Does practice based commissioning avoid the problems of fundholding?
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Biomedical subjects
Publications and source records attributed to Ian Greener.
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This paper presents contextual and empirical analyses of the pressures on senior health managers in the NHS through an examination of the documents produced by the NHS National Co-ordinating Centre for Service Delivery and Organisation on "Managing change". The result is a discussion and advocacy of the means through which "knowledge" with "knowing" might be brought together in the NHS to move it more towards an evidence-based approach to management.