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 ...
This is a fully revised and updated version of the 1987 edition. It describes applications of DRGs at hospital level and examines their use in policy matters at all levels of health services. It is for everyone interested in and responsible for the way resources are used.
These guidelines have been compiled in response to an assessed need from hospitals for help with commissioning arts and artists. It is divided into seven chapters and includes guidance on the need for a committee; choosing a site; the commissioning process; fundraising. Its recommendations are based on 10 years of ...
The 'keepers' mentioned in the title of this book are workers in prisons, long-stay hospitals, homes for mentally retarded people and other total institutions. Their feelings about their work and about the institutions are presented here in twelve monologues selected from more than 60 interviews with workers in 27 different ...
This report is concerned with efforts to assure quality in medical care, focussing on quality assurance efforts affecting care provided by doctors and hospitals (and to a lesser extent nursing homes). The study examines quality assurance in Sweden, Federal Republic of Germany, Belgium and England as these represent a range ...
This project paper outlines some of the initiatives undertaken in the field of education and prevention of HIV infection in an area of low prevalence (Northern Ireland) and attempts to adduce some of the factors critical to achieving implementation of the programme, planning for which started at the end of ...
This is the third volume of King's College Studies in medical law and ethics. The following topics are covered: A.I.D.S.; contraception and family planning; human rights and the role of the judiciary in medical law; a national commission for medical ethics; defensive medicine and medical malpractice; the ethics of the ...
Managers may not be covered by the codes of practice of doctors and nurses but they are having to consider the ethical framework within which they work. This book examines ethical issues in a practical manner. It covers a wide field of concern to managers with responsibilities they have to ...
This paper is not intended as a critique of government policy, but rather as an exploration of the opportunities and constraints inherent in that policy and some of the processes which may be required to put the policy into effect. A fundamental tenet of this paper is that the needs ...
This report draws on the work of two meetings. Firstly, a conference of the UK Conference of Postgraduate Deans and the National Association of Clinical Tutors on the present state of postgraduate medical education and training, at which they expressed the urgent need for a more critical examination of current ...
The sixth King's Fund Forum was held in London from 26 to 28 June. Five questions were addressed; what is the relationship between dietary fats, blood cholesterol and the levels of coronary heart disease; what individual or community-wide dietary or other interventions can reduce blood cholesterol levels and the risk ...
The fourth King's Fund Forum was held in London from 30 November to 2 December 1987. A panel of twelve listened to evidence from experts in public sessions. After closed sessions the panel discussed the report with the audience; the agreed consensus statement was then presented at a press conference. ...
This booklet arose out of the work of Brunel ARMS Research Unit at Brunel University. The booklet has been written after talking to many carers, showing the variety in people's experience. The aim of the booklet is to show that a lot of people share the same experiences and difficulties ...
This paper takes a longer term look at the implications of measures to switch from institutional to community care, and the future role of carers. Tentative steps are being taken to forge a new relationship between formal and informal care systems; this report continues the debate into whether these are ...
The development of a network of services and support for people with A.I.D.S. is a challenge for voluntary agencies, for the NHS and for local authorities. There is a consensus that services should, as far as possible, be provided to enable people to be cared for in their own homes. ...
The philosophy of 'an ordinary life' has been the basis of a wide range of local initiatives, and increasingly influences large-scale changes in community care. This book includes contributions from seventeen people who as users, innovators and evaluators have been involved centrally in these developments. They review current practice in ...
In May 1985, five young men aged between 18 and 21 moved out of Brockhall Hospital (a long stay hospital for people with learning difficulties) to take up the tenancy of their own home in Blackburn. They moved with 9.5 whole-time equivalent health service staff to help them to learn ...
These papers were written in an attempt to help people appointed to the comparatively new post of organiser of voluntary help in the hospital service, and are directed particularly to those with little or no experience of the hospital world. It is also hoped that all staff, particularly nurses and ...
This book addresses the task of opening hospital services, and is intended as a practical guidebook for commissioning services and buildings. The context of commissioning is also considered: the effect of a new building on district services as a whole and the associated problems of closures and of the change ...
On 22 June 1988 the DHSS hosted a conference on women's health. This volume contains the papers given by the speakers. The purpose of the day was to provide a forum for dispelling the myths and correcting some of the misunderstandings surrounding women's health. Papers presented included breast cancer, cervical ...
Case management means a number of different ways of managing care, ranging from client advocacy on one hand, to managing services and resources on the other. These, and other issues, are explored in the context of three experimental projects supported by KEHFL. The book reviews a number of dimensions of ...
This book is based on the first research study to look at the impact on women of a positive cervical smear and subsequent investigation and treatment. It follows their experiences from the initial discovery through to outpatient treatment or inpatient surgery. The authors describe the thoughts and feelings women have ...
This publication reviews the progress in public health over the last decade. It seeks to interpret trends in health and to identify measures likely to be effective in promoting the public health. It outlines a national strategy for the next decade, identifying the public responsibilities of government and of the ...
The fifth King's Fund Forum was held in London on 27-29 June 1988. Five questions were addressed: 1) What are the responsibilities of service providers for patients and their carers? ; 2) For presumed stroke sufferers what has been shown to be of diagnostic value? ; 3a) What treatments have ...
The introduction of general management into the NHS has transformed the service. The author asks if the NHS can continue to evolve into a more dynamic, responsive and actively managed service, representing even better value for money or will the transition to general management be arrested?
The NIMROD service is recognised as being to the forefront of the move towards community care. This book uses a case-study approach to illustrate the experiences of seven people with learning difficulties who use this service. The case studies are analysed in terms of a number of interwoven concepts: presence ...
This book describes the first appointment of the Medical Officer of Health, and sets out the development of the office and its increasing responsibilities and achievements. An epilogue outlines the influences which led to the abolition of the post in 1974. This collection provides a timely opportunity to reconsider the ...
This book provides the results of a confidential enquiry into perioperative deaths conducted with the collaboration of both the Association of Surgeons of Great Britain and Ireland, and the Association of Anaesthetists. The overall findings are reassuring, although several less than satisfactory practices are revealed. The conduct and outcome of ...
Between 1977 and 1981 the author visited over 100 places providing short-term care for children who are mentally handicapped and interviewed families whose children were receiving short-term care. This book describes the development of short-term residential care, who makes use of it, parents' reactions to and opinions of the services, ...
The role of library services in the NHS is highlighted in this paper, which offers proposals for developing these services in response to the needs of all users. The proposals arise from a series of workshops held between May and December 1983, which were organised by a joint working party ...
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 ...