Published Work

Mapping approaches to commissioning : extending the mosaic

Öffentlich Deposited
ISBN
  • 1857172132
Author
Place of publication
  • London
Publisher
  • King's Fund
Publication date
  • 1998
Pages
  • 53
Abstract
  • This report summarises the main results of a survey of approaches to commissioning. All health authorities were surveyed and a 100 per cent response was achieved. The survey sought to map different approaches to commissioning and to assess the impact of these approaches from the perspective of health authorities. The survey showed that a wide variety of approaches to GP commissioning was in existence in the NHS in 1997. These included not only the five principal categories used at the outset of the survey (multifunds, fundholding consortia, locality commissioning, commissioning by groups of practices and health authority wide groups), but also joint commissioning, commissioning focused on particular client groups or specialties, and a range of area based approaches. The pattern that emerged suggested that different approaches had different strengths. The survey suggested that multifunds and fundholding consortia had had a greater impact than other approaches on prescribing, the provision of extended primary care services, referrals and inpatient waiting times. By contrast, locality commissioning, commissioning by groups of practices and health authority wide groups had had a greater impact than multifunds and fundholding consortia on services for chronically mentally ill people and continuing care policy and arrangements. All approaches had made a beneficial impact on service quality, and equally all had had a limited impact on emergency admissions. The report considers the future of commissioning and the implications of government policy.
Note
  • Pagination: iii, 53p. + appendices
Subject
Resource type
Rights statement
Library catalogue link
License

Beziehungen

Objekte

Miniaturansicht Titel Hochladedatum Sichtbarkeit Aktionen
file details 0101.tif 2021-11-20 Öffentlich Herunterladen
file details 0102.tif 2021-11-20 Öffentlich Herunterladen
file details 0103.tif 2021-11-20 Öffentlich Herunterladen
file details 0104.tif 2021-11-20 Öffentlich Herunterladen
file details 0105.tif 2021-11-20 Öffentlich Herunterladen
file details 0106.tif 2021-11-20 Öffentlich Herunterladen
file details 019957.pdf 2021-11-20 Öffentlich Herunterladen