Resources can be allocated to health care in a variety of ways. Ten major approaches are described in this document. All of these fall within a number of ethical and economic constraints, and yet health authorities differ in the extent to which they place emphasis on important factors. No perfect ...
This international seminar was held to consider ways and means of providing the best possible health care with restricted resources and the part that administrators play in such provision.
In recent years there has been considerable discussion about how the National Training Scheme (NTS) has been run and how it might evolve in the future. Over the past eighteen months, Regional Supervisors responsible for organising the NTS in the four Thames and Wessex regions have met regularly at the ...
This seminar had been arranged with a view to discussing the importance of taking capital costs into account in a specialty budgeting system, and if their inclusion was thought necessary, to consider how such costs should be represented. This topic appeared to have been given little consideration previously and therefore ...
A residential workshop was held at the King's Fund College in Bayswater to explore the issues arising when children with learning difficulties cannot be cared for by their own parents. This book provides a summary of the workshop discussions and the major issues raised, as well as the invited papers ...
In 1979, the King's Fund College and the Institute of Health Service Administrators agreed to collaborate in making arrangements for this Workshop to explore the role, needs and training requirements of those involved in administration at operational level. Strengthening administration at this level has since been stressed by both the ...
This workshop explored the role, needs and training requirements of those involved in administration at operational level within unit general management. The objectives of the workshop were: to clarify the role of the unit administrator; to identify key issues to take into account in establishing effective teamwork and leadership; to ...
The objectives of the seminar were to review some of the current initiatives in the nursing field in the United Kingdom to see what methods could wisely be incorporated in the new financial systems being tested in those Districts currently working with CASPE. Cost planning is defined in the terms ...
The seminars aimed to explore the interests and concerns of the new district health authority chairmen. The main topics covered were establishing the district health authority as an effective body; the appointment of chief officers and the setting up of the management structure; activities before the 1982 restructuring; organisation and ...
The aim of the seminar was to identify the importance of clarifying the role and relationships of functional managers and unit administrators if the strengthening of administration at operational level was to be achieved. Functions represented were confined to general administration, catering, domestic management and works. Organisational principles, the development ...
This second section of the report on surgical services in Herefordshire has three parts. Part A includes the authors' observations of practices in waiting list management and admissions policy which caused concern. Part B concerns practices in the operating theatres which were observed and which give cause for concern. Wherever ...
This seminar was organised jointly by the King's Fund College and the Royal College of Nursing to explore accountability, leadership and power in nursing as it relates to society. Membership of the seminar was spread widely throughout Europe encompassing nurses able to speak with authority about their own health care ...
The tour of North America on which this report is based gave health professionals from the UK an opportunity to study the ideas and practices of countries with different health care systems and an extensive experience of health promotion initiatives. The implications for this country contained in this book are ...
Reuse of single use equipment raises many issues, including legal and ethical ones. This report is the proceedings of a King's Fund conference. The following topics are covered: 1. General perspectives of the various groups involved; 2. Clinical issues; 3. Legal and ethical implications; 4. Technical issues; 5. Economic issues; ...
This report contains the findings of a survey of ex-national trainees who are not currently working in the NHS. A surprisingly large number of trainees left the Service before reaching senior positions. Not only did this represent a waste of the money and manpower which had gone into their training ...
This is the third paper by the authors on managing the relocation of psychiatric services from large institutions to new patterns of local provision. It offers a summary of their current thinking about the characteristics of an assessment and resettlement model which would be compatible with the wider planning issues ...
National policies promoting a shift from institutional to more community based patterns of care for people with mental health problems, have not evolved in a single, coherent way, nor have they been implemented uniformly. In devising strategies appropriate to developing psychiatric services in the next decade, lessons should be learned ...
At the invitation of the King's Fund College a group of 34 senior managers from the NHS, social services and the voluntary sector met for three days in May and June 1987 to review current organisational frameworks and processes for delivering community care. This statement summarises the outcome of these ...
This workshop was arranged to bring together those who were at the leading edge of developing quality assurance in community care for people with learning difficulties, those with mental health problems, people with physical disabilities and frail elderly people. Three main issues were examined: the definition of quality assurance in ...
In 1983, the Government published the NHS Management Inquiry, led by Sir Roy Griffiths and colloquially known as the 'Griffiths Report'. The remit of the Inquiry Committee was to give advice on the effective use and management of manpower and related resources.
This report discusses a study of the implications ...
In March 1986 the NHS Training Authority commissioned the King's Fund College to conduct a project to investigate the training and development needs of Family Practitioner Committees (FPCs) with particular reference to their management development needs. The aims of the project were twofold: 1) to identify the current and probable ...
This paper is intended as a contribution to the Prime Minister's Review of the NHS. It argues that the use of incentives, competition and better management has already led to significant progress in improving efficiency, effectiveness and consumer responsiveness within the NHS. The key challenge now is to build on ...
In response to a number of requests the King's Fund College and the National Institute of Social Work hosted a forum day for senior managers, professionals and policy members for statutory and voluntary services. The intention was to provide a briefing on the thinking behind the report of the Butler ...
These seven papers detail key lessons from the work of the King's Fund College, which since 1983 has been mounting a programme of educational and field development activities designed to assist networks of local people in addressing the challenges involved in managing psychiatric services in transition. The papers suggest a ...
This report provides an account of how New South Wales and Victoria have gone about establishing large-scale strategies for deinstitutionalisation of people with learning difficulties and the governmental leadership this has required. The analysis of the Australian experience draws attention to the magnitude of the social changes implied by these ...
Through the leadership of a local voluntary agency, a consortium of voluntary and public sector organisations has achieved rapid growth in decent quality housing and support services, and promoted complementary daytime opportunities. This report is a brief narrative account of Southwark Consortium and first three years.
In March 1990 the King's Fund College and NAHA were commissioned by the Department of Health to undertake a survey of the training and development needs of the now DHAs. The survey follows on from the discussion paper 'Managing with authority'. This report presents the results of the survey and ...
This pamphlet documents discussions which took place at a seminar. It lists positive attributes of the White Paper `Caring for people' and areas of concern. The Seminar examined what could be done to support effective strategies for change from users' viewpoints and from the viewpoint of an informal carers.
This study describes the various approaches adopted by some DHAs in separating responsibility for purchasing and providing services. The approach finding most favour involves separating the purchaser and provider functions below the DGM (District General Manager) level. The strength of this approach is in enabling the purchaser and provider functions ...
The purpose of this booklet is to outline the issues that have to be addressed by service users, politicians and providers following the publication of the White Paper 'Caring for People'. The key questions raised by the White Paper are illustrated by some of the leading edge work currently taking ...
The primary aim of this workbook is to provide managers, front-line workers, external and internal 'inspectors', informal carers and service users, with a shared framework for consultation and evaluation of the quality of services. It is predominantly concerned with community care; however, it has applications in acute and community services ...
This paper marks ten years since the launch of the King's Fund 'An Ordinary Life' initiative and was delivered to the 'Better Lives' seminar sponsored by Community Care and the Joseph Rowntree Memorial Trust, 27 April 1990. While acknowledging the changes that have taken place in services for people with ...
The report is the first of three staged reports to be issued in connection with this project. It is a consultative document intended to open debate on the development of a core assessment procedure for community care.
This report concerns the implementation of assessment and care management within 11 local authority social services departments in England in 1990 and 1991. Assessment and care management are critical elements of the current programme to reform the delivery of services for people with disabilities which was established in the white ...
The successful implementation of the NHS reforms hinges on the development of district health authorities as effective purchasers of health care for their residents. The NHS has always been provider driven and if services are to be delivered more efficiently and responsively then it is essential that health authorities are ...
This report looks at the new role of district health authorities as purchasers of services for their residents. The report shows that non-executive members have the following contributions to make to the work of their authorities: bringing a wider range of experience than is available among the executive members; ensuring ...
This paper traces the origins of the Oregon plan, explains how it works and passes judgment on its worth. The Oregon plan is a controversial health rationing plan for the poor under America's Medicaid system. Over 700 services have been ranked in priority order and the state legislature has said ...
Within the reformed NHS attention is rightly being given to developing the new role of DHAs and FHSAs. Improved health and health care will not be achieved without effective and influential purchasing authorities. This report focuses on the specific contribution that the Chief Executive makes to the achievement of this ...
This publication is intended for senior managers and members of health and local authorities who are grappling with the challenges posed by the NHS and community care reforms to services for people with learning disabilities. Its subject is the ways in which public authorities can stimulate large scale change in ...
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 mental health services within Mid Glamorgan are in a period of considerable change and renewal. The joint county plan for Mid Glamorgan sets out strategic planning objectives to achieve these changes, reflecting the views of service users, statutory agencies and voluntary organisations. Contained within the plan is the commitment ...
This workbook outlining the ENQUIRE system is intended to be a practical guide to establishing and running quality assurance programmes for health and social care. The workbook is based on a number of conceptual tools, which provide both a framework for quality assurance, and assistance in appreciating its full potential. ...
This book explores the changing relationship between payers and providers, and how these changing relationships affect patients; how the tensions between payers and providers are managed in the 1990s will be an increasingly important determinant of who gets what care, how good it is and how much it costs. A ...
This is one of the publications produced at the end of the PHARE health sector management project. This was undertaken by the King's Fund College with the collaboration of the Instituto de Estudios Superiores de la Empresa, Barcelona and the South East Institute of Public Health. The aim of the ...
This is one of the publications produced at the end of the PHARE health sector management project. This was undertaken by the King's Fund College with the collaboration of the Instituto de Estudios Superiores de la Empresa, Barcelona and the South East Institute of Public Health. The aim of the ...
This is one of the publications produced at the end of the PHARE health sector management project. This was undertaken by the King's Fund College with the collaboration of the Instituto de Estudios Superiores de la Empresa, Barcelona and the South East Institute of Public Health. The aim of the ...
This is one of the publications produced at the end of the PHARE health sector management project. This was undertaken by the King's Fund College with the collaboration of the Instituto de Estudios Superiores de la Empresa, Barcelona and the South East Institute of Public Health. The aim of the ...
This is one of the publications produced at the end of the PHARE health sector management project. This was undertaken by the King's Fund College with the collaboration of the Instituto de Estudios Superiores de la Empresa, Barcelona and the South East Institute of Public Health. The aim of the ...
This is one of the publications produced at the end of the PHARE health sector management project. This was undertaken by the King's Fund College with the collaboration of the Instituto de Estudios Superiores de la Empresa, Barcelona and the South East Institute of Public Health. The aim of the ...
This report is based on a search conference which provided a forum for people who share a common concern about a particular issue, that is, community care but who approach that issue from different perspectives. This conference focussed on London and its community services, and how better services could be ...
This is one of the publications produced at the end of the PHARE health sector management project. This was undertaken by the King's Fund College with the collaboration of the Instituto de Estudios Superiores de la Empresa, Barcelona and the South East Institute of Public Health. The aim of the ...
This is one of the publications produced at the end of the PHARE health sector management project. This was undertaken by the King's Fund College with the collaboration of the Instituto de Estudios Superiores de la Empresa, Barcelona and the South East Institute of Public Health. The aim of the ...
This report describes the outcome of a six month study of the management development requirements of the NHS in Scotland, undertaken by the King's Fund College. The report describes: the scope and content of the original brief for the work; the methodology adopted by the King's Fund team; and the ...