Although practice-based commissioning (PBC) receives widespread support among the main political parties and NHS stakeholder groups, implementation of this policy has been slow. The NHS now boasts 'universal coverage' of PBC but in practice this means it has created an environment in which PBC could flourish rather than one in ...
The Wanless review Securing our Future Health, published by the Treasury in 2002, concluded that the United Kingdom would need to spend substantially more on health care and that fundamental reform would be needed to enable those resources to be used effectively. Five years on, The King's Fund has commissioned ...
There are unprecedented challenges arising for the medical profession from the changing expectations of patients, government and managers. Doctors remain 'professionals' but the traditional image of what this means in practice is increasingly outdated. While individual doctors remain highly trusted, the profession as a whole needs to demonstrate better its ...
In 1998, the Secretary of State approved nine PMS pilots to offer 'nurse-led' primary care. They were designed to maximise the use of nursing skills and to allow nurses to exercise leadership within the primary health care team. This report describes the experiences of the nine nurse leads as they ...
The Commission for Health Improvement was launched in November 1999 as the monitor in the National Health Service. It will be wound up in April 2004, when its responsibilities will be passed to the Commission for Healthcare Audit and Inspection (CHAI). This three year study analyses CHI's methodology, activities and ...
The primary task of the health service is to improve people's health. A fundamental goal within this is to improve patients' health-related quality of life (HRQoL). But, while measuring and monitoring many aspects of its performance, the NHS does not routinely measure the impact of its care on patients' HRQoL. ...
Increased media and public attention to the potential costs of 'epidemics' such as obesity, the two Wanless reports on the future of the public's health and the recent public health White Paper 'Choosing heath' have all helped refocus priorities on a health promoting service rather than a 'sickness service'. However, ...
Increased media and public attention to the potential costs of 'epidemics' such as obesity, the two Wanless reports on the future of the public's health and the recent public health White Paper 'Choosing heath' have all helped refocus priorities on a health promoting service rather than a 'sickness service'. However, ...
Chronic medical conditions such as asthma, diabetes, heart failure and hypertension affect large numbers of people, including patients, carers, families and friends. As the population in England ages, growing numbers of patients will need help with managing complex, multiple conditions over sustained periods. Apart from the burden of ill-health, treating ...
This paper aims to explore the opportunities available to create stronger and more consistent partnerships between health and education, both in terms of the challenges facing schools and the issues surrounding local strategies that link the two sectors. In doing so, it also seeks to identify some of the ways ...