This paper looks at definitions of different types of accountability, political and administrative, and at the accountability of health authorities, GP fundholders and the pilot projects for total purchasing. The research has revealed models of financial, managerial and public accountability which are described. The paper concludes with discussion of the ...
This book is designed as a series of personal reflections on three pilot citizens' juries in health authorities around the country. The first chapter consists of a historical perspective on the contribution that citizens' juries may make to democratic practice. It concludes that a clear understanding of the objectives of ...
Patients need easy-to-understand and accurate information in order to make informed choices about their medical treatment, but they are not getting it. In the first study of its kind, this book reviews the quality of leaflets, videos and audio-tapes through the eyes of both patients and clinical specialists. Specific areas ...
A major policy concern for the NHS is how to deal with the increase in emergency hospital admissions widely observed in the 1990s. This paper presents a systems approach to understanding the way in which unpredictable events are dealt with by health care services. It does this by developing a ...
This working paper is about engaging with older people around the development of community services. It sets out to do three things: make a case for engaging with older people to find out about their lives and the support they may require as they become ill or frail and to ...
This report aims to describe the experience and adequacy of budgetary and risk management arrangements of all first wave Total Purchasing Pilots (TPPs) in 1996/97. The results of a postal questionnaire sent to every TPP manager were analysed. The authors conclude that TPPs have taken seriously the management of expenditure ...
These comments on the Green Paper on public health, 'Our Healthier Nation', reflect the views of a group of individuals from a wide range of local and national agencies with a role to play in implementing the national public health strategy. These views were expressed during three seminars jointly organised ...
The Government's eagerly awaited White Paper on health aroused no great passions when it was launched at the end of 1997. Unlike its predecessor, the 1989 Conservative White Paper "Working for Patients", Labour's "The new NHS" has prompted no battle of words or major health debate. Yet in this, warn ...
This report presents interview and focus group findings in Tameside. It looks at carers' backgrounds, their experience of access to services, with special reference to the assessment process, and their views about services currently received. The 'Key Messages' section at the end summarises the carers' views about desirable outcomes and ...