The Single European Market has nearly arrived when people will experience freedom of movement of goods, services and people between the Member States of the European Community. For the health service, this has two main concerns. First, the possible increase in the migration of unskilled labour will effect the health ...
The report examines the likely impact of the indicative drug budgets for family doctors and the government's general practice fund holding initiative in Britain. The authors believe that the new arrangements will sharpen price competition in the UK medicines market, and welcome this. The study also reports on recent European ...
This report reviews the performance of health services in Sweden, Holland, West Germany, Canada and USA. The main aim has been to identify the countries' studies, to draw parallels with the UK, and to establish the lessons, if any, from abroad. Chapter one traces the origins of the Prime Minister's ...
This paper explores the issue of user representation in health care in the light of the important changes to the organisation and funding of health and social services outlined in the government's reform programme for the NHS and community care. Its first section summarises the health and community care reforms ...
This study was commissioned by the Manpower Planning Advisory Group to examine the present structure of occupational therapy services and to make recommendations about the most appropriate models for the future. The research team was also charged with studying the various levels of skill needed by occupational therapists to perform ...
This edition of the annual publication contains articles on hospice care, job-sharing in the NHS, research ethics committees, day surgery, resource allocation, optical services, cost effectiveness in the NHS, long-term care insurance and hospital care at home.
This paper explains initially why health authority management should introduce ethnic monitoring systems and deals in later sections with how members and managers should use the data to measure and improve their authority's equal opportunity performance. The bulk of the paper is, however, addressed to personnel and other officers who ...
The NHS is a vast and complex organisation, never out of the public eye and now the focus of major political argument. The author examines the way the NHS works and the incentives that motivate everyone concerned - the general public, the health professionals and managers, and the government. There ...
This briefing paper analyses the management of clinical activity in the NHS. It does so against a background of increasing concern that practices are not always as effective or efficient as is sometimes claimed. The paper considers critically the various policy options that have been put forward for tackling this ...
Despite forty years of the NHS, there are continuing geographical variations in the provision, use and outcome of health services. These variations are manifested in the greater availability of doctors and hospital beds in some areas than others; differences in the use made of these doctor and beds; and variations ...