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Total purchasing, community and continuing care: lessons for future policy developments in the NHS
Author(s)S Wyke, S Myles, J Popay
Journal titleHealth & Social Care in the Community, vol 7, no 6, November 1999
Pagespp 394-407
KeywordsGeneral practice ; Services ; Grant allocation ; Pilot ; Policy.
AnnotationThe introduction of total purchasing pilots (TPPs) into the National Health Service (NHS) gave general practitioners (GPs) new opportunities to take responsibility for the development of community and continuing care (CCC) services. Based on five case studies of TPPs involved in developing CCC, this study investigated the following: the extent to which the TPPs' involvement in CCC were informed by an awareness of CCC policy; whether TPPs were involved in joint commissioning to develop integrated purchasing of provision which was informed by population based needs assessment; and whether TPPs were seeking to involve users, carers and voluntary agencies in their plans. The findings indicate that TPPs showed little awareness of national or local policy for CCC, and their developments in integrated purchasing were not based on systematic population based needs assessment. The paper concludes that there is potential for the primary care led groups proposed in recent White Papers to improve integration of care, although they may need policy guidance and encouragement to put CCC high on their agenda for action. (AKM).
Accession NumberCPA-000118203 A
ClassmarkL5: I: QCG: 4UC: QAD

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