This report provides a users' perspective on acute health services in London. It begins with an overview of the situation in the capital and proceeds, by considering two vulnerable groups - elderly people and single homeless people, to look in detail at aspects of acute services which are of concern ...
This document is a personal view of the current issues of acute care in London based on the author's experience of working in the south east segment of inner London. It is a view informed by impressions gained in working in five different London teaching and postgraduate hospitals and the ...
Many people with severe illness are at risk from an unrecognised complication - malnutrition, which can seriously delay the recovery from medical and surgical disorders, and can even be life-threatening. Evidence in this report shows the clinical and financial benefits which can result from better diagnosis and treatment of malnutrition. ...
London occupies a unique position in the provision of acute health care in Britain, in terms of resources consumed, the quantity of care provided and the institutional framework within which service provision takes place. It is a commonly held belief that London has more than its fair share of health ...
This paper examines the relative health status of Londoners in the light of the current attention being given to the provision of health care in London. It has three aims: to compare the health of residents of London with that of people in comparable areas elsewhere; to investigate the factors ...
This report deals with the two major areas of independent health care activity: acute sector and long-term care sector. In the independent health care context, acute sector broadly refers to the range of medical and surgical outpatients and inpatient treatment normally covered by private medical insurance. Long-term care sector refers ...
This purpose of this project is to provide a summary picture of the condition of the estate of London's acute hospitals. It attempts to bring together information on the estate from standard returns and locally obtained evidence. The main issues that the study has tried to address are: how well ...
It is intended that this working paper should: introduce a discussion about some of the organisational options that might be considered if the widely held aspirations for change are to be achieved; indicate some of the current thinking among health service managers about the future direction of the organisation of ...
Fundholding by general practices is the most innovative and potentially far reaching aspect of the NHS reforms. It also raises the most potential difficulties in implementation. The study falls into two parts. The first is a description of the preparatory period from January 1990, soon after practices were asked if ...
This working paper examines the London labour market for health care staff. The study was conducted against the background of the early implementation of the National Health Service and Community Care Act and focuses on labour supply and on the extent to which planned or predicted changes in the profile ...