Lord Darzi's report, NHS Next Stage Review, attempts to open a new chapter in the story of 'quality' in the English NHS: how to move on from a centrally driven performance management regime - with its focus on driving activity and meeting targets - to a more sophisticated strategy that ...
The reconfiguration of acute and community hospital services in England has recently come to dominate discussions about NHS reform - both locally and nationally - and is provoking a great deal of controversy. This briefing examines the background to the current debate, identifies the main factors driving the changes, explores ...
Since 1997, the Labour government has made some momentous changes to the way primary care is managed and delivered. The creation of Primary Care Groups, the development of NHS Direct and the implementation of clinical governance will all have an effect on GP services for decades to come. In "What ...
This book is based on interviews with the four politicians who served as secretary of state for health between 1988 and 1997; Kenneth Clarke, William Waldegrave, Stephen Dorrell and Virginia Bottomley, and offers insights into the events of this period. The author explores the world in which the health secretaries ...
The Government's eagerly awaited White Paper on health aroused no great passions when it was launched at the end of 1997. Unlike its predecessor, the 1989 Conservative White Paper "Working for Patients", Labour's "The new NHS" has prompted no battle of words or major health debate. Yet in this, warn ...
This report is the result of a major study examining the links between acute, primary and community services in Bromley, Kent. Results of the study, funded by the King's Fund and South Thames Regional Health Authority, contributed to Bromley Health's future strategy for change and led to the redevelopment of ...