This paper examines changes in labor management of workers in UK emergency services under a regime of budget cuts and neoliberal state strategies. It takes an extreme case study, the emergency services, as an example of the limits of privatization and of the need, nonetheless, to re-assert...

To investigate how changes to the dental remuneration system have translated into disincentives to delegate to dental therapists in dental practices.

The Medical Manpower Standing Advisory Committee made its first report, “Planning the Medical Workforce”, to the Secretary of State in December 1992; recommending that research should be undertaken to quantify the manpower effects of skill mix initiatives. These issues are being raised against a...

The general aim of this one-year project, funded by the Department of Health and in collaboration with CASPE, has been to investigate the relationship between case-mix and nursing workload measures. Specifically, this report focuses on the underlying issue of examining methodologies and...

The objective of this paper is to set out the key findings and implications from an analysis of the activity and workload of nurses of different grades. This is with a view to identifying nursing skill mixes and working practices that may reduce workforce demand for more highly skilled nursing...

The purpose of this Discussion Paper is to examine the constraints upon, and opportunities for, spreading the workload of general practitioners (GPs) more effectively and efficiently among members of the Primary Health Care Tea, (PHCT). Current knowledge of GP activity is outdated and based on...

The concept of skill mix is widely recognised in the vocabulary of the National Health Service (NHS) workforce but because of its complexity is understood, elusive to define and therefore difficult to measure. Many issues surround the concept of skill mix, some of which are concepts in their own...

As in many other developed countries, the share of skilled workers in Spain’s labor force dramatically increased during the 1990s. This paper decomposes the aggregate skill mix change by a set of key firm characteristics and in the context of Spain’s dual labor market. We find that...