In 1977 an exploration into the use of counselling of visually impaired adult persons began in Richmond Adult College, Surrey, where it continued for 2 years. It moved to the ophthalmic department, King's College Hospital in 1980 and continued until 1987. The author formed a group in Richmond for people ...
In 1988 the King's Fund covered a multi-disciplinary panel to consider the following questions and to prepare a statement for discussion at a consensus conference: is there scientific evidence that ICUs cause a decrease in morbidity and mortality; what criteria should be set for admission and discharge to intensive care ...
This paper looks at the attitudes and behaviour in seeking health care of all the general medical practitioners in one family practitioner area - Avon. The results show that this group of doctors find difficulty in receiving help from other doctors, particularly for conditions to which doctors are most susceptible. ...
Rising health care costs now confront policy makers and planners with serious dilemmas of choice. This publication seeks to help formulate principles by which choices can be made. It begins with the premise that health demands will outstrip available resources, but argues that this should not mean that every allocation ...
The report attempts to review the main issues surrounding the funding and management of units providing dialysis services to people suffering from end-stage renal failure in the UK for the benefit of health service managers, renal physicians and other staff. The objective is to review the experience and information currently ...
This book describes in detail the routine administrative tasks that have to be done in hospital after a patient dies and suggests systems which will ensure that the tasks are carried out efficiently. It lays down clear standards for bereavement officers and hospital staff to enable them to provide the ...
This book is described as being a 'reflective tour of where the NHS is coming from, the world it is likely to face in the 1990s, and some ways in which we could strengthen it'. It covers demography, social and environmental stress, medical developments, public expenditure constraints, and likely themes ...
This second edition reflects the significant growth in quality assurance activity, and an increased willingness to share experience and expertise amongst those involved in the field. The directory covers the 192 DHAs in England, and provides comprehensive data from Scotland, Northern Ireland and Wales. It includes a barchart comparing the ...
In this book, top clinicians and senior managers in health services from the UK, the US, Canada, Australia and New Zealand write about their experiences in solving difficult problems in a way that ensures that their organisations continue to strive towards quality services. They describe how they try to resolve ...
This history begins with the foundation of the Lancet in 1823, and ends in 1982 with the restructuring of the National Health Service, when the management of hospitals in isolation from other health services had ceased. The opening chapters consider the endowed and voluntary hospitals, the poor law infirmaries and ...
The care given to a random sample of adults who died in 1987 is described retrospectively by relatives and others who had known them. Most praised, or were satisfied with, the care given by general practitioners but both the statistics and the quotations reveal some disconcerting inadequacies in this care, ...
This book is an account of the St. Christopher's Hospice Bereavement Service given by the volunteer visitors. It describes one of the important services developed by the hospice in the care of the dying and the continued care of the bereaved. It is hoped that it will be a guide ...
This publication consists of a check list for ensuring that telephonists, receptionists and hall or gate porters are able to give a service which maintains the good reputation of a hospital.
This report is an evaluation of a ten week scheme by two artists in residency at St John's Hospice, Lancaster. It assesses the effect, beneficial or otherwise, the scheme had on the patients, staff and visitors at the hospice. The report explains the background to the project, then describes the ...
This report summarises the literature on geographical variations in hospital admission rates in the UK and internationally. It is restricted to studies of inpatient admissions. It concludes that the examination of the variations provides invaluable insights into the nature and extent of medical uncertainty, and that this information is essential ...
The Health Advisory Service has been operating for almost 20 years. This is the first detailed study of its effectiveness. The authors describe how the Health Advisory Service works and reflect upon what they saw and heard in their investigation. They considered three questions - how well does the Health ...