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Sub-Optimality in NHS Sourcing in the UK : (Record no. 15389)

000 -LEADER
fixed length control field 01991naa a2200193uu 4500
001 - CONTROL NUMBER
control field 6040310292021
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20190211160931.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 060403s2006 xx ||||gr |0|| 0 eng d
999 ## - SYSTEM CONTROL NUMBERS (KOHA)
Koha Dewey Subclass [OBSOLETE] PHL2MARC21 1.1
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title eng
100 1# - MAIN ENTRY--PERSONAL NAME
Personal name COX, Andrew
9 (RLIN) 24183
245 10 - TITLE STATEMENT
Title Sub-Optimality in NHS Sourcing in the UK :
Remainder of title Demand-Side Constraints on Supply-Side Improvement
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Canberra, Australia :
Name of publisher, distributor, etc. Blackwell publishing,
Date of publication, distribution, etc. June 2005
520 3# - SUMMARY, ETC.
Summary, etc. The UK NHS and its Purchasing and Supply Agency (PASA) are implementing reforms for the procurement of goods and services. One aspect of the new approach creates regional confederations in order to overcome the current inability to enforce 'National Framework Agreements' within individual NHS Trusts. This is a sensible approach to resolving a lack of effective consolidation of demand within the NHS at the Trust level, but recent research into the procurement practices of regionally based NHS Trusts has highlighted a number of internal demand problems that this new approach is unlikely to overcome. These include the failure by the Trusts individually, and by the NHS centrally, to control and manage the NHS design and specification process effectively and, in many cases, an inability to measure or collect information on the clinical and cost effectiveness of medical interventions. It is argued, therefore, that while the new reforms may be an improvement on the past, it is likely that the confederations are destined to fail. This is largely the result of the NHS – centrally, regionally and locally – lacking an understanding of how to align demand and supply effectively so as to provide the levers to manage the procurement of goods and services proactively.
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name CHICKSAND, Dan
9 (RLIN) 24184
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name IRELAND, Paul
9 (RLIN) 24185
773 08 - HOST ITEM ENTRY
Title Public Administration an International Quarterly
Related parts 83, 2, p. 367-392
Place, publisher, and date of publication Canberra, Australia : Blackwell publishing, June 2005
International Standard Serial Number ISSN 0033-3298
Record control number
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Periódico
998 ## - LOCAL CONTROL INFORMATION (RLIN)
-- 20060403
Operator's initials, OID (RLIN) 1029^b
Cataloger's initials, CIN (RLIN) Natália

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