The NHS (Primary Care) Act 1997 made possible local contracts for general practice services and spawned Personal Medical Services (PMS) pilots. These are intended to make primary care services more sensitive to local needs and are therefore particularly useful in London where long-term infrastructural problems have proved intractable. The King's ...
This guide, produced jointly for the King's Fund and the Royal College of Paediatrics and Child Health, gives advice on the physical, psychological and cultural needs of refugee children in the UK, and explains their rights and entitlements under law here. The role and addresses of relevant non-governmental organisations are ...
This is a background paper prepared for a symposium held at the King's Fund. Its aims were to: consider the significance of recent and current research on the role of primary care teams in promoting public health; identify the areas where further research is needed; share and consider the experiences ...
This booklet is a brief guide for general practitioners (GPs) and colleagues in the primary health care team who have patients who are refugees or asylum seekers, and wish to ensure that they have the knowledge and skills to deliver an appropriate service to those patients. It provides information on ...
This report describes the evaluation of total purchasing and extended purchasing sites with an interest in mental health services. A consistent objective of these sites was the improvement of communication and information flows between primary and secondary care. The priority was the development of services for people with common mental ...
The evaluation of the Total Purchasing Pilots (TPPs) provides important lessons for the development of the new primary care organisations envisaged in the English, Welsh and Scottish NHS white papers. Despite originating in a very different context, total purchasing was essentially about groups of practices working together to develop services ...
This report aims to describe the ways in which the structure, role and impact of TPPs may be instructive to PCGs. Practical illustrations are used to demonstrate how particular changes in services were achieved in the context of local conditions, providing useful examples for PCGs. English PCGs are the main ...
This is the final report on the evaluation of an urban primary health care development programme undertaken by the London and Northern Health Partnerships (L&NHP). These partnerships were established in 1994 to generate a distinctive programme of work aiming to improve primary health care in urban areas, particularly in London. ...
The King's Fund has come together in a consortium with the Sainsbury Centre for Mental Health and the Department of Health to establish the 'Working Together in London initiative. This will commit £2 million in the years 1998-2000 to improve the integration of services for people with severe mental health ...
This paper tells the story of the first two years (1994-96) of the London Health Partnership's primary care development programme. It describes the background to the project and its guiding principles, and then goes on to describe the diagnostic phase of its work and how systems theories influenced the ongoing ...