Innovation and funding specialist services
- 1 February 2004
- journal article
- Published by Emerald in Journal of Health Organization and Management
- Vol. 18 (1), 53-63
- https://doi.org/10.1108/14777260410532065
Abstract
This paper traces the innovative development of the Nottingham Cochlear Implant Programmes. The paediatric programme was the first to be established in the UK in 1989 and remains the largest programme in the UK today, whilst the adult programme developed later, in 1994. The first section of the paper describes trends in service development whilst the second section makes detailed reference to the history of funding arrangements which enabled the programme to become established. The third part of the paper examines the (de)merits of locality purchasing versus centralised purchasing for specialist services, using cochlear implantation as way of illustration. The paper aims to provide an informative history of the development of the service in Nottingham and from this background create debate as to the most appropriate future funding mechanism for cochlear implantation in particular and specialist services in general.Keywords
This publication has 10 references indexed in Scilit:
- EVIDENCE OF IMPROVING COST-EFFECTIVENESS OF PEDIATRIC COCHLEAR IMPLANTATIONInternational Journal of Technology Assessment in Health Care, 2003
- Health-service costs of pediatric cochlear implantation: multi-center analysisInternational Journal of Pediatric Otorhinolaryngology, 2003
- Parents and their deaf child: their perceptions three years after cochlear implantationDeafness & Education International, 2002
- Parents and their deaf child: their perceptions three years after cochlear implantationDeafness & Education International, 2002
- Variations in Gains in Auditory Performance from Pediatric Cochlear ImplantationOtology & Neurotology, 2002
- Cochlear implantation in deaf children and adolescents: effects on family schooling and personal well-beingInternational Journal of Pediatric Otorhinolaryngology, 1999
- The development of auditory perception in children following cochlear implantationInternational Journal of Pediatric Otorhinolaryngology, 1999
- Communication outcomes after paediatric cochlear implantationInternational Journal of Pediatric Otorhinolaryngology, 1999
- Educational placement of deaf children following cochlear implantation.British Journal of Audiology, 1998
- Commissioning specialist services in the NHSBMJ, 1997