The findings outlined in this book describe a service in inner London that cannot be sustained because it is unable to meet the demands imposed upon it. Services in outer London are comparable with those in other English cities. The mental illness services are in a state of transition, and ...
This briefing paper summarises the key findings of two literature reviews jointly commissioned by the Audit Commission and the King's Fund. The reviews provide evidence of shortcomings in the current health and social care system and practices and processes that are known to be effective in achieving good outcomes for ...
This working paper is the first report from the national evaluation of total purchasing pilot projects to provide evidence on the achievements of all 53 'first wave' pilots in England and Scotland. It also looks at the range of factors associated with more and less successful total purchasing in 1996-97 ...
This report presents the findings of a project that aimed to understand the present state of knowledge of the clinical effectiveness of rehabilitation using the evidence of systematic reviews. Fifty-six systematic reviews covering a variety of disabilities, health problems, diseases and client groups were identified through a literature search. Data ...
This paper explores the many meanings of democracy, seeks to define some criteria for assessing whether or not there is a 'democratic deficit' in the NHS, and examines the policy options that have been put forward for making the NHS more 'democratic'. The first section analyses the various ways in ...
In a previous working paper the results of a survey of the contracting arrangements of the 53 first wave total purchasing pilot (TPP) projects during 1996-97 were given. This working paper reports the results of a follow-up survey carried out for the 1997-98 contracting round. The survey was designed to ...
This review examines the meaning of rehabilitation, the provision of it and responsibilities for rehabilitation services within health and social care, and trends in the availability of provision. It concludes that there is increasing awareness of the importance of rehabilitation but, in practice, opportunities for it are not being fully ...