Physicians and Foundation Hospitals
| العنوان: | Physicians and Foundation Hospitals |
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| المؤلفون: | John Cooper, Carol Black |
| المصدر: | Clinical Medicine. 3:546-549 |
| بيانات النشر: | Royal College of Physicians, 2003. |
| سنة النشر: | 2003 |
| مصطلحات موضوعية: | Performance management, Forum, business.industry, Health Policy, Legislation, General Medicine, Special Interest Group, Public relations, United Kingdom, Health services, Target culture, Organisational change, Hospital Administration, Humans, Medicine, Physician's Role, business, Foundations |
| الوصف: | Foundation NHS Trusts will be constituted in the same way as Mutual Societies, and local people and patients will be invited to become subscribers. Subscribers will elect a board of governors who will appoint the non-executive directors of the Trusts. Foundation Trusts will be outside the performance management system, but will be subject to a regulator and to inspection. Contracts with commissioners will be legally enforceable. Issues discussed in the article include: financial borrowing; whether competition is being reintroduced; poaching staff; fears of a two-tier health service; fragmentation of the NHS; the impact on research and teaching; and the impact on the current ‘target culture’. Local communities and patient groups may welcome involvement with their local hospitals, but special interest groups could be a danger. Foundation Trusts may bring back some of the better features of NHS Trusts as originally conceived, and offer better opportunities for clinicians to influence local policies and priorities. Fears of yet another organisational change are an important issue. Only time will tell whether the outcome will justify the effort the changes will involve. |
| تدمد: | 1473-4893 1470-2118 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1672132ce3d84b6eed73faabebb98d44Test https://doi.org/10.7861/clinmedicine.3-6-546Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....1672132ce3d84b6eed73faabebb98d44 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14734893 14702118 |
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