The Internal Market of the National Health Service: Some Early Observations from the Freeman Hospital, Newcastle upon Tyne

Craven, Barrie; Smith, Chris

doi:10.1108/02689239310045134

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…The analogous comment raises a fundamental issue concerning the management of the NHS. When a service is free and tax-payer funded there is scope to sacrifice productive efficiency for other objectives (Craven and Smith, 1993). When management techniques are successfully applied the perceived nature of the service may change.…”

Section: Assessment Evaluation and Recommendationsmentioning

confidence: 99%

Erratum

Wren¹,

Craven²

1999

British J Clinical Governance

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Until recent years women with symptoms consistent with miscarriage either referred themselves or were referred by their doctors to the local Accident and Emergency (A&E) department. This generally resulted in admission to a gynaecological ward and delayed treatment. This paper examines the costs and benefits of an early pregnancy assessment clinic (EPAC), at a teaching hospital in North East England, to deal with the complications in the first trimester. The data show clear benefits together with cost savings. There is an unambiguous policy recommendation to implement the proposed clinic. The paper examines the delivery of service provision and the impact on referral patterns to the A&E department and raises the issue of care provision at the margin. Finally, the authors show the results of an evaluative survey of the clinic from returns of a questionnaire sent to and completed by local general practitioners.

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Section: Assessment Evaluation and Recommendationsmentioning

confidence: 99%

Erratum

Wren¹,

Craven²

1999

British J Clinical Governance

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show abstract

“…The analogous comment raises a fundamental issue concerning the management of the NHS. When a service is free and tax‐payer funded there is scope to sacrifice productive efficiency for other objectives[26]. When management techniques are successfully applied the perceived nature of the service may change.…”

Section: Assessment Evaluation and Recommendationsmentioning

confidence: 99%

A cost‐effectiveness study of changing medical practice in early pregnancy

Wren

Craven

1997

Journal of Management in Medicine

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Until recent years women with symptoms consistent with miscarriage either referred themselves or were referred by their doctors to the local Accident and Emergency (A&E) department. This generally resulted in admission to a gynaecological ward and delayed treatment. Examines the costs and benefits of an Early Pregnancy Assessment Clinic (EPAC), at a teaching hospital in North East England, to deal with the complications in the first trimester. The data show clear benefits together with cost savings. There is an unambiguous policy recommendation to implement the proposed clinic. Examines the delivery of service provision and the impact on referral patterns to the A&E department. Raises the issue of care provision at the margin. Finally, shows the results of an evaluative survey of the clinic from returns of a questionnaire sent to and completed by local general practitioners.

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“…If the virus-AIDS-hypothesis is correct and all HIV seropositives develop AIDS it makes sense to spend relatively large sums on education. However when compared with heart disease, which is the largest cause of death in Britain, the funding for AIDS prevention Craven & Smith (1993).…”

Section: Opportunity Cost Criterionmentioning

confidence: 99%

Amateurs Confronting Specialists: Expenditure on AIDS in England

1993

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Present public policy in Britain towards the Acquired Immune Deficiency Syndrome (AIDS) funding is unusual if not exceptional; first because the funding is earmarked and second because no other area of medicine receives such high levels of resources. This paper examines the cause of AIDS and the likely trend of new cases and hence future resource demands upon the NHS. This paper offers four explanations for massive ‘ring-fenced’ AIDS expenditure of public revenue. The distribution to and allocation of those monies by Regional Health Authorities is analysed. It concludes that there is very little rationale for this, especially when alternative uses of funds are considered. Furthermore the politics of incrementalism indicates that what has already become a major misuse of public funds is likely to continue in the foreseeable future.

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The Internal Market of the National Health Service: Some Early Observations from the Freeman Hospital, Newcastle upon Tyne

Cited by 4 publications

References 6 publications

Erratum

Erratum

A cost‐effectiveness study of changing medical practice in early pregnancy

Amateurs Confronting Specialists: Expenditure on AIDS in England

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