In the current financial climate and with an inheritance of large hospitals situated mainly outside London, the development of local services presents a major challenge to health and local authorities. This paper has been prepared in five sections: (1) National policy developments in learning difficulties in the 1980s; (2) Information ...
This is the first in a series of 17 papers which were prepared during the life of the Royal Commission on the National Health Service. The paper is an analysis of the evidence submitted to the Royal Commission on the NHS 1976-1979, demonstrating some of the problems and difficulties with ...
The decision making process in area health authorities is often slow. This is because of the absence of formal management arrangements, the complexity of the consultative machinery and consensus decision making. The case for speedy decision making in the NHS is discussed, expectations and reality are compared and possible remedies ...