This book is described as being a 'reflective tour of where the NHS is coming from, the world it is likely to face in the 1990s, and some ways in which we could strengthen it'. It covers demography, social and environmental stress, medical developments, public expenditure constraints, and likely themes ...
This paper explains initially why health authority management should introduce ethnic monitoring systems and deals in later sections with how members and managers should use the data to measure and improve their authority's equal opportunity performance. The bulk of the paper is, however, addressed to personnel and other officers who ...
This report reviews the performance of health services in Sweden, Holland, West Germany, Canada and USA. The main aim has been to identify the countries' studies, to draw parallels with the UK, and to establish the lessons, if any, from abroad. Chapter one traces the origins of the Prime Minister's ...
This edition of the annual publication contains articles on hospice care, job-sharing in the NHS, research ethics committees, day surgery, resource allocation, optical services, cost effectiveness in the NHS, long-term care insurance and hospital care at home.
This background paper marks the 40th anniversary of the NHS not so much by celebrating past achievements but by addressing some of the issues which are critical to the establishment of an effective agenda for health in the 1990s and beyond. Areas covered are the health debate including financial reform; ...
Public, political and professional pressures have led to a greater interest in quality assurance in the NHS, but there has been no national policy or framework prescribed. The development of, and approach to, quality assurance has therefore varied widely between districts and between regions. This report aims to reflect managerial ...
The development of a network of services and support for people with A.I.D.S. is a challenge for voluntary agencies, for the NHS and for local authorities. There is a consensus that services should, as far as possible, be provided to enable people to be cared for in their own homes. ...
The report examines the likely impact of the indicative drug budgets for family doctors and the government's general practice fund holding initiative in Britain. The authors believe that the new arrangements will sharpen price competition in the UK medicines market, and welcome this. The study also reports on recent European ...
Despite forty years of the NHS, there are continuing geographical variations in the provision, use and outcome of health services. These variations are manifested in the greater availability of doctors and hospital beds in some areas than others; differences in the use made of these doctor and beds; and variations ...
This briefing paper analyses the management of clinical activity in the NHS. It does so against a background of increasing concern that practices are not always as effective or efficient as is sometimes claimed. The paper considers critically the various policy options that have been put forward for tackling this ...