The need to wait for health care has been a feature of the NHS since its inception. When Labour came to power in 1997, total numbers of patients waiting stood at 1.3 million: the highest since the NHS began in 1948. The government announced its 'war on waiting' and pledged ...
This is one of a series of case studies exploring how individuals living in London have used the King's Fund Millennium Awards scheme to make a real difference to the health of others in their communities. While working at a west London community centre, Imo Akpan recognised a reluctance among ...
Most formal care services for older people are funded by the public sector, but they are largely supplied by independent providers. This paper looks at what factors influence the 'mixed economy' of the care market, including what funding is available and from where, and how commissioning works, and the role ...
The specific dynamics of the London health care labour market, and the challenges they create for recruitment and retention, were highlighted in the 2003 King's Fund report 'In Capital Health?'. In the 18 months since, a number of important and far reaching changes have been initiated across the NHS. This ...
NHS trusts spend about £500 million a year on food and catering. The government is committed to the economic, environmental, social and health benefits of sustainable food procurement, but this is difficult to translate into practice at a local level. In 2004 the Better Hospital Food Programme (BHFP) commissioned the ...
Millions of people in the UK are living with long-term conditions such as asthma or diabetes. Most of these people are leading full and active lives with only occasional contact with health professionals, by altering drug doses and adapting their lifestyles in response to subtle changes in symptoms. This paper ...
Reforms of the NHS are changing the role of the state in the provision of health care. Competition within the NHS (and with private providers) and the introduction of foundation trusts change the way in which providers should be regulated. This paper explores the impact of market incentives in the ...
Compulsory community-based treatment orders require patients at risk of harming themselves or others to comply with a set of conditions, such as taking their medication, while living in the community. The draft Mental Health Bill 2004 incorporates plans to introduce compulsory orders in England and Wales, but it is not ...
This is a piece of independent research conducted by the authors at the King's Fund based on a Pfizer initiative. and Extending patient choice is central to the government's reform of the NHS. Patients will be offered a choice of hospitals for planned operations from December 2005 and will soon be offered choice in other areas of health care. This paper presents the key findings from ten focus groups held to ...
Despite initially rejecting the notion of an internal NHS market when it came to power in 1997, the Labour government has reintroduced competition to health services over the last three years. But, as it is the product of a series of separate policy developments, including extending choice of provider, expanding ...