This report is based on public discussion of the six specialty reviews for London that were set up by the Secretary of State for Health earlier in 1993. In July 1993 the King's Fund arranged six meetings to encourage public debate about the outcomes of the independent reviews of specialty ...
The changes in the NHS mean that clinicians will have to accept the need for explicit rationing rather than shirking the issue with reference to clinical decision making. The current system of implicit rationing will be replaced by one which bases resource allocation on explicit criteria. However there are problems ...
This statement on Britain's maternity services was drawn up by an independent panel following a consensus conference. The questions which the panel were asked to address were: what sort of choices are important to women and are there proper limits to women's choice as a result of clinical, organisational or ...
There is no shortage of people from black or ethnic minority communities who could make a positive contribution to NHS boards, yet few board members are from these communities. This situation must change otherwise a disservice is being done to both the NHS and the community at large. This book ...
The current unprecedented interest in staff development in medical schools in the United Kingdom is partly a response to internal and external pressures to demonstrate the quality of teaching. In addition staff development is beginning to be recognised as a necessary prerequisite for effective curriculum change as outlined by recent ...
This book is aimed at hospital doctors in search of practical ideas for medical audit within their own specialty, but it will also be helpful to other clinical professions to show some of the ideas that have been developed in other specialties. It collates published work and practical experience of ...
This is a self-help book designed to help carers feel more in control of their lives and empowered in their dealings with service providers . It is a book of ideas and suggestions based on the experiences of carers, the people they care for, and those who work with and ...
Primary nursing is a delivery system designed: to allocate 24-hour responsibility for each patient's care to one individual nurse; and to assign this nurse the actual provision of her patient's physical care whenever possible. The primary nurse leaves information and instructions for her patient's care when she is off duty, ...
Many people with severe illness are at risk from an unrecognised complication - malnutrition, which can seriously delay the recovery from medical and surgical disorders, and can even be life-threatening. Evidence in this report shows the clinical and financial benefits which can result from better diagnosis and treatment of malnutrition. ...
This report describes how audit can be made effective. Drawing on the experience of people who have been involved in organising audit in primary care, it suggests how medical audit advisory groups (MAAGs) could help all practitioners to take part in relevant and worthwhile audit. With the help of lively ...