The King's Fund Centre has been in the forefront of developments to change the way in which support is offered to carers. In practice this has meant developing work programmes in different localities around the country to analyse, test and make improvements to the planning and delivery of services for ...
This is a report on a competition held in 1993 by the King's Fund to find excellent examples of large hospital developments which were opened in Britain between 1980 and 1990. The aims for both National Health Service and independent sector hospitals were: to offer a high quality of life ...
This report describes the purpose, development and outcomes of the Primary Nursing Network over a four year period, from 1988 when the idea first emerged to 1992 when the original remit was enlarged to incorporate other aspects of practice development and network became known as the Nursing Developments Network. Information ...
This is a summary of the first workshop in the King's Fund Purchasing Innovations series. The workshop heard from three main contributors on experience to date in their authorities: Durham; Wiltshire and Bath; and Birmingham.
The object of this study was to collect information which embraced the richness and complexity of people's views on London's health care services to contribute to the King's Fund's work on London's acute services. This report provides a detailed picture of the ways in which respondents would like to see ...
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 is a summary of a workshop in a continuing series of short events designed to explore the development of collaborative commissioning in the light of evolving local experience. Participation was drawn from the five sites involved in the King's Fund Centre's Joint Commissioning project, eight other health and local ...
This is a summary of a workshop in a continuing series of short events designed to explore the development of collaborative commissioning in the light of evolving local experience. Participation was drawn from the five sites involved in the King's Fund Centre's Joint Commissioning project, eight other health and local ...
The first briefing gave an indication of some of the major issues involved in joint commissioning services for older people. It also gave an introduction to the work taking place at the five King's Fund development sites which are: Easington; Hillingdon; Oxfordshire; Westminster; and Wiltshire. This second briefing concentrates on ...
The first two briefings looked at major issues involved in joint commissioning services for older people and examined progress at each of the five development sites. This third briefing concentrates upon the achievement of change, particularly making a positive impact on older people's lives through collaborative commissioning. A major theme ...
This publication is intended to offer practical assistance to mental health service managers who want to initiate or develop user involvement. Its aims are: to draw on the experiences of managers, staff and users; to identify problems and offer solutions and ideas based on those experiences; and to identify ways ...
A workshop was held at the King's Fund Centre on 3 November 1993 in which physiotherapists experienced in the treatment of neurological conditions took part to investigate the effectiveness of physiotherapy for people disabled by stroke. This report provides details of the topics discussed, and reviews the key components related ...
Transplanting organs from one human to another is increasingly constrained by a shortage of donors. This report describes the wide variations between the number of kidney and heart transplantations and those waiting for these operations both in the United Kingdom and internationally; and how the UK could improve its performance. ...
In 1992 the King's Fund Commission published a report `London health care 2010 : changing the future of services in the capital'. This report was unable to describe in any detail the actual delivery of acute medical care in London. This required a more indepth study of care based on ...
This publication is the seventh 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 ...
The author describes his visit to Zambia to advise on the development of a policy for hospitals at all levels and an approach to implementation. He visited the country from 27 February to 13 March 1994 to see the major types of hospitals. His recommendations for reforms are presented along ...
The author looks at the NHS in London two years after the report of the King's Fund Commission on London and the Tomlinson report and three years before the next general election. Policies shaping the NHS in London have become increasingly controversial. He argues that despite the growing resistance to ...
The author considers discharge policy and practice in the UK which is aiming for a goal of seamless care. Chapter 2 summarises three areas of discharge related research: the experiences of elderly people and their carers; difficulties for those whose task is to manage acute beds; and communication between hospital ...
This is the first in a series of publications based on the work of the King's Fund Centre Nursing Development Units. Using interviews with managers, supervisors and staff this book describes the use of supervision in five different units and shows some of the different forms that supervision can take. ...
This paper reports on the first phase of a joint King's Fund Centre and Nuffield Institute initiative on monitoring community care implementation. It provides the first independent account of progress in implementing the community care changes which is based on sampling a vertical cross section of stakeholders in a range ...
Reorientating the NHS to be both needs led and responsive to users has to be a joint endeavour for both commissioners and providers. A new synthesis is required to combine the best of personal patient care with a focus on population health. The King's Fund has recognised community oriented primary ...
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 ...
Following on from the King's Fund London initiative in 1992 the authors investigated the extent to which acute services in London have moved from hospital into primary or community care. This article considers the extent of movement away from traditional acute care in hospital into the following settings: general practice; ...
This workshop was one of five events sponsored by the NHS Executive to promote clinical effectiveness and the use of clinical guidelines. The day was organised to enable participants to share their experiences of working with guidelines; to feedback comments to the NHS Executive about the lessons learned so far; ...
As the interest in nurse led initiatives increases, it is critical that those who are exploring ways forward share their experiences. This early account of Byron Ward Nursing Development Unit at King's Healthcare, London, describes the rationale behind the move to introduce nurse led beds in a busy acute general ...
This report describes the aims and achievements of those who have been involved in the Nursing Development Unit project over three years and outlines some recommendations for the future which have been drawn from their experiences.
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 ...
The Innovation in Medical Education project, based in the Department of General Practice and Primary Care, King's College School of Medicine and Dentistry aimed to explore the implications of a substantial move of medical education into the community. The main areas covered were: interviews with a wide range of interest ...
This is the first issue charting the progress of developments in London's health services. Included are: a calendar of events from October 1992 to December 1993; a commentary on the development of the planning process in London including the series of reports from the Government and other professional bodies. There ...
The London Health Partnership is an alliance of charitable foundations, business interests and government, formed in June 1994. Its purpose is to generate a distinctive programme of work over the next few years to help develop urban health care. This is a report of their progress at the end of ...
This briefing paper aims to contribute some background analysis and data to inform a debate in the House of Commons on 28 April 1994 about London's health care system. It begins with comparative considerations; whether high needs and poor community based care lead to greater pressure on hospitals; and key ...
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 ...
This report discusses progress and problems arising in the joint commissioning of community care services during 1993. Particular attention is given to the commissioning of services for older people, which in terms of expenditure, size of population and potential for service change represent a major challenge in health and social ...
In response to the latest recommendations on undergraduate medical education from the General Medical Council and other pressures and opportunities for change, innovation in United Kingdom medical schools is flourishing. This report arises out of a conference held at the King's Fund Centre in November 1993 to highlight key issues ...
The information exchange is produced particularly for supporters and advisors of self-advocacy groups and people with responsibility for developing effective ways of working in partnership with users in planning and delivering services. This issue looks at results of a questionnaire carried out to find out how useful the information exchange ...
This is the third edition of the Organisational Audit manual. Since 1990 several individual sections of the manual have been revised in order to ensure that the standards remain at the forefront of good practice as well as to reflect the significant changes which have taken place in the organisational ...
This Review is based on the financial year 1993 to 1994. The first part describes developments in each of the main policy areas of `The health of the nation', the Patient's Charter and community care implementation. For the first time results of the systematic research into the effects of the ...
This booklet has guidelines which provide advice and suggestions for the primary health care team which is being surveyed by the King's Fund Organisational Audit. It begins with advice on how to set up a steering group, outlining the roles and responsibilities of that group. It is followed by a ...
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.
This item gives the critiques and papers produced for a conference held at the King's Fund Centre in November 1994. The aim of the conference was to use the OXCHECK and British Family Heart studies as a springboard for the future, to critique them for their unique contribution to the ...