A major policy concern for the NHS is how to deal with the increase in emergency hospital admissions widely observed in the 1990s. This paper presents a systems approach to understanding the way in which unpredictable events are dealt with by health care services. It does this by developing a ...
This report is a case study of primary-secondary substitution as an achievable means of reconfiguring health care in London and the UK more generally. It systematically reviews the available local, national and international evidence on the potential for cost-effective primary-secondary substitution of emergency care. The evidence relating to substitution and ...
This is the third edition of the Organisational Audit manual. Since 1990 several individual sections of the manual have been revised in order to ensure that the standards remain at the forefront of good practice as well as to reflect the significant changes which have taken place in the organisational ...
The purpose of this manual is to provide a comprehensive set of organisational standards covering the major aspects of an acute general hospital. This will form the basis of a professional peer review (the survey) the aim of which is to support the staff of hospitals in the provision of ...
This conference was organised in conjunction with the North West Regional Association of Community Health Councils to discuss the proper role of the accident and emergency (A & E) service. Areas under discussion included the centralisation of A & E services in district general hospitals and the role of the ...