This book is a sequel to 'Tragic Choices in Health Care: the case of Child B', and continues the examination of ethical questions and conflicts of interest arising from priority setting and treatment decisions. Discussing five cases where funding of a treatment was refused or questioned, it assesses whether lessons ...
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 ...
This discussion paper sets out the key points which have emerged from the King's Fund's participation in the public health evidence debate. It addresses four central issues: the need for change (how adequate is the existing public health evidence base?; what issues need to be addressed?; what are the consequences ...
The overall aim of the third year of the national evaluation of TPPs, spanning October 1997 to September 1998, was to identify the ingredients of successful devolved purchasing based in primary care by in-depth study of twelve first wave TPPs. The analysis presented here considers eleven of the case studies ...
This paper aims to assist those who are interested in developing partnership working. It summarises the relevant parts of the Health Act 1999, suggests how these might be used in practice and raises important issues for local consideration. It summarises what is known about care trusts and suggests some key ...
This pack is designed to help all those people with an interest in, or responsibility for, the development of evidence based practice in line with the clinical governance agenda. It has been drawn together following three years of working with small multi-professional groups and the content was piloted with the ...
The provision of high-quality, nationally standardised health information is currently high on the NHS agenda: National Service Frameworks are setting standards for the quality of the information given as part of patient care; every trust must develop an information strategy and policy, to agreed standards; the Patient's Charter lists certain ...
The purpose of this paper is to stimulate debate about the appropriate standard of proof to use in GMC hearings. The GMC currently uses a criminal standard of proof (beyond reasonable doubt). However, this is a matter of custom and practice and is not specified. Recently there have been calls ...
The King's Fund Long-Term Care Finances project began in October 1999. Its aim is to find ways in which the debate on funding long-term care can move forward. This report gives the results of an interview survey of 100 people undertaken in June and July 2000. They were asked questions ...
The Greater London Authority, which provides London with its first directly elected Mayor, has important strategic powers and responsibilities that include a duty to improve the health of Londoners. This report considers how the GLA can best contribute to health improvement and to reducing health inequalities across the capital. It ...