This report is the fifth in a series of reports prepared to inform the work of the King's Fund London Commission. It emphasises the diversity of London's older people, and highlights the fact that individual requirements for well-coordinated, patient-centred care are incompatible with the complex pattern of service provision in ...
This directory has been compiled as a means of sharing some of the activities undertaken in the Nursing, Midwifery and Health Visiting Development Units (NDUs) which have formed part of the Nursing Developments Programme at the King's Fund. Descriptions have been included of both small and large scale work as ...
This is the fourth in a series of reports published for the London Commission by the King's Fund. It focuses attention on the question of how transforming health care in London to meet the needs of the next century can be addressed. Reviewing the experience of the last five years, ...
This paper has been prepared as a summary of the discussion at a seminar held at the King's Fund on 30th October 1996. It seeks to clarify the purpose and function of intermediate care and incorporates the range of views held in relation to a number of key issues. It ...
It is widely recognised that there is a group of people who have health care needs, which, while not requiring the facilities of the acute hospital sector, do demand considerable support to regain a maximum level of health. A number of different initiatives have been explored to meet this diverse ...
This is a paper informing the work of the King's Fund London Commission. Its purpose is to describe the range of services that may be usefully categorised as intermediate care, devise a typology or taxonomy of these services, report on the extent and quality of literature on intermediate care, present ...
As part of their work for North Thames Research and Development, the King's Fund collected data on all Betaferon users from December 1995 to September 1996 in the North Thames region. They also organised discussion groups with 24 potential or actual users of the drug. The report looks at who ...
In the spring of 1996, the Implementation Group of North Thames Research and Development allocated £50000 to each of thirteen health authorities for evidence into practice implementation projects. In autumn 1996, the King's Fund Management College was commissioned to evaluate the 17 approved projects. In particular, they were interested in ...
In the spring of 1996, the Implementation Group of North Thames Research and Development allocated £50000 to each of thirteen health authorities for evidence into practice implementation projects. In autumn 1996, the King's Fund Management College was commissioned to evaluate the 17 approved projects. In particular, they were interested in ...
This project followed the introduction of beta-interferon in one health region. It provided the opportunity to pilot many helpful approaches to the active management of drugs in health authorities. The report concludes that many of the approaches used in this situation were successful and could be applied to future similar ...
This report addresses two questions: which factors influence people with relapsing remitting MS to come forward for new drug therapies?, and what do these group of people with MS want from an organisation such as the Multiple Sclerosis Society (MSS)? In addressing the first question, the authors discuss various discouraging ...
This report is a case study of primary-secondary substitution as an achievable means of reconfiguring health care in London and the UK more generally. It systematically reviews the available local, national and international evidence on the potential for cost-effective primary-secondary substitution of emergency care. The evidence relating to substitution and ...
This book is for doctors and gives accounts of the type of work done by the King's Fund with them. It contains doctors' stories of their experiences as managers and the author and her colleagues' experiences of working as management developers with doctors. Beginning with a theoretical account of the ...
This Review is based on the financial year 1996 to 1997. The first part examines the main events of the year in five key policy areas: creating the new NHS ; community care ; public health strategy; serving the consumer; and clinical knowledge. The second part of the work contains ...
This report has been commissioned by the King's Fund London Commission as part of a range of work undertaken to revisit the needs of London's population for health care and progress in changing the pattern of health services in the capital. The study looks at capital schemes over £10 million ...
This bulletin gives a brief progress report on the work of Changing Days. Much of its contents will be written up in more detail in a book to be launched in 1998.
This report examines the findings of a national survey of NHS speech and language therapy managers and assesses the impact made by the reforms on this profession. It is divided into six parts. The introduction describes the context of the research and briefly reviews the literature which informed and seems ...
This report is a review of the evaluation of the London Initiative Zone (L.I.Z.) primary care development projects which were established through the former London Implementation Group (LIG) and which were in progress in 1995/6. It particularly focuses on the evaluation of revenue projects aimed at service development in primary ...
This book explains the events leading up to the BSE crisis. The story begins in the mid-eighties when the first cases of the disease were reported in cattle and ends a decade later with the first cases of the new CJD, the EU ban on British beef exports and the ...
This is a report of a survey undertaken on behalf of the King's Fund London Commission. It provides an overview of the current configuration of acute hospital services in London, and consists of a description of the method and data sources used for the survey, a profile of acute services ...
This study gives an account of workshops held for health care leaders from fifteen countries in Europe on the needs for developing nursing leadership. Whilst the initial focus for development was nursing, the workshops in particular highlighted the need for multidisciplinary as well as uni-disciplinary development. In all the countries ...
This newsletter reports on a project undertaken by the King's Fund and commissioned by the NHS Executive in 1996. The project explored the multidisciplinary contribution to developing public health in the NHS, mainly in health authorities.
This report presents some of the main themes that emerged from a series of workshops on various aspects of primary care organised and hosted by the King's Fund in the summer and autumn of 1996. The topics covered in the workshops were change in primary health care, frail elderly people, ...
It is simply not possible to provide people with all the health care they need. Rationing is inevitable and the public must play a major role in the debate. This publication is about talk and action in health care rationing, and presents the latest thinking and practical experience in rationing ...
This report explores the multidisciplinary contribution to developing public health in the NHS. It reports on a research project commissioned by the NHS Executive and undertaken by the King's Fund in 1996. The project comprised a one-day workshop of 32 invited experts in the public health field to identify key ...
This is the third in a series of reports published for the London Commission by the King's Fund. It makes the case for an integrated approach to health care in the capital. Currently, although health care involves a set of discrete activities which interact with each other across primary, secondary ...
This is a report on the process evaluation undertaken as part of the King's Fund Promoting Patient Choice initiative. The report outlines: the background to the project; the purpose and method of the evaluation; findings from the seven sites (information about the application stage, the development process and the evaluation ...
Community-oriented primary care (COPC) is an approach to health care which combines the principles and skills of public health and family practice. It offers participants an action-oriented framework for working together on health needs at practice level. In 1992, the King's Fund, in association with other organisations, initiated a pilot ...
This is one of the supporting papers informing the work of the King's Fund London Commission. It identifies and catalogues needs assessment work undertaken by London's health authorities or relating to local health needs in London between 1993-96. It also examines the range of approaches to and methods of needs ...
This guide explores the benefits of introducing community development health programmes. Using a community-oriented primary care approach (COPC), the guide explains how to use resources more effectively, set health goals and health programmes linked to local needs, identify those who most need health care, and support people's desire to take ...
This guide has been written for members of primary health care teams (PHCTs) where the team has decided to run a community -oriented primary care (COPC) programme on depression or anxiety. It is designed to assist at the two stages of detailed problem assessment and intervention planning. As a result ...
The aims of this study were to seek the views of patients, families and professionals of head and neck cancer services, to explore the impact of the condition on their lives and to make recommendations for change where necessary. Recommendations focus on methods of good practice, ways of ensuring consistency ...
These discussion papers are based on the work of P.A.C.E. up to the time of publication, and have been created to help introduce and stimulate discussions about particular issues. They have also been designed as concise introductions to various elements of initiatives in a way to help promote evidence-based practice.
Since the early 1990s there has been a growing interest in using the results of research to improve health and health services. This work has been taken forward under titles such as evidence-based practice, clinical effectiveness and implementation of research findings. This report explains lessons learned from the King's Fund ...
The major part of a patient's last year of life is spent at home where care is mostly carried out by families. A growing elderly population means a patient's needs in the home are likely to increase rather than decrease, creating extra pressures for carers. Schemes to help people save ...
This book reviews the latest research in the area of podiatric surgery services. It also reports the findings from a study of podiatric surgery services in six English health districts. The two parts of the research complement each other. The first, which contains the results of a comprehensive literature review, ...
This book reviews the quality of treatment outcomes information patients received in five pilot projects around the country. The projects were carried out by: Health Matters, Milton Keynes; Trent Healthline, Nottingham; Critical Appraisals Skills Programme (CASP), Institute of Health Sciences, Oxford; NHS Centre for Reviews and Dissemination (NHS CRD) York, ...
This report provides a comprehensive review of the health and health care of the population of London, based on a variety of published and unpublished data sources. The report considers London in three ways: first, by providing comparisons between different parts of the capital; second, by comparing areas of London ...
Total purchasing is potentially the most significant development in NHS purchasing of health services since the introduction of general practitioner fundholding in 1991. It offers fundholding practices the opportunity to purchase all of the health care not included in fundholding for patients on their lists. The study of 53 total ...
This report focuses on the provision of equipment and adaptations for older people with disabilities. It looks at the problems which older people with disabilities experience in gaining access to the help with equipment and adaptations that they require, sets out some examples of ways in which service provision can ...
This is a pamphlet produced when the S.H.A.R.E. project closed. It is a brief update on remaining information providers and key organisations in the field of race and health.
Organisational solutions to problems arising in community care were discussed at a debate organised by the King's Fund. The debate took place during a period of continuing organisational upheaval associated with the NHS and Community Care reforms. Calls were nevertheless being made for further radical change in the organisation of ...
This document is intended to take further the diagnostic and analytical work which was produced by the King's Fund Mental Health Support Group for the London Commission. An executive summary of that report is attached to this paper.
The National Health Service in London faces profound challenges. Currently, services are under intense strain. Access to appropriate care for Londoners is jeopardised, and public confidence has declined. In inner London, in particular, there are high levels of deprivation and growing health inequalities. While some of the country's leading hospitals ...