The reconfiguration of hospital services in England has been a contentious issue. There have been local public protests against hospital closures and more recently a concerted effort by the government to communicate the clinical case for change. The final report of the NHS Next Stage Review is due for publication ...
The reconfiguration of acute and community hospital services in England has recently come to dominate discussions about NHS reform - both locally and nationally - and is provoking a great deal of controversy. This briefing examines the background to the current debate, identifies the main factors driving the changes, explores ...
This report is the result of a major study examining the links between acute, primary and community services in Bromley, Kent. Results of the study, funded by the King's Fund and South Thames Regional Health Authority, contributed to Bromley Health's future strategy for change and led to the redevelopment of ...
Over the past two or three years, a rapid increase in the number of emergency medical admissions to acute hospitals has been widely reported and a number of studies in different parts of the country have been carried out aimed at explaining why these increases have occurred. In early 1995, ...
This is a report on a competition held in 1993 by the King's Fund to find excellent examples of large hospital developments which were opened in Britain between 1980 and 1990. The aims for both National Health Service and independent sector hospitals were: to offer a high quality of life ...
The author considers discharge policy and practice in the UK which is aiming for a goal of seamless care. Chapter 2 summarises three areas of discharge related research: the experiences of elderly people and their carers; difficulties for those whose task is to manage acute beds; and communication between hospital ...
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 briefing paper aims to contribute some background analysis and data to inform a debate in the House of Commons on 28 April 1994 about London's health care system. It begins with comparative considerations; whether high needs and poor community based care lead to greater pressure on hospitals; and key ...
In response to the DHSS circular `Patients dying in hospital' (DA(84)17) the Bloomsbury District Management Team asked for an examination of the way that dying patients and their relatives are cared for in Bloomsbury hospitals. This paper arises out of that examination and also out of discussions with nurses, doctors ...
Participants at this workshop included student nurses, Directors of Nurse Education and people with disabilities. The purpose of the discussion was to focus on the nursing process model of nursing care and how it responds to the needs of people with disabilities in general hospitals. The discussion was limited to ...