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Welfare Reform on the Web (January 2002): National Health Service - Primary and Community Care

BEYOND POLICY COMMUNITY: THE CASE OF THE GP FUNDHOLDING SCHEME

A Kay

Public Administration, vol. 79, 2001, p. 561-577

Between 1948 and the 1980s a stable policy community consisting of doctors and the government developed the NHS. Trust between the medical profession and the Thatcher government broke down in the 1980s, leading to health care policy being based on "folk psychology" rather than evaluative evidence during the 1990s. Article traces the effect of this breakdown of the policy community on the negotiation, implementation and abolition of the GP fundholding scheme.

PRIVATE SECTOR PLAN FOR HEALTH CENTRES

N. Timmins

Financial Times, Nov. 5th 2001, p. 4

Introduces a scheme to rebuild primary care premises in inner cities through profit-sharing partnerships between private companies and health and local authorities.

PRIMARY HEALTH CARE IN AN INNER CITY AREA: WHAT WOMEN EXPECT

L. Trebilcock and L. Bryant

Community Practitioner, vol. 74, 2001, p. 425-426

Reports results of a small scale study of the extent to which women in a deprived area considered they could put health promotion advice into practice in their daily lives. Concludes that rather than focusing on alleviating the effects of underlying distress, health professionals need to work with individuals, groups and communities to tackle the underlying causes of ill-health, such as unemployment and lack of money.

THE PURCHASING OF HEALTH CARE BY PRIMARY CARE ORGANIZATIONS: AN EVALUATION AND GUIDE TO FUTURE POLICY

N. Mays et al (eds)

Buckingham: Open University Press, 2001

This book examines the changes which are taking place in the responsibility of primary care organizations for commissioning services. Responsibility is being devolved to the local level in an attempt to improve the efficiency and equity of the health care system.

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