This paper examines four major policy developments which are forcing changes in medical staffing arrangements and also in the reconfiguration of clinical services within and between hospitals. These developments are the primary care-led NHS, the New Deal on junior doctors' hours, the Calman report on specialist medical training and the ...
This book tells the story of Jaymee Bowen (Child B) whose case has come to epitomise the dilemmas involved in making tragic choices in health care. It shows that the story was complex and not simply an example of health care rationing. While media reports at the time emphasised the ...
There has been little research undertaken into disabled women's sexuality. What there is has been carried out largely by non-disabled professionals. The subject remains controversial, capable of provoking extreme reaction, misunderstanding and prejudice. This book is the first major piece of research on disabled women's sexuality undertaken in the UK ...
This study describes the aims, methods and interim findings of a study to evaluate the impact of total purchasing and extended fundholding on the provision of mental health services. All baseline telephone interviewing has now been completed and the authors report on findings from the analysis of semi-structured telephone interviews ...
This report looks at how the Patients' Charter has worked in the past and and what patients and NHS staff would like to see covered in a future health charter. It is based on research commissioned by the NHS Executive and the King's Fund to help the Labour government review ...
This research was carried out at the request of the Northern Ireland Health and Social Services department to complement the work undertaken by the King's Fund for the NHS Executive on the English Patient's Charter. The aims were to establish whether patients, carers and staff views and experiences of the ...
This document includes extracts from the progress reports provided by four local projects as background to the discussions at the PACE Project Group meeting on 15 July 1998. The extracts include material to describe 'the lessons and factors for success which have emerged from managing your projects'. The reports included ...
This paper looks at definitions of different types of accountability, political and administrative, and at the accountability of health authorities, GP fundholders and the pilot projects for total purchasing. The research has revealed models of financial, managerial and public accountability which are described. The paper concludes with discussion of the ...