This report focuses on the 16 TPPs in England which pursued the objective of reducing acute hospital emergency admissions and/or length of stay to at least the end of the second 'live' year, March 1998. The analysis of hospital episode statistics was undertaken in order to establish whether the action ...
The fundamental questions about the role of primary care in public health are: how can primary care develop its input into public health while also remaining focused on meeting the health care needs of individual patients and their families, and, how can GPs and others in the primary health care ...
This report describes a conference held towards the end of a programme of study set up to identify the learning needs of clinician and the organisational changes required if patients' information needs are to be fulfilled. Prior to this conference, clinicians had been surveyed to identify learning needs and organisational ...
The overall aim of this project was to explore the process of obtaining informed consent in dentistry in order to develop a model for good practice. The specific aims were to find out the range of clinical practice, and discover any difficulties that dentists and patients encounter, including categories of ...
This paper analyses the experiences of other city-wide authorities in the UK and internationally in improving health. It sets out which cities were studied and why, outlines the different ways in which Mayors work to affect change, identifies the available evidence of action to improve health in selected cities, and ...
Since the Labour government came to power in 1997, waiting lists have attracted unprecedented attention. For a time, the number of patients recorded as waiting for hospital treatment fell, but at the same time, numbers waiting more than 13 weeks for an outpatient appointment rose. This outcome had been anticipated ...
Because the NHS was founded to provide equal access to all on the basis of need rather than the ability to pay, price was eliminated as a method of bringing demand for services into line with supply. This means that the Government has to make decisions about the amount of ...
This book is a sequel to 'Tragic Choices in Health Care: the case of Child B', and continues the examination of ethical questions and conflicts of interest arising from priority setting and treatment decisions. Discussing five cases where funding of a treatment was refused or questioned, it assesses whether lessons ...
This book is based on interviews with the four politicians who served as secretary of state for health between 1988 and 1997; Kenneth Clarke, William Waldegrave, Stephen Dorrell and Virginia Bottomley, and offers insights into the events of this period. The author explores the world in which the health secretaries ...
This discussion paper sets out the key points which have emerged from the King's Fund's participation in the public health evidence debate. It addresses four central issues: the need for change (how adequate is the existing public health evidence base?; what issues need to be addressed?; what are the consequences ...