This book offers a radical way of thinking about organisations as living systems, and practical methods of engaging with complex social and organisational issues, which the authors call 'working whole systems'. The whole system approach they have developed involves working with many types of stakeholder. It always engages local people ...
This paper tells the story of the first two years (1994-96) of the London Health Partnership's primary care development programme. It describes the background to the project and its guiding principles, and then goes on to describe the diagnostic phase of its work and how systems theories influenced the ongoing ...
This paper offers a way of thinking about the purpose of partnership; partnership behaviours which fit different purposes; and partnership behaviours which can lead to sustainable change and are not dependent on injections of external resources. The authors have created a typology which focuses on the purpose of partnership, in ...
This paper looks at the government's plan for action zones in education, employment and health which aim to break out of the cycle of deprivation. It examines how the many individuals, groups and organisations who will be involved in the action zones will work together. The authors feel that if ...
This paper reconsiders the meaning and impact of projects, the most common device for spending development monies. They argue that projects can distort the priorities of the host organisation. There are four aspects to this problem: the disruption caused to an organisation by the existence of a project; the project ...
This debate is the second of a series organised by the King's Fund. It took place at a time when the NHS stood accused of withdrawing from long-term care, and public concern was running high about the growth of means-tested services previously provided free under the NHS. People from different ...
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 proposes an alliance of charitable foundations, together with Government, to make a distinctive contribution to the way in which health services for Londoners are being shaped. It explains how an investment fund could form the basis of a high profile three year development programme; how it could be ...
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 ...
A series of workshops on school health services was held during 1986. This information pack has grown from the workshops and other material has been added to enhance its value to managers who are reviewing and improving school health services. There are five sections: the first summarises the current debates ...