In this booklet, the author, a ward sister, describes how she consulted carers on how to provide effective ward services for elderly people and how the team has set about meeting the carers needs. This series looks at some ways nurses in Nursing Development Units (NDUs) have tried to make ...
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 ...
As yet few people working in the health service are aware of the scale of the tidal wave of new medical technology now breaking over the NHS. While these technologies offer startling improvements in medical information and therapeutic technique, they are also costly. What they accomplish for the patient in ...
The care of elderly people is a matter of both increasing urgency and major uncertainty. Community care policies have come under increasing scrutiny over the past decade, and three factors have been particularly influential: an awareness of an ageing population, allied with other demographic and social changes that are likely ...
This report is based on a seminar held in Southampton in October 1991 which explored an alternative approach to health rationing from that of the Oregon experiment. A specially designed simulation exercise examined the dilemmas facing purchasers in the new NHS. Organised over 24 hours, the simulation centred on three ...
The theme in this paper is empowerment through teamwork; empowering nurses to carry out research which results in benefits for themselves, their colleagues and their patients. The authors discuss their differing roles in ward-based research and how they collaborated to improve wound management. This series looks at some ways nurses ...
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 ...
The objectives of the Living Options Enquiry were: i) to identify the particular needs of the most highly dependent of disabled people and their carers, both as individuals and as family units; ii) to identify the role users want to take in the development of services. To this end the ...
Fundholding by general practices is the most innovative and potentially far reaching aspect of the NHS reforms. It also raises the most potential difficulties in implementation. The study falls into two parts. The first is a description of the preparatory period from January 1990, soon after practices were asked if ...
In December 1991, the Information Resources department at the King's Fund Centre conducted a survey into the European health care interests of King's Fund staff. The aims of the survey were: to determine current interests and work patterns at the King's Fund in relation to Europe; to assess the need ...