This publication consists of the agenda and supporting material produced for this seminar. The items discussed included: good and bad news on Living Options and support services; strengths, weaknesses and gaps in local services; community support systems; implementation challenges; and key provisions of the NHS and Community Care Act.
The thesis of this paper is that an analysis of the GP budget holding proposal (in 'Working for Patients'), in the light of the US HMO movement and the managed care industry it has spawned, will provide valuable insight into how the British innovation might function, or not. The paper ...
The report examines the likely impact of the indicative drug budgets for family doctors and the government's general practice fund holding initiative in Britain. The authors believe that the new arrangements will sharpen price competition in the UK medicines market, and welcome this. The study also reports on recent European ...
This report is an in-depth, comparative study of the UK plans and US experience of competition in the supply of hospital services. It shows how both competition and regulation policies have been used to contain escalating costs in the US. American experience raises concerns about the impact of competition on ...
The paper summarises recent literature giving an economic perspective on acute hospitals. The issues discussed include: the optimal size of a hospital; the role of the hospital in relation to other suppliers; cost containment and productivity; and the scope for cost reduction.
This report reviews the performance of health services in Sweden, Holland, West Germany, Canada and USA. The main aim has been to identify the countries' studies, to draw parallels with the UK, and to establish the lessons, if any, from abroad. Chapter one traces the origins of the Prime Minister's ...
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 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 ...
Decisions on education for health currently take place against a background of conflicting policy and practice. So to clarify some of the main issues, this review sets out to identify trends in policy and practice in Britain in recent years, to summarise the evidence on effectiveness on some of the ...