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In operational terms, the characteristics associated with achievement were: the ability to hold and use budgets; the availability of adequate management resources; good relationships with external agencies, particularly the health authority; effective management systems; the presence of product champions both within the TPP but also in HAs and trusts; a strong dynamic executive management team; the inclusivity of stakeholders; the engendering of a collective responsibility and corporacy within the TPP; and a positive national and local context. In terms of service development, where there is vested local interest or enthusiasm, there tends to be more success than when the objectives are more strategic. 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The evaluation of TPPs has three main implications for the government's proposed model of devolved purchasing;  it will take considerable time for PCGs to construct robust organisations capable of bringing about important changes in local health services; effective GP-led purchasing organisations cannot be developed and maintained without substantial expenditure; and having a budget and developing independent contracts or service agreements is associated with more effective purchasing, at least in the short term."],"date_published_tesim":["1999"],"date_published_ssi":"1999","isbn_tesim":["1857172930"],"pagination_tesim":["43"],"place_of_publication_tesim":["London"],"series_tesim":["National Evaluation of Total Purchasing Pilot Projects working paper"],"rights_statement_tesim":["http://rightsstatements.org/vocab/InC/1.0/"],"license_tesim":["http://creativecommons.org/licenses/by-nc-nd/4.0/"],"creator_tesim":["Goodwin, Nick","Wyke, Sally","Killoran, Amanda","King's Fund","Malbon, Gill","Mays, Nicholas"],"date_tesim":["1999"],"date_ssi":"1999","publisher_tesim":["King's Fund"],"resource_type_tesim":["Monograph"],"subject_tesim":["Pilot projects","England","Evaluation","Total purchasing","Scotland","General practitioner fundholders"],"note_tesim":["Pagination: vii, 43p."],"former_identifier_tesim":["22036"],"thumbnail_path_ss":"/downloads/zc77st44d?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["m326m509g","s1784p85t","np193d303","2j62s839w","5425kd83h","9c67wq97k","s7526g45b","k930c1378","2r36v1627","tm70mz47k","zc77st44d","765374360","5q47rs08r","5999n6527","tb09j9389","8w32r892t","p5547v85s","gh93h275x","js956k20s","q524js256","4t64gq99c","fb494c50z","bn999b27v","bg257j81x","mw22v882b","hd76s322h","5999n653h","d217qs620","b8515r67b","th83m252c","cr56n463m","v692t945t","m326m5107","7w62fc81n","mw22v883m","d791sk90m","sq87bz155","r207ts50z","bn999b26k","x346d7678","mc87pt53m","tb09j939k","79408155f","k3569776g","h128nj32r","dj52w794h","v405sd91q","6h440w53m","vx021j285","cz30pw85r","05741v858","vh53x007d","6q182p77z","fb494c517","1544bs19j","5t34sn97p","ns064916h","dr26z165t","k930c138j","ft848t943","js956k191"],"file_set_ids_ssim":["m326m509g","s1784p85t","np193d303","2j62s839w","5425kd83h","9c67wq97k","s7526g45b","k930c1378","2r36v1627","tm70mz47k","zc77st44d","765374360","5q47rs08r","5999n6527","tb09j9389","8w32r892t","p5547v85s","gh93h275x","js956k20s","q524js256","4t64gq99c","fb494c50z","bn999b27v","bg257j81x","mw22v882b","hd76s322h","5999n653h","d217qs620","b8515r67b","th83m252c","cr56n463m","v692t945t","m326m5107","7w62fc81n","mw22v883m","d791sk90m","sq87bz155","r207ts50z","bn999b26k","x346d7678","mc87pt53m","tb09j939k","79408155f","k3569776g","h128nj32r","dj52w794h","v405sd91q","6h440w53m","vx021j285","cz30pw85r","05741v858","vh53x007d","6q182p77z","fb494c517","1544bs19j","5t34sn97p","ns064916h","dr26z165t","k930c138j","ft848t943","js956k191"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000022036"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1717487407443476480,"timestamp":"2021-11-26T10:47:09.230Z","score":1.0},{"system_create_dtsi":"2021-11-04T22:28:28Z","system_modified_dtsi":"2021-11-20T17:47:25Z","has_model_ssim":["PublishedWork"],"id":"000021039","accessControl_ssim":["ef7d3fbb-7c6e-44a5-af3c-5169036ff103"],"hasRelatedMediaFragment_ssim":["6w924g365"],"hasRelatedImage_ssim":["6w924g365"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Total purchasing : a step towards new primary care organisations"],"date_uploaded_dtsi":"2021-11-04T22:28:28Z","date_modified_dtsi":"2021-11-11T05:17:39Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["21039"],"abstract_tesim":["The evaluation of the Total Purchasing Pilots (TPPs) provides important lessons for the development of the new primary care organisations envisaged in the English, Welsh and Scottish NHS white papers. 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