NHS reforms. Counting the costs.
Localism predominates in purchaser-provider relationships, with markets strictly limited in practice. Block contracting predominates, largely to enable purchasers to bring pressure to bear on providers' costs and outputs. The administrative costs of operating the purchaser-provider split have led to a clear growth in the overall administrative costs within the NHS. Locality commissioning may conflict with the need to reorganise clinical services.
Paton
C
C
Centre for Health Planning and Management, Keele University, UK.
Birch
K
K
Hunt
K
K
Jordan
K
K
Durose
J
J
D003284:Contract Services / Q000191:economics*; D003365:Costs and Cost Analysis; D004465:Economic Competition / Q000639:trends*; D018166:Health Care Reform / Q000191:economics*; D019538:Health Care Surveys; D006292:Health Priorities; D013222:State Medicine / Q000191:economics*; D006113:United Kingdom