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Contracting for palliative care

D Clark1, B Neale, P Heather

  • 1Trent Palliative Care Centre, Sheffield, England.

Social Science & Medicine (1982)
|May 1, 1995
PubMed
Summary
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Purchasing authorities in the UK face challenges balancing efficiency and quality in palliative care. Effective partnerships between purchasers and providers are crucial for successful service development.

Area of Science:

  • Health Services Research
  • Palliative Care Policy
  • Healthcare Management

Background:

  • Current UK policy literature on purchasing authorities is reviewed within the context of evolving palliative care.
  • Recent UK health and social care legislation emphasizes quality assurance, consumer choice, and value for money.
  • The purchasing cycle, encompassing need assessment, strategic planning, contracting, and monitoring, is outlined.

Purpose of the Study:

  • To review the role of purchasing authorities in UK palliative care.
  • To examine the implications of recent legislation on palliative care provision.
  • To explore the purchaser-provider relationship and its impact on service development.

Main Methods:

  • Literature review of UK policy documents and legislative frameworks.

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  • Analysis of the purchasing cycle in palliative care.
  • Examination of the roles of providers, service users, and voluntary sector organizations.

    • Main Results:

    • Difficulties exist in reconciling efficiency with quality assurance under new legislation.
    • Separating purchaser and provider roles is challenging, especially when palliative care development is provider-led.
    • The voluntary sector's role in palliative care contracting requires careful assessment.

    Conclusions:

    • An effective partnership between purchasers and providers is essential to overcome the purchaser-provider split.
    • Addressing imbalances in the purchasing cycle requires greater focus on aggregate need assessment and strategic planning.
    • Future palliative care developments must integrate efficiency aims with robust quality assurance mechanisms.