Against the background of profound change now affecting the British health and social care system this report examines economic aspects of the support of people (particularly adults) with severe learning difficulties in England, and their implications for future service development. It briefly outlines ideas and data relevant to: the evolution ...
This report presents an appreciation of the significance of Primary Care Development Fund supported schemes for the future of UK primary care generally, and offers a point of common entry into a vital area of national health debate to a range of audiences amongst NHS service providers, users and purchaser ...
It is widely believed that homeless people place considerable demands on emergency hospital services, but quantifying this in a systematic way has proved difficult. The primary purpose of this paper is to develop a better empirical understanding of the nature and extent of unplanned admissions to acute hospitals in London ...
This report examines the history of the series of policy initiatives concerning the use of land and buildings in the NHS. It considers the political and managerial intentions which lay behind the 1983 Ceri Davies report, and charts the extent to which the series of proposals which it produced have ...
The boundaries between home and hospital care are constantly shifting. Care in the community for people with long term dependencies, and increasingly sophisticated primary care service and the expansion of outreach care and day surgery have all contributed to a reassessment of the central role of the hospital. This research ...
The phasing in of the National Health Service reforms over two years from April 1991 to 1993 has a number of implications. The uncertain climate which has long surrounded community care will be protracted, and financial pressures will increase as the demand driven social security budget continues to rise. The ...
The principal objective of this investigation is to produce specific recommendations about the distribution of administrative resources to family health services authorities (FHSAs). There are two basic aims to the report: to examine actual variations in FHSA expenditure and relate those to characteristics of FHSAs and their areas where there ...
This publication consists of the agenda and supporting material produced for this seminar. The items discussed included: good and bad news on Living Options and support services; strengths, weaknesses and gaps in local services; community support systems; implementation challenges; and key provisions of the NHS and Community Care Act.
Against a background of apparent official disinterest in monitoring of the NHS reforms, the King's Fund decided to make such evaluative work the focus of a major grants programme. Seven projects have been selected for financial support, each to run over a three year period, 1990-1993. The work of the ...