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Department of Health
Statement of Fees and Allowances Payable to General Medical Practitioners in England and Wales
R. Sheaff, A. Lloyd
From competition to cooperation: service agreements in primary care
J. Shapiro (2000)
Personal medical services: a barometer for the NHS?BMJ : British Medical Journal, 321
S. Gillam (1999)
Does the new NHS need personal medical services pilots?BMJ, 318
Department of Health
Directions to Health Authorities and Health Boards Concerning the Implementation of Pilot Schemes (Personal Medical Services)
Department of Health
Personal Medical Services Pilots under the NHS (Primary Care) Act 1997: A Comprehensive Guide
NHS Executive
A Contractual Framework for Personal Medical Services – Third Wave Pilots
R. Sheaff
Contracting for primary care
B. Leese, T. Gosden, A. Riley, L. Allen, S. Campbell
Setting out: piloting innovations in primary care
A. Mahon, B. Leese, K. Baxter, Judith Scott (1998)
Determining Success Criteria for Total Purchasing Pilot Projects
A. Steiner, David. Evans (1997)
Personal medical services pilots under the NHS (Primary Care) Act 1997: A guide to local evaluation
Department of Health
The NHS (Primary Care) Act 1997
Contracts and interim local evaluation reports for the 14 first wave PMS pilots in Northern and Yorkshire region were analysed by documentary analysis. Both contracts and reports were found to vary considerably in size and scope. Most contracts contained aims and objectives that were too broad or vague to guide project management and they lacked useful milestones. This made it difficult to identify criteria for measuring success. The local evaluation reports were also of variable quality. It is recommended that contracts should be accompanied by a development plan containing specific objectives, timescale and process for implementation as well as an evaluation strategy. The relative importance of different targets should be agreed and specified at the outset, to allow weighting of partial success, where some objectives, but not others, are achieved. Project milestones would be made explicit and measurable in the development plan. More clarity in contracts and evaluation for future pilots is essential.
Journal of Management in Medicine – Emerald Publishing
Published: Aug 1, 2001
Keywords: Project management; Doctors; General practice; United Kingdom; Contracts
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