This report describes a two year study of the introduction of primary nursing in one of three matched elderly care wards in Mid Staffordshire health authority in order to improve the quality of care given to each patient and patient-staff relationships.
The NHS reforms placed a requirement on all doctors to improve the quality, effectiveness and efficiency of medical practice by undertaking a regular programme of audit. Through a case study of the introduction of medical audit support staff, this publication documents how this process has been accomplished to date. It ...
This working paper is based on the assumption that change in the direction of primary health care is desirable and inevitable. It explores the interface between acute hospitals and primary care, and describes developments that improve integration and show how a shift towards primary care might be achieved. It goes ...
The impetus for this publication came from a seminar which was set up on behalf of the NHS Management Executive to investigate the lessons learned for the development of integrated purchasing from the Localities Project. Purchasing patient-centred health (and social) care requires deliberate focus on the patient through: patient centred ...
This book is based upon the King's Fund Centre's experience over the past four years of developing carers' support in different local authorities around the United Kingdom. The briefings aim to provide a map to guide people through the maze of creating and sustaining a service development programme. Using the ...
This publication provides guidance for managers in regional and purchasing authorities and in provider units on how to improve NHS services provided to people from black populations. It should also be a basis on which community organisations and users' groups can evaluate race equality initiatives in local service provision. Managers ...
This paper proposes an alliance of charitable foundations, together with Government, to make a distinctive contribution to the way in which health services for Londoners are being shaped. It explains how an investment fund could form the basis of a high profile three year development programme; how it could be ...
This report is based on public discussion of the six specialty reviews for London that were set up by the Secretary of State for Health earlier in 1993. In July 1993 the King's Fund arranged six meetings to encourage public debate about the outcomes of the independent reviews of specialty ...