The author reports on a workshop addressing future clinical staffing in different trust settings: the general acute hospital trust; the combined acute and community trust; the community/priority services health care trust; and the teaching hospital trust.
This review of mental health services was commissioned by Ealing Hammersmith & Hounslow HA. It was limited to psychiatric services for adults aged 19-65 years and excluded specialist child and adolescent, drug, alcohol, HIV and psychotherapy services.
This paper discusses the role of a senior medical doctor on the board of NHS trusts who has to advise the board on medical matters and to lead the doctors within the organisation. The authors reflect on the views of medical directors who have discussed these issues with the authors ...
This paper is based on a speech delivered at the 1993 annual meeting of the National Association of Health Authorities and Trusts. The author considers how a policy initiative should call for a shift in the balance of services from the hospital to the community by: a shift in the ...
From July 1992 a group of representatives from prison staff and NHS staff across London has worked together using the model of a learning network to develop a better understanding of the health needs of prisoners and to explore new ways of meeting those needs. This report: reviews the health ...
In May 1993 representatives of ten countries met for two days in Dublin under the auspices of the European Healthcare Management Association to explore similarities, differences and potential ways forward to strengthen management development for those doctors managing clinical resources. Prior to the conference the co-ordinators from each participating country ...
This is a review of the King's Fund College in 1994. It lists the staff who have joined and those who have left; work in progress from January to August 1994; College activity and finance report; subjects for action; and the Development Fund.
The experience of purchasing over the last two and a half years has demonstrated what might be possible. What seems clear is that the future agenda is massive, complicated and feels different both quantitatively and qualitatively. It is not just that people are busy, but they are addressing new dilemmas ...
The impetus for this publication came from a seminar which was set up on behalf of the NHS Management Executive to investigate the lessons learned for the development of integrated purchasing from the Localities Project. Purchasing patient-centred health (and social) care requires deliberate focus on the patient through: patient centred ...
This document is the review of services to adults with mental ill health and people with learning difficulties commissioned from the King's Fund College by Hillingdon Health Agency.
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 ...
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 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 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 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. ...
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 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 ...
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 ...
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 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 ...
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 ...
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 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 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 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 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 ...
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 ...
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 ...
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.
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 ...