This report analyses the interlocking set of problems posed by health services, medical education and research in London. It demonstrates that Londoners receive a poor deal from present-day services. It warns that health care in the inner-city may become unsuitable unless there is the political will to back a strategy ...
This working paper is based on the assumption that change in the direction of primary health care is desirable and inevitable. It explores the interface between acute hospitals and primary care, and describes developments that improve integration and show how a shift towards primary care might be achieved. It goes ...
This paper concentrates on London's role as the principal national centre for specialist health services. The capital retains this function because of its concentration of undergraduate and postgraduate teaching hospitals. However, the shift of population away from the city's centre over the past century has created problems of access which ...
It is intended that this working paper should: introduce a discussion about some of the organisational options that might be considered if the widely held aspirations for change are to be achieved; indicate some of the current thinking among health service managers about the future direction of the organisation of ...
London occupies a unique position in the provision of acute health care in Britain, in terms of resources consumed, the quantity of care provided and the institutional framework within which service provision takes place. It is a commonly held belief that London has more than its fair share of health ...
This paper examines the relative health status of Londoners in the light of the current attention being given to the provision of health care in London. It has three aims: to compare the health of residents of London with that of people in comparable areas elsewhere; to investigate the factors ...
This unpublished paper outlines a process for specialty reviews, following on from the recommendations of the `Report of the inquiry into London's health service, medical education and research' (London : Department of Health, 1992) in which it was recommended that working parties be formed under the direction of the London ...
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 ...
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 ...