Transplanting organs from one human to another is increasingly constrained by a shortage of donors. This report describes the wide variations between the number of kidney and heart transplantations and those waiting for these operations both in the United Kingdom and internationally; and how the UK could improve its performance. ...
In 1992 the King's Fund Commission published a report `London health care 2010 : changing the future of services in the capital'. This report was unable to describe in any detail the actual delivery of acute medical care in London. This required a more indepth study of care based on ...
This publication is the seventh in a series aimed at helping health service staff to obtain the views of service users, and it is written for anyone who has been given this responsibility, whether nursing, medical, paramedical or managerial. The series presumes no social science background and offers a flexible ...
The author describes his visit to Zambia to advise on the development of a policy for hospitals at all levels and an approach to implementation. He visited the country from 27 February to 13 March 1994 to see the major types of hospitals. His recommendations for reforms are presented along ...
The author looks at the NHS in London two years after the report of the King's Fund Commission on London and the Tomlinson report and three years before the next general election. Policies shaping the NHS in London have become increasingly controversial. He argues that despite the growing resistance to ...
The author considers discharge policy and practice in the UK which is aiming for a goal of seamless care. Chapter 2 summarises three areas of discharge related research: the experiences of elderly people and their carers; difficulties for those whose task is to manage acute beds; and communication between hospital ...
This is the first in a series of publications based on the work of the King's Fund Centre Nursing Development Units. Using interviews with managers, supervisors and staff this book describes the use of supervision in five different units and shows some of the different forms that supervision can take. ...
This paper reports on the first phase of a joint King's Fund Centre and Nuffield Institute initiative on monitoring community care implementation. It provides the first independent account of progress in implementing the community care changes which is based on sampling a vertical cross section of stakeholders in a range ...
Reorientating the NHS to be both needs led and responsive to users has to be a joint endeavour for both commissioners and providers. A new synthesis is required to combine the best of personal patient care with a focus on population health. The King's Fund has recognised community oriented primary ...
This paper discusses the role of a senior medical doctor on the board of NHS trusts who has to advise the board on medical matters and to lead the doctors within the organisation. The authors reflect on the views of medical directors who have discussed these issues with the authors ...