Innovation and funding specialist services: Cochlear implantation
Journal of Health Organization and Management
ISSN: 1477-7266
Article publication date: 1 February 2004
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
Citation
Sach, T.H., Whynes, D.K., Parker, P. and Archbold, S.M. (2004), "Innovation and funding specialist services: Cochlear implantation", Journal of Health Organization and Management, Vol. 18 No. 1, pp. 53-63. https://doi.org/10.1108/14777260410532065
Publisher
:Emerald Group Publishing Limited
Copyright © 2004, Emerald Group Publishing Limited