This the report of a one-day seminar, held on 28 November 1988 for those who use services for people with learning difficulties, physical disabilities, or long-term health problems. The aim was to explore ways in which services could make links with each other, perhaps crossing the traditional boundaries between different ...
This paper is intended as a contribution to the Prime Minister's Review of the NHS. It argues that the use of incentives, competition and better management has already led to significant progress in improving efficiency, effectiveness and consumer responsiveness within the NHS. The key challenge now is to build on ...
This training manual has been written over many months by a group of people who brought with them a healthy scepticism of the concept of quality circles. It is offered as a model, no way suggesting a blueprint, but it contains many good ideas which may be adapted to any ...
In this book, top clinicians and senior managers in health services from the UK, the US, Canada, Australia and New Zealand write about their experiences in solving difficult problems in a way that ensures that their organisations continue to strive towards quality services. They describe how they try to resolve ...
This history begins with the foundation of the Lancet in 1823, and ends in 1982 with the restructuring of the National Health Service, when the management of hospitals in isolation from other health services had ceased. The opening chapters consider the endowed and voluntary hospitals, the poor law infirmaries and ...
This document reviews some elements of health services which have been or may be the subject of standards and some characteristics of the standards themselves.
The care given to a random sample of adults who died in 1987 is described retrospectively by relatives and others who had known them. Most praised, or were satisfied with, the care given by general practitioners but both the statistics and the quotations reveal some disconcerting inadequacies in this care, ...
This paper aims to present two main types of information. Firstly, it aims to identify the various factors - demographic, economic and ideological - which have come together to create an unprecedented crisis for those involved in the provision of health and social services to the elderly population. Secondly, it ...
The authors of this paper came together to study the development of comprehensive local residential services for mentally handicapped people. Although government policy had urged a move towards community-based services for mentally handicapped people, the numbers admitted to mental handicap hospitals for long-term care went up during the 1960s and ...