The author looks at the NHS in London two years after the report of the King's Fund Commission on London and the Tomlinson report and three years before the next general election. Policies shaping the NHS in London have become increasingly controversial. He argues that despite the growing resistance to ...
The author considers discharge policy and practice in the UK which is aiming for a goal of seamless care. Chapter 2 summarises three areas of discharge related research: the experiences of elderly people and their carers; difficulties for those whose task is to manage acute beds; and communication between hospital ...
This is the first in a series of publications based on the work of the King's Fund Centre Nursing Development Units. Using interviews with managers, supervisors and staff this book describes the use of supervision in five different units and shows some of the different forms that supervision can take. ...
This paper reports on the first phase of a joint King's Fund Centre and Nuffield Institute initiative on monitoring community care implementation. It provides the first independent account of progress in implementing the community care changes which is based on sampling a vertical cross section of stakeholders in a range ...
Reorientating the NHS to be both needs led and responsive to users has to be a joint endeavour for both commissioners and providers. A new synthesis is required to combine the best of personal patient care with a focus on population health. The King's Fund has recognised community oriented primary ...
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 workshop was one of five events sponsored by the NHS Executive to promote clinical effectiveness and the use of clinical guidelines. The day was organised to enable participants to share their experiences of working with guidelines; to feedback comments to the NHS Executive about the lessons learned so far; ...
As the interest in nurse led initiatives increases, it is critical that those who are exploring ways forward share their experiences. This early account of Byron Ward Nursing Development Unit at King's Healthcare, London, describes the rationale behind the move to introduce nurse led beds in a busy acute general ...
This report describes the aims and achievements of those who have been involved in the Nursing Development Unit project over three years and outlines some recommendations for the future which have been drawn from their experiences.