The author describes the health problems of homeless people, concentrating on London, and how services for homeless people could be improved. This could be delivered within the National Health Service in an integrated service. The author also looks at why so few homeless people are registered with a general practitioner; ...
The purpose of this document is to take the debate and practice concerning the situation of Black people who are diagnosed as suffering from mental illness beyond the point of counting heads, and instead to focus more on acknowledging and highlighting positive methods of diagnosing and treating mental health problems ...
This workshop focused on progress being made in developing circles of support and also provided an opportunity for people working in other ways as well to get together and share their experiences of building personal support networks.
Mental health policy in the United States and Britain has been moving in a similar direction for several decades, from institution to community based services. In both countries there is a pressing need to speed the pace of service development in the community, and also awareness is growing that service ...
This book is one of two evaluative studies describing developments in four pilot sites and in the Care of the Elderly Unit at Tameside. The four sites are: Brighton, Camberwell, Southport and West Dorset NDUs. It is a study of nursing practice and staff development, set against a background of ...
This is a report of Seminar II held at the King's Fund Centre on 1 October 1993, and was organised by the King's Fund Centre and Nuffield Institute for Health as part of their monitoring of developments in community care. The purpose was to identify progress and problems arising six ...
Leadership in British nursing has been neglected by nurses and policy makers. The legacy of this neglect is now being felt as nurses struggle to establish and identity a role for themselves in the changing environment of the NHS. Attempts to promote nursing leadership are not without their problems. There ...
This report summarises the brief which was given to the King's Fund on finding the views of GPs following the Tomlinson report; setting up GP networks; clarifying what the King's Fund might expect from the Investment Fund launch; and improving working with GPs.
Launched in October 1992 Carers Impact is a three year development project working alongside health and local authorities to stimulate initiatives that will provide greater practical support for carers looking after elderly, ill or disabled people who cannot manage at home without help. The goal is to make effective carer ...
The health service reforms of the 1990s have put special emphasis on making services more sensitive and responsive to users. This report looks at the work of four health authorities which have a history of activity on race issues and where there is a clear commitment to improving their services ...
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 ...
This publication is the fifth in a series aimed at helping health service staff to obtain the views of service users, and it is written for anyone who has been given this responsibility, whether nursing, medical, paramedical or managerial. The series presumes no social science background and offers a flexible ...
This publication is the sixth in a series aimed at helping health service staff to obtain the views of service users, and it is written for anyone who has been given this responsibility, whether nursing, medical, paramedical or managerial. The series presumes no social science background and offers a flexible ...
Nurse to nurse reporting is a critical part of good nursing practice in both primary and secondary health care settings. These guidelines have been revised to fit with current practices in the nurse to nurse handover procedures.
This report describes a two year study of the introduction of primary nursing in one of three matched elderly care wards in Mid Staffordshire health authority in order to improve the quality of care given to each patient and patient-staff relationships.
The NHS reforms placed a requirement on all doctors to improve the quality, effectiveness and efficiency of medical practice by undertaking a regular programme of audit. Through a case study of the introduction of medical audit support staff, this publication documents how this process has been accomplished to date. It ...
This working paper is based on the assumption that change in the direction of primary health care is desirable and inevitable. It explores the interface between acute hospitals and primary care, and describes developments that improve integration and show how a shift towards primary care might be achieved. It goes ...
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 book is based upon the King's Fund Centre's experience over the past four years of developing carers' support in different local authorities around the United Kingdom. The briefings aim to provide a map to guide people through the maze of creating and sustaining a service development programme. Using the ...
This publication provides guidance for managers in regional and purchasing authorities and in provider units on how to improve NHS services provided to people from black populations. It should also be a basis on which community organisations and users' groups can evaluate race equality initiatives in local service provision. Managers ...