scholarly journals Simulating the impact of centralization of prostate cancer surgery services on travel burden and equity in the English National Health Service: A national population based model for health service re‐design

2020 ◽  
Vol 9 (12) ◽  
pp. 4175-4184
Author(s):  
Ajay Aggarwal ◽  
Stéphanie A. Geest ◽  
Daniel Lewis ◽  
Jan Meulen ◽  
Marco Varkevisser
Keyword(s):  
Prostate Cancer ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Population Based ◽  
Cancer Surgery ◽  
The Impact ◽  
Travel Burden ◽  
English National Health ◽  
English National Health Service

scholarly journals Organisation of Prostate Cancer Services in the English National Health Service

2016 ◽  
Vol 28 (8) ◽  
pp. 482-489 ◽  
Author(s):  
A. Aggarwal ◽  
J. Nossiter ◽  
P. Cathcart ◽  
J. van der Meulen ◽  
J. Rashbass ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Cancer Services ◽  
English National Health ◽  
English National Health Service

scholarly journals The regulation of competition in the National Health Service (NHS): what difference has the Health and Social Care Act 2012 made?

2016 ◽  
Vol 12 (1) ◽  
pp. 1-19 ◽  
Author(s):  
Marie Sanderson ◽  
Pauline Allen ◽  
Dorota Osipovic
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Social Care ◽  
Competition Law ◽  
Health And Social Care ◽  
Specific Regulation ◽  
The Impact ◽  
English National Health ◽  
English National Health Service

AbstractThis article examines the impact of the Health and Social Care Act 2012 on the regulation of competition in the English National Health Service (NHS), by focussing on the change it marked from a system of sector-specific regulation to one which is clearly based in competition law. It has been suggested that the Act and its associated reforms would significantly alter accountability in the NHS, and would change decisions from the remit of public policy to that of the law. To assess the impact the Act has had in practice, the article compares the interpretation of the rules regarding competition in the NHS by the regulators of competition immediately before, and following, the passing of the Act. It argues that, whilst the reforms have the potential significantly to alter the way competition in the NHS is regulated, the impact of the reforms in this area is limited by the development of systems within the NHS to manage and resolve issues internally where possible.

General Practitioner Commissioning in the English National Health Service: Continuity, Change, and Future Challenges

2008 ◽  
Vol 38 (4) ◽  
pp. 717-730 ◽  
Author(s):  
Russell Mannion
Keyword(s):  
General Practitioner ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Policy Implications ◽  
Future Challenges ◽  
Policy Objectives ◽  
The Impact ◽  
English National Health ◽  
English National Health Service

General practitioner fundholding (GPFH) in the English National Health Service was abolished by the Blair administration in 1999 amid concerns that it was inequitable, helped to foster a “two-tier” health service, and incurred high transaction costs. In April 2005 in an apparent volte face, the Blair government reintroduced delegated budgets to individual GP practices under the banner of Practice Based Commissioning (PBC). As PBC bears many similarities to GPFH it is timely to take stock of evidence-based policy lessons from the earlier initiative in the NHS. Based on a review of the latest empirical evidence, the aim of this article is to help inform the development and implementation of PBC by identifying the policy lessons of GPFH. To do this the discussion focuses on three main areas: it (1) reviews key ideas and conceptual frameworks for understanding stability and change in health systems; (2) summarizes the origins and evolution of primary care commissioning in the NHS; and (3) examines the latest literature and empirical analysis on the impact of GPFH and assesses the success of GPFH in meeting a range of health policy objectives. The article concludes with an examination of the policy implications of the present review and a look forward at the emerging research agenda.

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