Despite a major change in the contractual arrangements for the provision of primary dental care, users continued to access emergency care in much the same way except for some minor changes in line with wider trends, such as more use of NHS Direct and a preference for future emergency dental care at the evenings and weekends.
Market testing (also known as managed competition) occurs when the arrangements governing the provision of a service are decided by means of bidding in comparison with private-sector competitors.
(b) Prescribes consistent arrangements for the provision of services by financial institutions among the DoD Components, and requires that financial institutions operating on DoD installations provide, and are provided, support consistent with the policies stated in this part.
The need to reconfigure the welfare state derives not only from changes in the field of work, but also from various other challenges facing existing arrangements for the provision of social security.
Regions are autonomous in establishing further agreements (Accordi Integrativi Regionali) aimed mainly at identifying the most appropriate organizational arrangements for the provision of services set at national level.
We examine the effects that the introduction of the QOF in 2004 and its subsequent strengthening in 2005 had on the contractual arrangements, the provision of quality and doctor mobility in the primary healthcare market.
Labour depicted these at the time as a backdoor privatisation of the NHS after the regulations, published in February this year, said: "An arrangement for the provision of healthcare services for the purposes of the NHS must not include any restrictions on competition that are not necessary for the attainment of intended outcomes which are beneficial for people who use such services".
Bernhardt (1993, p. 32) has argued that "the inhibiting effect of work on fertility has been at least partially removed with the help of social and institutional arrangements," citing in particular the provision of publicly funded childcare, maternity leave, and tax benefits (Gauthier 1996).
