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Alzheimer's Disease and Dementia in Down Syndrome and Intellectual Disabilities (Paperback, 1st New edition)
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Alzheimer's Disease and Dementia in Down Syndrome and Intellectual Disabilities (Paperback, 1st New edition)
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Comprehensive health services cannot be planned on the basis of
7.000 people - the average list size of a fundholding practice.
Services such as casualty and kidney transplantation must be
planned on populations of hundreds of thousands. GP commissioning
has developed from the spontaneous reaction against fundholding by
some GPs ( both fundholding and non-fundholding) into a
comprehensive, systematic approach towards the planning and
monitoring of health services. This book is the first to explain GP
commissioning in its own right. It documents the history, theory
and practice of GP commissioning and places it within the current
political situation faced by the NHS. It shows how commissioning
goes beyond fundholding. Commissioning is a more cost-efficient
alternative, is clinically effective and its spontaneous
development implies it is more in keeping with the basic tenets of
the National Health Service. The difficult areas of financing,
commercialization and rationing of health care are all covered. The
book also explores the relationship between GP commissioning and
evidence-based medicine, both of which can contribute to a
systematic approach towards the planning and provision of health
care into the next century. With contributions from GP
commissioners, health services managers, leading academics, the
Secretary of State, and the former Shadow Secretary of State for
Health, this book will inform the important debate on the structure
of primary care. It is vital reading for all those with an interest
in the future of the health service.
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