This paper analyses the experiences of other city-wide authorities in the UK and internationally in improving health. It sets out which cities were studied and why, outlines the different ways in which Mayors work to affect change, identifies the available evidence of action to improve health in selected cities, and ...
Since the Labour government came to power in 1997, waiting lists have attracted unprecedented attention. For a time, the number of patients recorded as waiting for hospital treatment fell, but at the same time, numbers waiting more than 13 weeks for an outpatient appointment rose. This outcome had been anticipated ...
Because the NHS was founded to provide equal access to all on the basis of need rather than the ability to pay, price was eliminated as a method of bringing demand for services into line with supply. This means that the Government has to make decisions about the amount of ...
This book is a sequel to 'Tragic Choices in Health Care: the case of Child B', and continues the examination of ethical questions and conflicts of interest arising from priority setting and treatment decisions. Discussing five cases where funding of a treatment was refused or questioned, it assesses whether lessons ...
This book is based on interviews with the four politicians who served as secretary of state for health between 1988 and 1997; Kenneth Clarke, William Waldegrave, Stephen Dorrell and Virginia Bottomley, and offers insights into the events of this period. The author explores the world in which the health secretaries ...
This discussion paper sets out the key points which have emerged from the King's Fund's participation in the public health evidence debate. It addresses four central issues: the need for change (how adequate is the existing public health evidence base?; what issues need to be addressed?; what are the consequences ...
The overall aim of the third year of the national evaluation of TPPs, spanning October 1997 to September 1998, was to identify the ingredients of successful devolved purchasing based in primary care by in-depth study of twelve first wave TPPs. The analysis presented here considers eleven of the case studies ...
This paper aims to assist those who are interested in developing partnership working. It summarises the relevant parts of the Health Act 1999, suggests how these might be used in practice and raises important issues for local consideration. It summarises what is known about care trusts and suggests some key ...
This pack is designed to help all those people with an interest in, or responsibility for, the development of evidence based practice in line with the clinical governance agenda. It has been drawn together following three years of working with small multi-professional groups and the content was piloted with the ...
The provision of high-quality, nationally standardised health information is currently high on the NHS agenda: National Service Frameworks are setting standards for the quality of the information given as part of patient care; every trust must develop an information strategy and policy, to agreed standards; the Patient's Charter lists certain ...