Sustainability and Transformation Plans (STPs) have been developed by NHS and local government leaders in 44 parts of England. The plans offer a chance for health and social care leaders to work together to improve care and manage limited resources. But will they succeed where other initiatives have failed? Despite ...
The literature on geographical variations in health care is large and growing. A comprehensive review of this literature would be a major task and is beyond the scope of this paper. Instead, the paper summarises some of the key issues which emerge from the literature and identifies the implications for ...
This book is a sequel to 'Tragic Choices in Health Care: the case of Child B', and continues the examination of ethical questions and conflicts of interest arising from priority setting and treatment decisions. Discussing five cases where funding of a treatment was refused or questioned, it assesses whether lessons ...
This report presents the results of the authors' review of experience of health care technology assessment in the UK and overseas. It was prepared principally to inform the programme of work on technology assessment being developed at the King's Fund Institute, and was a benchmark exercise, seekingto establish the state ...
This book is based on interviews with the four politicians who served as secretary of state for health between 1988 and 1997; Kenneth Clarke, William Waldegrave, Stephen Dorrell and Virginia Bottomley, and offers insights into the events of this period. The author explores the world in which the health secretaries ...
This report summarises the main results of a survey of approaches to commissioning. All health authorities were surveyed and a 100 per cent response was achieved. The survey sought to map different approaches to commissioning and to assess the impact of these approaches from the perspective of health authorities. The ...
This book tells the story of Jaymee Bowen (Child B) whose case has come to epitomise the dilemmas involved in making tragic choices in health care. It shows that the story was complex and not simply an example of health care rationing. While media reports at the time emphasised the ...
This paper examines four major policy developments which are forcing changes in medical staffing arrangements and also in the reconfiguration of clinical services within and between hospitals. These developments are the primary care-led NHS, the New Deal on junior doctors' hours, the Calman report on specialist medical training and the ...