This report is the result of a major study examining the links between acute, primary and community services in Bromley, Kent. Results of the study, funded by the King's Fund and South Thames Regional Health Authority, contributed to Bromley Health's future strategy for change and led to the redevelopment of ...
The conference examined cancer as a genetic disease and presented papers on recent genetic research and gene therapy. The implications of the `new genetics' from an ethical, legal and insurance point of view were considered. The conference also explored the implications of recent developments in genetic research for general practice ...
This conference was organised as part of the process of helping podiatrists to move towards evidence-based practice. It had the specific objective of helping purchasers to define and buy good quality chiropody services. The subjects of presentations at this conference included: why evidence-based clinical decisions are important; evidence-based developments in ...
This is the third edition of this publication which was published for the first time in 1994. This edition is structured in three parts. The first is a calendar of events in London's health care during 1995, followed by a commentary by the editor. The second section presents the relevant ...
This report is a review of the evaluation of the London Initiative Zone (L.I.Z.) primary care development projects which were established through the former London Implementation Group (LIG) and which were in progress in 1995/6. It particularly focuses on the evaluation of revenue projects aimed at service development in primary ...
This publication comprises 10 papers on mental health service provision in a different city. They were presented at the King's Fund's Mental Health in the City conference, held in London on 27-29 October 1997. The cities are as follows: Amsterdam, Baltimore, Bangalore, Copenhagen, Kobe, Madison (Wisconsin), Porto Alegre (Brazil), Sydney, ...
This briefing paper summarises the key findings of two literature reviews jointly commissioned by the Audit Commission and the King's Fund. The reviews provide evidence of shortcomings in the current health and social care system and practices and processes that are known to be effective in achieving good outcomes for ...
This working paper is the first report from the national evaluation of total purchasing pilot projects to provide evidence on the achievements of all 53 'first wave' pilots in England and Scotland. It also looks at the range of factors associated with more and less successful total purchasing in 1996-97 ...
This report presents the findings of a project that aimed to understand the present state of knowledge of the clinical effectiveness of rehabilitation using the evidence of systematic reviews. Fifty-six systematic reviews covering a variety of disabilities, health problems, diseases and client groups were identified through a literature search. Data ...
This paper explores the many meanings of democracy, seeks to define some criteria for assessing whether or not there is a 'democratic deficit' in the NHS, and examines the policy options that have been put forward for making the NHS more 'democratic'. The first section analyses the various ways in ...
In a previous working paper the results of a survey of the contracting arrangements of the 53 first wave total purchasing pilot (TPP) projects during 1996-97 were given. This working paper reports the results of a follow-up survey carried out for the 1997-98 contracting round. The survey was designed to ...
This review examines the meaning of rehabilitation, the provision of it and responsibilities for rehabilitation services within health and social care, and trends in the availability of provision. It concludes that there is increasing awareness of the importance of rehabilitation but, in practice, opportunities for it are not being fully ...
There have not been any set criteria against which to assess the merits of the various ways in which total purchasing has developed nationally. An important part of the evaluation of total purchasing in the first year was, therefore, an attempt to derive success criteria which would enable comparison between ...
The evaluation of Total Purchasing Project (TPP) initiatives in the field of continuing and community care was designed to provide answers to three key questions: to what extent were the TPPs aware of the policy consensus that has emerged in relation to the planning and delivery of continuing and community ...
This study describes the aims, methods and interim findings of a study to evaluate the impact of total purchasing and extended fundholding on the provision of mental health services. All baseline telephone interviewing has now been completed and the authors report on findings from the analysis of semi-structured telephone interviews ...