This guide is mainly aimed at PCG/T boards as they attempt to address the core government objectives of reducing inequalities and tackling racism. It should particularly benefit those with small ethnic populations, although those PCG/Ts with large ethnic populations, where there has been a history of attempting to meet local ...
This report presents the findings from the first phase of a two-year research project comprising six case studies of how primary care groups and trusts (PCG/Ts) are carrying out their health improvement role. Its purpose is to record the development of the health improvement role by the sites in their ...
Total purchasing was the first major 'internal market' policy initiative to be extensively evaluated by the Department of Health and Scottish Office. This report draws together the main evidence from the evaluation in order to inform the development of the new primary care organisations in the NHS, which came into ...
This working paper reflects on the experience of the South Thames (East) Primary Care Strategies Network which was facilitated by two King's Fund fellows, Diane Plamping and David Towell.
Local accountability has been a significant policy issue within the NHS generally. However, primary care trusts are in the main accountable to the centre and there have been calls to review this. This paper discusses a range of options for reforming the relationships between PCTs and their public. It explores ...
This discussion paper examines psychosocial provision in the community for dying people, and argues that the new-found commissioning powers of primary care trusts (PCTs) are the key to unlocking better, more integrated care. PCTs are now in the position to: strengthen clinical governance within the new N.I.C.E. guidelines; improve education ...
This research summary, based on interviews with stakeholders in London and nationally, plus a review of recent policies and commentaries, analyses the public health issues faced by local strategists and managers, and offers recommendations to support the development of the function locally. It demonstrates the need to embrace the complexity ...
As part of its continuing efforts to reform the NHS, the government has introduced a number of incentives to help the health sector meet national targets and objectives for improving care. This paper examines whether these incentives are helping or hindering progress. Its findings are based on interviews with health ...
Primary care has been the subject of a quiet revolution in recent years, with the ending of the monopoly of provision by independently contracted GPs and the introduction of a range of new targets and new forms of first contact care. Now it is poised for further radical change with ...