The phasing in of the National Health Service reforms over two years from April 1991 to 1993 has a number of implications. The uncertain climate which has long surrounded community care will be protracted, and financial pressures will increase as the demand driven social security budget continues to rise. The ...
This report looks at the new role of district health authorities as purchasers of services for their residents. The report shows that non-executive members have the following contributions to make to the work of their authorities: bringing a wider range of experience than is available among the executive members; ensuring ...
The first part of this briefing looks at the implications of the NHS reforms in theory and in practice and presents the six lines of enquiry which might be pursued. The second section discusses the particular impact of the NHS reforms on London which has maintained a very significant number ...
This report concerns the implementation of assessment and care management within 11 local authority social services departments in England in 1990 and 1991. Assessment and care management are critical elements of the current programme to reform the delivery of services for people with disabilities which was established in the white ...
This publication consists of the agenda and supporting material produced for this seminar. The items discussed included: good and bad news on Living Options and support services; strengths, weaknesses and gaps in local services; community support systems; implementation challenges; and key provisions of the NHS and Community Care Act.
The thesis of this paper is that an analysis of the GP budget holding proposal (in 'Working for Patients'), in the light of the US HMO movement and the managed care industry it has spawned, will provide valuable insight into how the British innovation might function, or not. The paper ...
This book has been written to provide practical help for people working in and around the health service who are keen to enhance users' experiences. A number of developments which are contributing to more responsive services have been gathered together and, by focusing on practicalities, the book helps to unravel ...
This paper is not intended as a critique of government policy, but rather as an exploration of the opportunities and constraints inherent in that policy and some of the processes which may be required to put the policy into effect. A fundamental tenet of this paper is that the needs ...