This publication is intended for senior managers and members of health and local authorities who are grappling with the challenges posed by the NHS and community care reforms to services for people with learning disabilities. Its subject is the ways in which public authorities can stimulate large scale change in ...
The first part of this briefing looks at the implications of the NHS reforms in theory and in practice and presents the six lines of enquiry which might be pursued. The second section discusses the particular impact of the NHS reforms on London which has maintained a very significant number ...
This report concerns the implementation of assessment and care management within 11 local authority social services departments in England in 1990 and 1991. Assessment and care management are critical elements of the current programme to reform the delivery of services for people with disabilities which was established in the white ...
This briefing paper sets out to review the literature on models of assessment and case management in order to identify key issues which will need to be addressed as Social Services Departments implement the changes outlined in 'Caring for People' and the NHS and Community Care Act 1990. It attempts ...
This research report attempts to clarify key issues in British nursing for health policy makers. It is specifically aimed at a non-nursing audience, in the hope that it will illuminate important aspects of workforce planning, management and health care delivery for NHS managers and other people concerned with British health ...
This pamphlet documents discussions which took place at a seminar. It lists positive attributes of the White Paper `Caring for people' and areas of concern. The Seminar examined what could be done to support effective strategies for change from users' viewpoints and from the viewpoint of an informal carers.
This paper explores the issue of user representation in health care in the light of the important changes to the organisation and funding of health and social services outlined in the government's reform programme for the NHS and community care. Its first section summarises the health and community care reforms ...
The briefing paper provides a constructive analysis of the White Paper (Working for Patients). It argues that the White Paper outlines an ambitious and high risk strategy. The paper identifies main themes underlying the White Paper proposals: new institutional arrangements for the health services; the management of clinical activity; responsiveness ...
This report analyses the health and social support services presently available to people with physical disabilities in Britain within the wider framework of national, social and community care policy. It attempts to piece together a comprehensive picture of current provision from a wide variety of sources and stresses the need ...