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 ...
This paper proposes an alliance of charitable foundations, together with Government, to make a distinctive contribution to the way in which health services for Londoners are being shaped. It explains how an investment fund could form the basis of a high profile three year development programme; how it could be ...
This report contains an abbreviated appraisal of the options for future health policy in Guernsey. It is divided into three main sections. The first section makes clear the main objectives that any policy must meet. The second section identifies the key components of alternative reform packages with an assessment of ...
Fundholding by general practices is the most innovative and potentially far reaching aspect of the NHS reforms. It also raises the most potential difficulties in implementation. The study falls into two parts. The first is a description of the preparatory period from January 1990, soon after practices were asked if ...
Against the background of profound change now affecting the British health and social care system this report examines economic aspects of the support of people (particularly adults) with severe learning difficulties in England, and their implications for future service development. It briefly outlines ideas and data relevant to: the evolution ...
This paper traces the origins of the Oregon plan, explains how it works and passes judgment on its worth. The Oregon plan is a controversial health rationing plan for the poor under America's Medicaid system. Over 700 services have been ranked in priority order and the state legislature has said ...
The report attempts to review the main issues surrounding the funding and management of units providing dialysis services to people suffering from end-stage renal failure in the UK for the benefit of health service managers, renal physicians and other staff. The objective is to review the experience and information currently ...
This briefing paper critically reviews the proposals, assesses financial implication and highlights major omissions in the White Paper 'Promoting Better Health' : the Government's review of primary care services. It concludes that, despite welcome attention to issues of accountability and value for money, some basic questions remain unanswered : which ...
In the current debate surrounding methods of health finance, there has been no shortage of proposals for reform, but there has been a serious shortage of careful analysis of these proposals. This is the main aim of this briefing paper. Through a systematic examination of policy choices, it seeks to ...