Attempts to give more choice to users of public sector services has been a major theme of the Labour government's public sector modernisation programme. Policies have been developed in health care, education and social housing that aim to give users a greater choice of publicly or privately owned providers, and ...
Government health policy has been encouraging a shift in the balance of care from hospital to community settings. The Department of Health commissioned The King's Fund, in partnership with Loop2, to undertake a simulation-based project entitled SeeSaw to understand how this shift in care could be achieved. This report outlines ...
Ensuring that you are measuring the things that matter most to patients is an essential component of a successful strategy for improving patients' experience. It is important to choose methods that are fit for purpose. This paper provides a brief guide to these to help trust boards and other interested ...
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 review of the full report which analyses the interlocking set of problems posed by health services, medical education and research in London. It warns that health services in the city may become unsustainable unless tehre is the political will to back a strategy of fundamental reform. It ...
This report analyses the interlocking set of problems posed by health services, medical education and research in London. It demonstrates that Londoners receive a poor deal from present-day services. It warns that health care in the inner-city may become unsuitable unless there is the political will to back a strategy ...
The boundaries between home and hospital care are constantly shifting. Care in the community for people with long term dependencies, and increasingly sophisticated primary care service and the expansion of outreach care and day surgery have all contributed to a reassessment of the central role of the hospital. This research ...
This study day arose from the D.H.S.S. study of the same name published in 1981 and was concerned with the policy implications of the D.H.S.S. document. An overview of the 'Respective Roles' study was given before discussing "models" of geriatric care with their advantages and disadvantages, and opportunities for mutual ...
The purpose of this publication is to illustrate some of the good ideas and practices that have already been introduced, or are being planned, in the provision of services for elderly people in hospital, community and the home, with particular reference to psychogeriatric care. It does not attempt to provide ...