Working group included Keith Palmer and Rebecca Rosen of the King's Fund. and Recent changes in the NHS have triggered significant expansion in the involvement of independent and voluntary sectors in the delivery of services. How can this involvement be developed to ensure quality of care for patients and to enrich choice? This question was addressed by a small independent working group, commissioned ...
Lord Darzi's report, NHS Next Stage Review, attempts to open a new chapter in the story of 'quality' in the English NHS: how to move on from a centrally driven performance management regime - with its focus on driving activity and meeting targets - to a more sophisticated strategy that ...
In January 1980 the Conservative Government appointed a study group under Sir Donald Acheson to produce ambitious proposals for rapid and effective action on primary care in London. This report examines how and why the study group was established, the issues it confronted, the route by which it reached its ...
This paper seeks to analyse how the role of district health authority members developed in the period around and after the 1982 reorganisation of the NHS, and it seeks to identify how the role of members can be strengthened within the existing framework of the NHS. Some ideas and principles ...
This conference was organised by the King's Fund to provide a forum for discussion about the implications for service planning in the National Health Service of the proposals outlined in the DHSS consultative paper HN(81)4. The topic was discussed under the following headings: new policies: old problems; health service planning ...
This is the first in a series of 17 papers which were prepared during the life of the Royal Commission on the National Health Service. The paper is an analysis of the evidence submitted to the Royal Commission on the NHS 1976-1979, demonstrating some of the problems and difficulties with ...
This document reports the discussions of the Group who endorse the validity of an inter-organisational approach to social need and social provision, and who consider practical ways of developing it. As a step towards wider social planning, the group suggested that opportunity be found in the proposed formation of joint ...
The concern of this report is to review some of the problems involved in the future collaboration between the health services and the personal social services after NHS reorganisation in 1974: in particular to highlight certain specific issues which seem to warrant more careful or detailed consideration. The problems of ...