This paper reports on the second and final phase of a joint King's Fund Centre and Nuffield Institute for Health initiative on monitoring community care implementation. It provides an independent account of progress in implementing the community care changes which is based on sampling the experience and perceptions of a ...
The author reports on a workshop addressing future clinical staffing in different trust settings: the general acute hospital trust; the combined acute and community trust; the community/priority services health care trust; and the teaching hospital trust.
This Review is based on the financial year 1994 to 1995. The first part examines the events of the year in four key policy areas: creating the new NHS ; promoting community care ; promoting public health ; promoting the interests of users. The second part of the work looks ...
This paper discusses the role of a senior medical doctor on the board of NHS trusts who has to advise the board on medical matters and to lead the doctors within the organisation. The authors reflect on the views of medical directors who have discussed these issues with the authors ...
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 ...
This Review is based on the financial year 1993 to 1994. The first part describes developments in each of the main policy areas of `The health of the nation', the Patient's Charter and community care implementation. For the first time results of the systematic research into the effects of the ...
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 ...
This Review is based on the financial rather than the calendar year, and once again attempts to describe and assess the main developments in health policy. The calendar of events aims to describe what has actually happened and also to reflect on some of the wider issues that events within ...
Within the reformed NHS attention is rightly being given to developing the new role of DHAs and FHSAs. Improved health and health care will not be achieved without effective and influential purchasing authorities. This report focuses on the specific contribution that the Chief Executive makes to the achievement of this ...