Within the reformed NHS attention is rightly being given to developing the new role of DHAs and FHSAs. Improved health and health care will not be achieved without effective and influential purchasing authorities. This report focuses on the specific contribution that the Chief Executive makes to the achievement of this ...
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 ...
This report looks at the new role of district health authorities as purchasers of services for their residents. The report shows that non-executive members have the following contributions to make to the work of their authorities: bringing a wider range of experience than is available among the executive members; ensuring ...
The first part of this briefing looks at the implications of the NHS reforms in theory and in practice and presents the six lines of enquiry which might be pursued. The second section discusses the particular impact of the NHS reforms on London which has maintained a very significant number ...
This report concerns the implementation of assessment and care management within 11 local authority social services departments in England in 1990 and 1991. Assessment and care management are critical elements of the current programme to reform the delivery of services for people with disabilities which was established in the white ...
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 ...