The health service reforms of the 1990s have put special emphasis on making services more sensitive and responsive to users. This report looks at the work of four health authorities which have a history of activity on race issues and where there is a clear commitment to improving their services ...
The experience of purchasing over the last two and a half years has demonstrated what might be possible. What seems clear is that the future agenda is massive, complicated and feels different both quantitatively and qualitatively. It is not just that people are busy, but they are addressing new dilemmas ...
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 ...
The information exchange is produced particularly for supporters and advisors of self-advocacy groups and people with responsibility for developing effective ways of working in partnership with users in planning and delivering services. This issue looks at involving service users on management committees and consulting users about community care plans.
The information exchange is produced particularly for supporters and advisors of self-advocacy groups and people with responsibility for developing effective ways of working in partnership with users in planning and delivering services. This issue looks at involving people who have multiple disabilities.