The changing face of the national health service in the 1990s:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | Undetermined |
| Veröffentlicht: |
Harlow
Longman
1990
|
| Ausgabe: | 1. publ. |
| Schriftenreihe: | Health services management series
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Literaturangaben |
| Beschreibung: | XI, 218 S. |
| ISBN: | 0582066247 |
Internformat
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Datensatz im Suchindex
| _version_ | 1804120862219042816 |
|---|---|
| adam_text | Contents
Foreword Stuart Dickens ix
Contributors xii
Introduction Peter Spurgeon 1
1. District Health Authorities Stuart Haywood 4
Introduction 4
Conditions for success 5
Tests of success a checklist 13
Final comment 16
References 17
2. Planning and internal markets Penelope Mullen 18
Introduction 18
Allocation of resources 18
Funding and the provision of services 20
The White Paper proposals 23
Health care planning with internal markets 26
Markets and planning 31
Conclusions 35
References 35
3. The White Paper and the finance function Tony Cook 38
Introduction 38
The developing finance function before Working for patients 38
Working for patients the White Paper 50
Conclusions 62
References 63
4. Assessing efficiency in the new NHS Mike Drummond 64
Introduction 64
Methods for assessing the efficiency of health
care programmes 65
Impact of the White Paper proposals on the assessment
of efficiency 67
Discussion: what monitoring arrangements are required to
ensure efficiency? 74
References 75
yj Contents
5. Resource management: a fundamental
change in managing health services Peter Spurgeon 78
The basics of RMI 79
Implementing RMI 81
Managing the organisational and cultural transition 82
Issues surrounding clinical directorates 84
Developing information systems 86
Managing change 89
References 91
6. Developing managers for the 1990s David Thompson 92
Managers and development 92
A failure of reform? 93
Coping with the pace of change 96
The values dilemma 99
The centre local debate 100
A demand led strategy? 102
Formality and informality 105
References 107
7. Managing the human resources
of the NHS in the 1990s Hugh Flanagan 108
The foundations of success 108
The NHS as a good employer 113
From personnel management to human
resource management 116
Future regional district unit roles in human
resource management 120
Effective management of the HRM function 124
References 128
8. Buying and selling high quality health care Hugh Koch 130
Introduction 130
Quality health care in context 130
Definition of quality 131
Specification of quality for purchasers, providers and patients 133
Standard setting of health care quality 134
Quality strategy for provider units 136
Total quality management 137
Process of total quality management 139
Total quality management in the 1990s 141
Conclusions 142
References 143
Contents vii
9. Implications of the government White Papers
on the future of primary health care in
the United Kingdom David Schofield 144
Introduction 144
FHSAs and information for PHC 145
FHSAs, information and community participation 148
Information needs of patients 149
FHSAs and management for PHC 151
Managing the GP contract 152
GP prescribing 153
Managing financial resources and cash limits 154
FHSAs, management and inter sectoral collaboration 155
Critical issues and concerns 157
Conclusion 159
Training FHSAs for PHC in the UK 159
References 161
10. General practice the loss of innocence Andrew Willis 162
Introduction 162
Historical summary 162
The function of general practice 163
What progress has been made? 165
What changes are implicit within Working for patients? 167
Will the changes implicit in Working for patients facilitate
the functions of general practice? 171 j
Conclusion 174 t
References 176 I
11. Community care Anne Davis and Linda Davies 179
Introduction 179
The challenge for health and social services 179
Government policy objectives 180
Funding community care 181
Housing and community care 183
Caring at home 184
Assessment of individual need 185
Implications for NHS acute services 187
Community care plans io°
Achieving high standards of care 190
Monitoring standards 1 !
Conclusion 1^3
References l^4
vijj Contents
12. Working for patients ... a public health
perspective Bernard Crump and Rod Griffiths 196
Introduction 196
Opportunities 197
Risks 200
Reaping the benefits and avoiding the risks 202
Monitoring contracts 203
Broken contracts 204
Conclusion 205
References 206
13. What will it really look like? John Dennis 207
Introduction 207
Aims and objectives 207
A coherent structure 208
The mixed economy 209
Management capability 209
The rationing process 212
Working for the consumer 213
The buyer provider relationship 214
The health service as a market the market and
the DHA s planning role 215
The opportunities for those working for the service 216
Conclusion 218
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| isbn | 0582066247 |
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| series2 | Health services management series |
| spelling | The changing face of the national health service in the 1990s ed. by Peter Spurgeon 1. publ. Harlow Longman 1990 XI, 218 S. txt rdacontent n rdamedia nc rdacarrier Health services management series Literaturangaben Großbritannien National Health Service (DE-588)121257-6 gnd rswk-swf Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Großbritannien (DE-588)4022153-2 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Großbritannien National Health Service (DE-588)121257-6 b DE-604 Großbritannien (DE-588)4022153-2 g Gesundheitswesen (DE-588)4020775-4 s Spurgeon, Peter Sonstige oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=004207139&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | The changing face of the national health service in the 1990s Großbritannien National Health Service (DE-588)121257-6 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| subject_GND | (DE-588)121257-6 (DE-588)4020775-4 (DE-588)4022153-2 (DE-588)4143413-4 |
| title | The changing face of the national health service in the 1990s |
| title_auth | The changing face of the national health service in the 1990s |
| title_exact_search | The changing face of the national health service in the 1990s |
| title_full | The changing face of the national health service in the 1990s ed. by Peter Spurgeon |
| title_fullStr | The changing face of the national health service in the 1990s ed. by Peter Spurgeon |
| title_full_unstemmed | The changing face of the national health service in the 1990s ed. by Peter Spurgeon |
| title_short | The changing face of the national health service in the 1990s |
| title_sort | the changing face of the national health service in the 1990s |
| topic | Großbritannien National Health Service (DE-588)121257-6 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| topic_facet | Großbritannien National Health Service Gesundheitswesen Großbritannien Aufsatzsammlung |
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