Increasing expectations of social service departments and the need for social work to establish itself as a new and independent profession has led to friction within the NHS. Although the NHS is not the largest customer for social service departments, many patients and clients are the same people. Services have ...
The paper begins with a background study on hospitals in the National Health Service by the Secretariat of the Royal Commission on the NHS. Hospital types and numbers are investigated including district general hospitals, community hospitals, teaching and specialist hospitals, followed by a discussion of specific aspects of the hospital ...
This short book has been prepared to mark the first five years of Community Health Councils' (CHCs) existence. They came into being in 1974 when the NHS underwent a major administrative reorganisation. Nothing quite like them had ever existed before in the form of a special statutory body with the ...
This paper presents an analysis of the factors underlying the conflict over the pay beds issue which erupted in 1974-76; a conflict which some consider to have been one of the precipitating reasons for the appointment of the Royal Commission. The first section of the paper sets out the basic ...
These papers complement a wide variety of material made available to the Commission on health service finance. The first paper discusses the alternative models of financing health services. The second paper describes one of those models as used in the NHS: health service charges. The third paper discusses efficient management ...
Section one of this report deals with consumer involvement in the NHS. It covers the areas of complaints procedures, the role of community health councils, the voluntary contribution to the NHS, the Wolfenden Report and patient participation in general practice. The second section concentrates on community health councils (CHCs), presenting ...
The first section of this paper examines the need and demand for dental health. It discusses how treatment is provided in the United Kingdom and how the National Health Service is meeting the need. Objectives of dental health services are defined and positive steps towards their attainment suggested. The latter ...
This study complements a wide variety of material made available to the Royal Commission on manpower planning in the NHS. The first paper, by Alan Williams, is a consideration of some of the manpower problems facing the Commission within a general theoretical context. The second, by the secretariat, describes existing ...
In evidence to the Royal Commission, a frequent complaint was that the reorganised structure with its principle of consensus management had led to massive delays in decision-making. Previous studies have examined the process of decision-making through interviews with a sample of NHS staff. The paper reproduced here explores the feasibility ...