This edition of the annual publication contains articles on hospice care, job-sharing in the NHS, research ethics committees, day surgery, resource allocation, optical services, cost effectiveness in the NHS, long-term care insurance and hospital care at home.
This paper explains initially why health authority management should introduce ethnic monitoring systems and deals in later sections with how members and managers should use the data to measure and improve their authority's equal opportunity performance. The bulk of the paper is, however, addressed to personnel and other officers who ...
The NHS is a vast and complex organisation, never out of the public eye and now the focus of major political argument. The author examines the way the NHS works and the incentives that motivate everyone concerned - the general public, the health professionals and managers, and the government. There ...
This briefing paper analyses the management of clinical activity in the NHS. It does so against a background of increasing concern that practices are not always as effective or efficient as is sometimes claimed. The paper considers critically the various policy options that have been put forward for tackling this ...
Despite forty years of the NHS, there are continuing geographical variations in the provision, use and outcome of health services. These variations are manifested in the greater availability of doctors and hospital beds in some areas than others; differences in the use made of these doctor and beds; and variations ...
The development of a network of services and support for people with A.I.D.S. is a challenge for voluntary agencies, for the NHS and for local authorities. There is a consensus that services should, as far as possible, be provided to enable people to be cared for in their own homes. ...
Public, political and professional pressures have led to a greater interest in quality assurance in the NHS, but there has been no national policy or framework prescribed. The development of, and approach to, quality assurance has therefore varied widely between districts and between regions. This report aims to reflect managerial ...
This report examines the present state of the 1987 expenditure plans in the light of the most up to date information available. It discusses the different ways in which public expenditure can be measured, followed by an examination of expenditure on Hospital and Community Health Services during the 1980's. The ...
This is the fourth paper published by the King's Fund and NAHA on the need to change the way in which pay is determined in the NHS. This paper outlines a proposed structure for determining pay, based on principles described in the earlier documents. The system has three elements: a ...
This book provides a detailed discussion of the organisation of postgraduate medical education in the NHS, and the administrative and financial implications if changes are to be made. The material is organised within a 'demand and supply' framework: demand from employers, notably the NHS, and supply provided by various institutions ...