Reorientating the NHS to be both needs led and responsive to users has to be a joint endeavour for both commissioners and providers. A new synthesis is required to combine the best of personal patient care with a focus on population health. The King's Fund has recognised community oriented primary ...
This paper discusses the role of a senior medical doctor on the board of NHS trusts who has to advise the board on medical matters and to lead the doctors within the organisation. The authors reflect on the views of medical directors who have discussed these issues with the authors ...
Following on from the King's Fund London initiative in 1992 the authors investigated the extent to which acute services in London have moved from hospital into primary or community care. This article considers the extent of movement away from traditional acute care in hospital into the following settings: general practice; ...
This workshop was one of five events sponsored by the NHS Executive to promote clinical effectiveness and the use of clinical guidelines. The day was organised to enable participants to share their experiences of working with guidelines; to feedback comments to the NHS Executive about the lessons learned so far; ...
As the interest in nurse led initiatives increases, it is critical that those who are exploring ways forward share their experiences. This early account of Byron Ward Nursing Development Unit at King's Healthcare, London, describes the rationale behind the move to introduce nurse led beds in a busy acute general ...
This report describes the aims and achievements of those who have been involved in the Nursing Development Unit project over three years and outlines some recommendations for the future which have been drawn from their experiences.
This paper is based on a speech delivered at the 1993 annual meeting of the National Association of Health Authorities and Trusts. The author considers how a policy initiative should call for a shift in the balance of services from the hospital to the community by: a shift in the ...
The Innovation in Medical Education project, based in the Department of General Practice and Primary Care, King's College School of Medicine and Dentistry aimed to explore the implications of a substantial move of medical education into the community. The main areas covered were: interviews with a wide range of interest ...
This is the first issue charting the progress of developments in London's health services. Included are: a calendar of events from October 1992 to December 1993; a commentary on the development of the planning process in London including the series of reports from the Government and other professional bodies. There ...
The London Health Partnership is an alliance of charitable foundations, business interests and government, formed in June 1994. Its purpose is to generate a distinctive programme of work over the next few years to help develop urban health care. This is a report of their progress at the end of ...