This paper examines four major policy developments which are forcing changes in medical staffing arrangements and also in the reconfiguration of clinical services within and between hospitals. These developments are the primary care-led NHS, the New Deal on junior doctors' hours, the Calman report on specialist medical training and the ...
This book - developed from a systematic review of evidence about the impact of the NHS internal market - asks what lessons can be learned from the internal market reforms, and how this knowledge can be used to aid policy-making in the future. It synthesises all the evidence on the ...
This project followed the introduction of beta-interferon in one health region. It provided the opportunity to pilot many helpful approaches to the active management of drugs in health authorities. The report concludes that many of the approaches used in this situation were successful and could be applied to future similar ...
This paper offers health commissioning agencies and general practice fundholders a practical guide to developing and using health and race standards in their contract quality specifications. It draws on collective experiences of district health authorities over the years 1992-1995. Standards for acute and community providers are specified in the fields ...
This book describes the trend towards more diverse and devolved forms of purchasing and combinations of purchaser organisations within health authorities in the NHS. It presents a multi-dimensional profile of each of the current models of purchaser organisation. Trends and policy developments are discussed in relation to the likelihood that ...
The book describes the work of six King's Fund projects where the views of local Black communities were used to influence a range of service developments through changes in commissioning, quality standards and contracts. By bringing together the local lessons within a broad framework, the report maps the progress of ...
This conference was organised as part of the process of helping podiatrists to move towards evidence-based practice. It had the specific objective of helping purchasers to define and buy good quality chiropody services. The subjects of presentations at this conference included: why evidence-based clinical decisions are important; evidence-based developments in ...
The six case studies in this book describe how purchasers, one of them a fundholding practice, bought interventions to improve the health of local populations in direct response to information which had revealed particular needs. The case studies have been published as examples of good practice because this effective and ...
This is the first issue charting the progress of developments in London's health services. Included are: a calendar of events from October 1992 to December 1993; a commentary on the development of the planning process in London including the series of reports from the Government and other professional bodies. There ...
The health service reforms of the 1990s have put special emphasis on making services more sensitive and responsive to users. This report looks at the work of four health authorities which have a history of activity on race issues and where there is a clear commitment to improving their services ...