Quality and Quantity in Community Health Care Nursing

  • Carolyn Mason
Part of the Community Health Care Series book series (CHCS)


The NHS and Community Care Act 1990 created a division between purchasers and providers of health care, a split that has fundamentally reorientated the dynamic of health service delivery. Most profoundly, competition within a managed market should act as the driver for quality and efficiency as provider trusts compete with each other to win contracts from purchasers. Quality issues are forefronted in the contracting process: purchaser specification documents contain explicit quality requirements and quality items are an important feature of the formal arrangements, or contracts, between commissioning authorities and trusts. In short, the NHS reforms have raised the profile of quality in health care and provided a mechanism for its inclusion as a requisite feature of service delivery.


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© Carolyn Mason 1997

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  • Carolyn Mason

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