Abstract
The introduction of commissioning purchasing and services as an activity which is organisationally separated from the provision of services is the mechanism which brings a form of competition into the National Health Service. The belief is that once the purchaser/ commissioner organisation has established which services are needed for a population, they can then use competition between providers as the lever to ensure best value for money for the available resources. The commissioning/purchasing lever operates at health authority level seeking best value from health service provider trusts, and also at general practice level where fundholders and general practice total purchasers use their buying power to get best value.
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References
Atkin, K. and Lunt, N. (1995) Nurses in practice: the role of the practice nurse in primary health care. York: University of York Social Policy Research Unit.
Department of Health (1991a) The Patient’s Charter. London: HMSO.
Department of Health (1991b) The Citizen’s Charter. London: HMSO.
Department of Health and Social Security (1986) Neighbourhood Nursing: A Focus for Care. Chair: Julia Cumberlege. London: HMSO.
Fawcett-Henesey, A. (1995) Nurse practitioners: the South Thames RHA experience. Nursing Times, 22 March, 91(12), pp. 40–1.
Gordon, P. (1995) Core values in general practice. Health Service Journal, 23 March, pp. 24–5.
Hall, D. (1996) Health for All Children. Oxford: Oxford University Press. 3rd edn.
Harley, M. (1995) Contact points: has increased hospital activity pushed up demand for community nursing? Health Service Journal, 105(5469), p. 29.
Hennessy, D. (1995) ‘A changing health service requires a changing workforce’. In J. Littlewood (ed.), Current hues in Community Nursing. London: Churchill Livingstone.
Iliffe, S. and Gould, M. M. (1995) Hospital at home: a substitution technology that nobody wants? British Journal of Healthcare Management, 1(13), pp. 663–5.
Leicester Royal Infirmary (1995) Whole hospital re-engineering. Health Service Journal, 105(5449), p. 11.
NHS Executive (1994) Towards a Primary Care Led NHS: An Accountability Framework for GP Fundholding [EL (94)92]. London: HMSO.
Thomasson, G. (1995) Monitoring and evaluating the shift of health care services and resources from secondary to primary and community sectors. York Health Economics Consortium, University of York.
United Kingdom Central Council for Nursing, Midwifery and Health Visiting (UKCC) (1987) Project 2000: The Final Proposals. London: UKCC.
United Kingdom Central Council for Nursing, Midwifery and Health Visiting (UKCC) (1992) The Code of Professional Conduct. London: UKCC.
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© 1997 Liz Haggard
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Haggard, L. (1997). Commissioning Services to Meet Identified Needs. In: Hennessy, D. (eds) Community Health Care Development. Community Health Care Series. Palgrave, London. https://doi.org/10.1007/978-1-349-13906-4_4
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DOI: https://doi.org/10.1007/978-1-349-13906-4_4
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