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 ...