KILBOURNE, A.
Le service nationale de la santé en Grande-Bretagne : les "regional health authorities" - Paris : IIAP, juil./sept. 1987
The 14 Regional Health Authorities in England control the finance and service provision of the 192 subordinate districts. They are responsible through their appointed authority members for the implementation of government policies and development of local strategies for the delivery of health care. They receive a budget from the government Department of Health and Social Security under a formula developed in 1976 by the Resource Allocation Working Party. Regions attempt to coordinate the services provided by districts and an annual review process has been introduced by the DHSS to monitor their success. Executive control of the regions rests with a Regional Management Board, headed by the Regional General Manager. They carry out the policies of the authority whose members are appointed, not elected, from local government and the general public under a part-time, salaried chairman. But although regions are nominally in direct control of the districts, the districts have their own appointed authorities which can attempt to alter reginal decisions on the allocation of money and the location of services. Thus the power of the regions is tempered by the political weight of the Districts and by professional groups, particularly the doctors and nurses
Le service nationale de la santé en Grande-Bretagne : les "regional health authorities" - Paris : IIAP, juil./sept. 1987
The 14 Regional Health Authorities in England control the finance and service provision of the 192 subordinate districts. They are responsible through their appointed authority members for the implementation of government policies and development of local strategies for the delivery of health care. They receive a budget from the government Department of Health and Social Security under a formula developed in 1976 by the Resource Allocation Working Party. Regions attempt to coordinate the services provided by districts and an annual review process has been introduced by the DHSS to monitor their success. Executive control of the regions rests with a Regional Management Board, headed by the Regional General Manager. They carry out the policies of the authority whose members are appointed, not elected, from local government and the general public under a part-time, salaried chairman. But although regions are nominally in direct control of the districts, the districts have their own appointed authorities which can attempt to alter reginal decisions on the allocation of money and the location of services. Thus the power of the regions is tempered by the political weight of the Districts and by professional groups, particularly the doctors and nurses
