This document is the review of services to adults with mental ill health and people with learning difficulties commissioned from the King's Fund College by Hillingdon Health Agency.
The imbalance in London between primary health care and hospital services has long been recognised. Attempts are now being made to address this issue by strengthening community-based services. This paper quantifies the nature of the challenge facing primary health care in the capital relative to the rest of the country. ...
The changes in the NHS mean that clinicians will have to accept the need for explicit rationing rather than shirking the issue with reference to clinical decision making. The current system of implicit rationing will be replaced by one which bases resource allocation on explicit criteria. However there are problems ...
This study examines the changes in nursing care of elderly patients that have taken place since the early 1980s in the former geriatric unit which is now the Tameside nursing development unit. This NDU was one of the first to be established in Britain. In 1990 the Department of Health ...
This report makes proposals for the statutory registration and regulation of chiropractic to tackle the anomaly that anyone can claim to be a chiropractor in the United Kingdom, whether or not they have undergone professional training. The terms of reference for the report were: `Having regard to the growing public ...
This report describes the outcome of a six month study of the management development requirements of the NHS in Scotland, undertaken by the King's Fund College. The report describes: the scope and content of the original brief for the work; the methodology adopted by the King's Fund team; and the ...
The aim of this paper is to develop statistical models which explain the utilisation of GP services and which can also subsequently be linked to the 1991 census data to calculate weighted population estimates for areas based on their need for health care