Based on the deliberations of a Leeds Castle Foundation medical conference, this book looks in depth at five examples of how the NHS by choice or by accident has behaved with inhumanity, and seeks to draw lessons for the whole health system from these events. It reaches radical conclusions about ...
This is the third in a series of reports published for the London Commission by the King's Fund. It makes the case for an integrated approach to health care in the capital. Currently, although health care involves a set of discrete activities which interact with each other across primary, secondary ...
This guide explores the benefits of introducing community development health programmes. Using a community-oriented primary care approach (COPC), the guide explains how to use resources more effectively, set health goals and health programmes linked to local needs, identify those who most need health care, and support people's desire to take ...
This paper presents the issues relating to rationing in the NHS. The group holds the view that rationing is unavoidable and feels that there should be a more explicit debate about the principles and issues involved. Questions are considered under four headings: preliminaries, ethics, democracy and empirical questions. The preliminaries ...
Clinical nurse managers can improve services to patients and clients if they move away from 'coping management' and take a more strategic approach. This new publication, based on the work of the King's Fund Nursing Development Units (NDUs), highlights the experiences of nurses, users, doctors and managers from eight NDUs ...
The six case studies in this book describe how purchasers, one of them a fundholding practice, bought interventions to improve the health of local populations in direct response to information which had revealed particular needs. The case studies have been published as examples of good practice because this effective and ...
The NHS reforms placed a requirement on all doctors to improve the quality, effectiveness and efficiency of medical practice by undertaking a regular programme of audit. Through a case study of the introduction of medical audit support staff, this publication documents how this process has been accomplished to date. It ...