The imbalance in London between primary health care and hospital services has long been recognised. Attempts are now being made to address this issue by strengthening community-based services. This paper quantifies the nature of the challenge facing primary health care in the capital relative to the rest of the country. ...
The aim of this paper is to highlight the fundamental principles upon which the future curriculum will be based, and to discuss the implications in terms of curriculum design and the issue of where students should learn, with special reference to London. In this way the likely developments in undergraduate ...
This working paper argues that the development of acute services should be a managed process, one in which they are positively reshaped and not just one in which development is coped with in isolation. The paper highlights some of the technological developments which have recently taken place, and those which ...
This working paper examines the London labour market for health care staff. The study was conducted against the background of the early implementation of the National Health Service and Community Care Act and focuses on labour supply and on the extent to which planned or predicted changes in the profile ...
This document is a personal view of the current issues of acute care in London based on the author's experience of working in the south east segment of inner London. It is a view informed by impressions gained in working in five different London teaching and postgraduate hospitals and the ...
This purpose of this project is to provide a summary picture of the condition of the estate of London's acute hospitals. It attempts to bring together information on the estate from standard returns and locally obtained evidence. The main issues that the study has tried to address are: how well ...
This report provides a users' perspective on acute health services in London. It begins with an overview of the situation in the capital and proceeds, by considering two vulnerable groups - elderly people and single homeless people, to look in detail at aspects of acute services which are of concern ...
This report deals with the two major areas of independent health care activity: acute sector and long-term care sector. In the independent health care context, acute sector broadly refers to the range of medical and surgical outpatients and inpatient treatment normally covered by private medical insurance. Long-term care sector refers ...
This working paper is based on the assumption that change in the direction of primary health care is desirable and inevitable. It explores the interface between acute hospitals and primary care, and describes developments that improve integration and show how a shift towards primary care might be achieved. It goes ...
This paper concentrates on London's role as the principal national centre for specialist health services. The capital retains this function because of its concentration of undergraduate and postgraduate teaching hospitals. However, the shift of population away from the city's centre over the past century has created problems of access which ...