89762
Beschreibung
Mindmap von Jen Collins, aktualisiert more than 1 year ago
|
Erstellt von Jen Collins
vor mehr als 11 Jahre
|
|
SIR ROY GRIFFITHS (sainers director)
- NHS REFORM 1983
- general
managers
appointed
in
hospitals
- aim to
improve
performance
and
efficiency
- aim to
improve
performance
and
efficiency
- outsourcing
of domestic
and
support
services
- out to contract, who ever
provides cheapest services
- no longer paid by NHS
- out to contract, who ever
provides cheapest services
- influence evident
in 1989 white
paper: Working
with patients
- general
managers
appointed
in
hospitals
- SOCIAL SERVICES REFORM
- resulted in Care in Community Act 1990
- seperated roles between purchasing and providing
- resulting in pluraltiy of providers
- local
authorities
who
arrange
and
commission
services
- local authorities
would remain in over
all control of social
service provision
- local authorities
would remain in over
all control of social
service provision
- vol
organisations
who provide
domicillary care
- private
homecare
companies
- local
authorities
who
arrange
and
commission
services
- resulting in pluraltiy of providers
- seperated roles between purchasing and providing
- influence
evident in 1989
white paper
Community
care inthe next
decade and
beyond
- Role of S/W changed anf they beame
assessors deciding who should provide the
funding for the sevice rather than being the
providers of care.
- different
vision of S/W
as envisioned
by Seebohm
20 yrs earlier
- different
vision of S/W
as envisioned
by Seebohm
20 yrs earlier
- resulted in Care in Community Act 1990
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