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Contracting in the UK NHS: purpose, process and policy
Author(s)Maria Goddard, Russell Mannion, Brian Ferguson
Corporate AuthorCentre for Health Economics, University of York; York Health Economics Consortium; NHS Centre for Reviews and Dissemination
PublisherUniversity of York, York, 1997
Pages28 pp (Centre for Health Economics discussion paper, 156)
SourceThe Publications Office, Centre for Health Economics, University of York, York YO1 5DD.
KeywordsNational Health Service ; Contracts ; Policy.
AnnotationContracting has played a central role in the NHS (National Health Service) reforms as the principal mechanism by which resources are transferred from purchasers to providers. The nature, process and role of contracting are traced by examining the development of government policy on this issue since the inception of the reforms. Much of the emphasis in the early years of the reforms was on getting the detail of contracting `right', with attention becoming focused more recently on wider commissioning issues and the nature of the purchaser-provider relationship. The contracting environment is described, and consideration given to the way in which changes in this environment have influenced the role and nature of contracting, particularly in terms of the tension between the role of the market and the role of management in the NHS. The authors conclude that the challenge for the new Labour government is how poor provider performance can be dealt with in the context of long-term collaborative agreements.
Accession NumberCPA-980331212 B
ClassmarkL4: 6QH: QAD

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