argues there has been a misunderstanding of the role and nature of prices in the internal market. In markets characterised by contestability, small numbers and a high proportion of fixed costs, the prices at which transactions take place emerge from negotiation and tend to be unique to each buyer. Prices are usually secret, competition does not require nor does it lead to open information on prices. High fixed costs are relevant to negotiated prices being the preferred method of setting prices and to the incentives for existing suppliers to adapt services to changes in the pattern of demand. The model of the NSGC costing guidelines and the regulatory framework of the Department of Health is one of suppliers setting unique prices for each procedure and buyers choosing the quantity to purchase at that price. This model is appropriate in markets with large numbers of buyers who are price takers. This is clearly not the type of market to be found in the NHS.