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