Why the NHS money-go-round is running out of steam.
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Biomedical subjects
Publications and source records attributed to Mary-Louise Harding.
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PCT chief executives fear that last week's funding allocations will not be enough to make an impact on public health and that the lack of ringfenced cash for 'spearhead' trusts' will be dangerous. And using weighted capitation figures to calculate funding levels shows very different winners and losers to the official Department of Health claims.
A rough new constitution is being drawn up for the NHS in a bid to prevent health economies sliding into bitter 'Bradford-style' warfare in the era of foundations trusts and payment by results. The rules of engagement are part of a package of measures designed to rescue some of the government's flagship reforms amid warnings from audit chiefs on the impact of PbR.
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Hospitals need to strive to reduce admissions and improve quality of care for frail older people. Dedicated units within accident and emergency offer the best hope of reducing demeaning trolley waits. Community-based care and home treatment needs to be better co-ordinated to reduce the burden on hospitals.
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