This debate is the first of a series organised by the King's Fund. The question posed was: would ill or disabled people and their carers be better off with a community care system guaranteeing them rights to services. The debate was opened by Nasa Begum who argued that elderly and ...
The King's Fund Centre has been in the forefront of developments to change the way in which support is offered to carers. In practice this has meant developing work programmes in different localities around the country to analyse, test and make improvements to the planning and delivery of services for ...
The first briefing gave an indication of some of the major issues involved in joint commissioning services for older people. It also gave an introduction to the work taking place at the five King's Fund development sites which are: Easington; Hillingdon; Oxfordshire; Westminster; and Wiltshire. This second briefing concentrates on ...
This publication is intended to offer practical assistance to mental health service managers who want to initiate or develop user involvement. Its aims are: to draw on the experiences of managers, staff and users; to identify problems and offer solutions and ideas based on those experiences; and to identify ways ...
A workshop was held at the King's Fund Centre on 3 November 1993 in which physiotherapists experienced in the treatment of neurological conditions took part to investigate the effectiveness of physiotherapy for people disabled by stroke. This report provides details of the topics discussed, and reviews the key components related ...
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 ...
This workshop was one of five events sponsored by the NHS Executive to promote clinical effectiveness and the use of clinical guidelines. The day was organised to enable participants to share their experiences of working with guidelines; to feedback comments to the NHS Executive about the lessons learned so far; ...
This report discusses progress and problems arising in the joint commissioning of community care services during 1993. Particular attention is given to the commissioning of services for older people, which in terms of expenditure, size of population and potential for service change represent a major challenge in health and social ...
In response to the latest recommendations on undergraduate medical education from the General Medical Council and other pressures and opportunities for change, innovation in United Kingdom medical schools is flourishing. This report arises out of a conference held at the King's Fund Centre in November 1993 to highlight key issues ...
This item gives the critiques and papers produced for a conference held at the King's Fund Centre in November 1994. The aim of the conference was to use the OXCHECK and British Family Heart studies as a springboard for the future, to critique them for their unique contribution to the ...
The purpose of this document is to take the debate and practice concerning the situation of Black people who are diagnosed as suffering from mental illness beyond the point of counting heads, and instead to focus more on acknowledging and highlighting positive methods of diagnosing and treating mental health problems ...
Leadership in British nursing has been neglected by nurses and policy makers. The legacy of this neglect is now being felt as nurses struggle to establish and identity a role for themselves in the changing environment of the NHS. Attempts to promote nursing leadership are not without their problems. There ...
The health service reforms of the 1990s have put special emphasis on making services more sensitive and responsive to users. This report looks at the work of four health authorities which have a history of activity on race issues and where there is a clear commitment to improving their services ...
This publication is the fifth 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 ...
This publication is the sixth 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 ...
Nurse to nurse reporting is a critical part of good nursing practice in both primary and secondary health care settings. These guidelines have been revised to fit with current practices in the nurse to nurse handover procedures.
The NHS reforms placed a requirement on all doctors to improve the quality, effectiveness and efficiency of medical practice by undertaking a regular programme of audit. Through a case study of the introduction of medical audit support staff, this publication documents how this process has been accomplished to date. It ...
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 book is based upon the King's Fund Centre's experience over the past four years of developing carers' support in different local authorities around the United Kingdom. The briefings aim to provide a map to guide people through the maze of creating and sustaining a service development programme. Using the ...
This publication provides guidance for managers in regional and purchasing authorities and in provider units on how to improve NHS services provided to people from black populations. It should also be a basis on which community organisations and users' groups can evaluate race equality initiatives in local service provision. Managers ...
This report is based on public discussion of the six specialty reviews for London that were set up by the Secretary of State for Health earlier in 1993. In July 1993 the King's Fund arranged six meetings to encourage public debate about the outcomes of the independent reviews of specialty ...
The changes in the NHS mean that clinicians will have to accept the need for explicit rationing rather than shirking the issue with reference to clinical decision making. The current system of implicit rationing will be replaced by one which bases resource allocation on explicit criteria. However there are problems ...
This statement on Britain's maternity services was drawn up by an independent panel following a consensus conference. The questions which the panel were asked to address were: what sort of choices are important to women and are there proper limits to women's choice as a result of clinical, organisational or ...
There is no shortage of people from black or ethnic minority communities who could make a positive contribution to NHS boards, yet few board members are from these communities. This situation must change otherwise a disservice is being done to both the NHS and the community at large. This book ...
The current unprecedented interest in staff development in medical schools in the United Kingdom is partly a response to internal and external pressures to demonstrate the quality of teaching. In addition staff development is beginning to be recognised as a necessary prerequisite for effective curriculum change as outlined by recent ...
This book is aimed at hospital doctors in search of practical ideas for medical audit within their own specialty, but it will also be helpful to other clinical professions to show some of the ideas that have been developed in other specialties. It collates published work and practical experience of ...
This is a self-help book designed to help carers feel more in control of their lives and empowered in their dealings with service providers . It is a book of ideas and suggestions based on the experiences of carers, the people they care for, and those who work with and ...
Primary nursing is a delivery system designed: to allocate 24-hour responsibility for each patient's care to one individual nurse; and to assign this nurse the actual provision of her patient's physical care whenever possible. The primary nurse leaves information and instructions for her patient's care when she is off duty, ...
Many people with severe illness are at risk from an unrecognised complication - malnutrition, which can seriously delay the recovery from medical and surgical disorders, and can even be life-threatening. Evidence in this report shows the clinical and financial benefits which can result from better diagnosis and treatment of malnutrition. ...
This report describes how audit can be made effective. Drawing on the experience of people who have been involved in organising audit in primary care, it suggests how medical audit advisory groups (MAAGs) could help all practitioners to take part in relevant and worthwhile audit. With the help of lively ...
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 ...
Community-based teaching is of central importance in current debates on the future of undergraduate medical education as changes in health care and service delivery are forcing medical schools to adopt new ways of clinical teaching. This report arises out of a conference held at the King's Fund Centre in July ...
This evaluation looked at one corner of one authority's services for people with learning difficulties. North West Thames Regional Health Authority funded People First to do this evaluation in order to ask people's views about what services they were getting, what they wanted, and what was important to them. It ...
This report summarises the findings of a study into the future of undergraduate medical education . The aim of the study was to help establish a climate of opinion for change and to develop a consensus view of the future developments of undergraduate medical education. The study took the form ...
Consensus conferences are an increasingly accepted means of synthesising available information and of producing a widely agreed view of the value of medical techniques and advances. In the United Kingdom the King's Fund initiated their use, and developed them beyond their original purely professional focus by holding meetings in public, ...
This report is based on a conference which aimed to make health services more user-friendly. The purpose of the conference was to learn from initiatives across the public sector and to learn about the practicalities as well as the politics of making public services more responsive to the people who ...
Medical technology, defined broadly to include drugs, procedures and equipment used singly or in combination, has been of enormous benefit in improving the quality of health care. It has, however, raised many issues about how society can afford to pay for these often expensive developments and about associated ethical problems ...
Medical technology, defined broadly to include drugs, procedures and equipment used singly or in combination, has been of enormous benefit in improving the quality of health care. It has, however, raised many issues about how society can afford to pay for these often expensive developments and about associated ethical problems ...
This book describes the experiences of twenty families who have, living at home, a teenager or young adult with severe learning difficulties who has been classified by professionals as 'severely' or 'profoundly' mentally handicapped, and who also has 'serious behavioural problems'. It documents the lives of these families, and the ...
This document is intended to serve as a source of information aimed at African-Caribbean carers of elderly people and those who support them. It offers information around what services area available to those carers and whom to approach for help. It acknowledges the important roles played by African-Caribbean community organisations ...
Medical technology, defined broadly to include drugs, procedures and equipment used singly or in combination, has been of enormous benefit in improving the quality of health care. It has, however, raised many issues about how society can afford to pay for these often expensive developments and about associated ethical problems ...
This document reports an experiment in consultation between users and informal carers and presents an alternative model for consideration by local and health authorities, and by users and carers themselves.
The two conferences described in this report aimed to go beyond the 'getting to know about self-advocacy' stage and aimed to look at groups already in operation, to see how they are progressing. The support required to help groups run well was also looked at. The broad questions discussed at ...
This document is the latest in the `An Ordinary Life' series and follows on from `Facing the Challenge' and `Evaluating the Challenges', giving practical examples of services around the country for people with challenging behaviour. As well as describing the services it looks at key issues of : management and ...
The main aims of the conferences described in this book were to enable participants to learn about supported employment initiatives for people with severe learning difficulties and to exchange information with one another. There were opportunities to meet new people with similar concerns and to develop networks for continuing contact. ...
The Single European Market has nearly arrived when people will experience freedom of movement of goods, services and people between the Member States of the European Community. For the health service, this has two main concerns. First, the possible increase in the migration of unskilled labour will effect the health ...
Government policy increasingly emphasises the importance of community care services for people with learning difficulties and other long term disabilities, although when people have substantial disabilities, it is often a major challenge to design and run such services. Service evaluation can help to meet this challenge by asking key questions. ...