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  • The commissioning framework

    Schöpfer:
    King's Fund
    Publication date:
    Abstract:
    Although some of the key planks of the NHS reform programme, such as Payment by Results (PbR) and patient choice, began to take shape from 2003, it is only recently that the Department of Health has begun to publish guidance, aimed at people working within the NHS, that attempts to ...

  • Local variations in NHS spending priorities

    Schöpfer:
    King's Fund
    Publication date:
    Abstract:
    While the 'postcode lottery' of accessing drugs such as Herceptin on the NHS attract media headlines, there has been growing awareness of more fundamental variations in spending by primary care trusts (PCTs), the organisations responsible for purchasing the bulk of NHS care for people living in their catchment areas. This ...