Planning and managing primary care services: lessons from the NHS in England

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Abstract

High-quality primary care services are an essential part of a successful health service. However, the planning and management of such services is complex. Using evidence from a study of recent extensive changes in the English NHS, the authors highlight the need for local service oversight by managers who understand local conditions and needs. The recent English experience supports an incremental policy adjustment approach, rather than wholesale organizational change.

Original languageEnglish
Pages (from-to)261-270
Number of pages10
JournalPublic Money and Management
Volume38
Issue number4
Early online date22 Mar 2018
DOIs
Publication statusPublished - 7 Jun 2018

Keywords

  • Commissioning
  • complexity
  • path dependency
  • policy incrementalism
  • primary care

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