The King's Fund Inquiry into Care Services for Older People in London was established to find out whether the care system operating in 2004 was meeting the needs and preferences of older Londoners who require care and whether there will be sufficient care services of the right design and quality ...
A report commissioned by the King's Fund in December 2004 to provide support to the Enquiry into Care Services in London. The data helps to provide an understanding of housing issues that impact on people's ability to make choices about their care and their way of life.
The demand for care and support in old age is growing nationally, but London faces some particular challenges. For example, although there are fewer older people in inner London, many are likely to need social care as a result of poor health, poverty, poor housing and lack of social support. ...
This is one of a series of case studies exploring how individuals living in London have used the King's Fund Millennium Awards scheme to make a real difference to the health of others in their communities. One in four people will experience a mental health problem at some point in ...
The King's Fund, NHS Confederation and Royal College of Nursing produced this briefing that provides key facts and figures on London's health needs, and highlights what they believe are the five most pressing health issues for the Mayor to tackle. The five key messages are: make London a healthy place ...
In 2002, the King's Fund commissioned a major inquiry into the state of the capital's mental health and mental health services and how far they meet the needs of service users. The inquiry set out to: investigate whether mental health care had improved in the capital since the King's Fund ...
This new policy paper, which follows up an interim report published in 2002, aims to take a fresh look at the issues facing planners, policy makers and managers responsible for maintaining and developing the health care workforces in London, and to tease out some of the opportunities, as well as ...
'Working Together in London', a three-year, £2 million programme, was set up by the King's Fund, the Sainsbury Centre for Mental Health and the Department of Health to support people with severe and long-term mental health problems. New assertive outreach services were established in three of London's most deprived communities ...
This publication summarises the King's Fund Community Pharmacy Programme. It has three components: extending local contracting to community pharmacy; the developmental needs of community pharmacists in North East London; and the role of pharmacists in demand management. The programme outputs will include a conference, publications, a stakeholder event in North ...
The ultimate goal of the new Older People's Service Development Programme in London is to promote the independence of older people in London through the development of person-centred coordinated services. The aim will be to establish systems to identify vulnerable older people in the community who may be at risk ...
Under One Roof was an interagency project aiming to provide better integrated services to homeless single people in two London boroughs. Over its three year course the project has been able to give us a clear sense of the way forward for rough sleepers' services, from GP surgeries and benefits ...
The King's Fund has been working with the SWLPCO for three years as part of an evaluation of four PMS pilots in London. Using a variety of research methods, including in-depth interviews and a focus group with key stakeholders, a patient satisfaction questionnaire, an audit of chronic disease management and ...
The King's Fund has been working with the North Hillingdon PMS pilot for three years as part of an evaluation of four PMS pilots in London. Using a variety of research methods, including in-depth interviews, a patient satisfaction questionnaire, an audit of chronic disease management and a practice profile questionnaire, ...
The King's Fund has been working with the Isleworth Centre Practice for three years as part of an evaluation of four PMS pilots in London. Using a variety of research methods, including in-depth interviews and a focus group with key stakeholders, a patient satisfaction questionnaire, a registration questionnaire, an audit ...
The King's Fund has been working with the Edith Cavell Practice for three years as part of an evaluation of four PMS pilots in London. Using a variety of research methods, including in-depth interviews and a focus group with key stakeholders, a patient satisfaction questionnaire and a practice profile questionnaire, ...
Recently there have been changes in the regeneration policy environment with the establishment of agencies such as the Greater London Authority and Assembly, the London Development Agency and the London Health Commission. The roles of these agencies are detailed in Section One of this publication. Section Two gives a summary ...
This review of the research literature on the relationship between regeneration initiatives and population health was commissioned by the King's Fund in London with support from the Nuffield Institute for Health. It describes the research-based literature reviewed, reviews the evaluative approaches adopted in this field, describes the work identified, considers ...
This report examines the nature of emergency admissions in London, pointing out that the main peaks in demand appear to be due to respiratory disease during the Christmas period. Chronic disease in the elderly is a major factor, and residents of the East End of London seem to be affected ...
The first wave of personal medical services (PMS) pilots have now been 'live' for more than three years. Having started life in the shadow of better publicised reforms, they are now at the centre of government strategy for primary care. This publication aims to share the lessons emerging from this ...
This publication is a comprehensive review of health care policy issues. This edition takes London as its theme. It contains a calendar of events from February to May 2001 and articles on areas of health policy such as: public health; mental health services; refugees and asylum seekers' health experience; public ...
This review looks at the problems faced by the 3,000 - 5,000 young people leaving care in London each year. Physical health is poor, with high levels of substance abuse, mental health problems are widespread, and the rate of teenage pregnancy is much higher than in the general population. Unhealthy ...
This report summarises a review of the clinical governance baseline assessments prepared by 36 London primary care groups. As every primary care group (PCG) was required to undertake and publish a baseline assessment , they provide insights into the range of approaches being taken to implementing clinical governance.
Under One Roof is a partnership of over 30 statutory and voluntary organisations addressing the needs of single homeless people in Lambeth and Southwark. It was awarded a King's Fund grant in 1997 with the intention of offering a new one-stop service for single homeless people and improving relationships between ...
Barriers to mainstream health and social care services for London's minority ethnic communities include a complex array of poorly organised and delivered services, inadequate communication services for non-English speaking groups, direct staff insensitivity to users' cultural and religious needs, and institutionalised barriers that perpetuate discriminatory behaviour and poor practices. This ...
NHS Direct is a nurse-led telephone helpline which was launched in three pilot sites in 1998. An evaluation of the first three sites is still underway and, although preliminary results show high satisfaction among service users, it is too early to draw conclusions about the impact of NHS Direct on ...
This paper analyses the experiences of other city-wide authorities in the UK and internationally in improving health. It sets out which cities were studied and why, outlines the different ways in which Mayors work to affect change, identifies the available evidence of action to improve health in selected cities, and ...
The Greater London Authority, which provides London with its first directly elected Mayor, has important strategic powers and responsibilities that include a duty to improve the health of Londoners. This report considers how the GLA can best contribute to health improvement and to reducing health inequalities across the capital. It ...
This report provides a snapshot of user and public involvement within primary care groups (PCGs) in London, based on the views of their chief executives and lay members. It is the first output of a two year study conducted by the King's Fund Primary Care Programme which will describe and ...
The King's Fund has carried out an international survey of health initiatives by city-wide authorities and analysed the potential of the new Greater London Authority. In this draft version of priorities for action on health, the King's Fund states that the Mayor and GLA should: tackle health inequalities; regenerate deprived ...
This report describes environment and health in London using data that are publicly available. The authors have drawn on current international knowledge of the links between environment and health. The key points they make are that inner London is worse off than outer London, with higher unemployment, poorer housing, more ...
This publication is a summary of the full report of the same name. The1990s has seen fundamental changes in the field of primary care. Amidst the recent flood of white papers and ministerial announcements, the King's Fund and the Evening Standard set out to find what Londoners think of the ...
The NHS (Primary Care) Act 1997 made possible local contracts for general practice services and spawned Personal Medical Services (PMS) pilots. These are intended to make primary care services more sensitive to local needs and are therefore particularly useful in London where long-term infrastructural problems have proved intractable. The King's ...
The King's Fund has come together in a consortium with the Sainsbury Centre for Mental Health and the Department of Health to establish the 'Working Together in London initiative. This will commit £2 million in the years 1998-2000 to improve the integration of services for people with severe mental health ...
This paper tells the story of the first two years (1994-96) of the London Health Partnership's primary care development programme. It describes the background to the project and its guiding principles, and then goes on to describe the diagnostic phase of its work and how systems theories influenced the ongoing ...
The aim of this work is to support primary care groups (PCGs) in developing primary care in London. It is directed at all those involved in primary care development , including members of PCGs, trusts and health authorities. Primary care development is taken here to mean the constellation of ideas, ...
This paper deals with the distribution of powers and responsibilities for health at the London regional level. It focuses on the structures and processes at the interface of the new Greater London Authority and the developing health partnerships across the capital. Do they provide enough scope for the Mayor and ...
The White Paper "The new NHS" set out the Government's health policy for the next ten years. All general practices in England are to belong to a Primary Care Group (PCG), whose core functions will be to: improve the health of their community and reduce inequalities; commission a range of ...
This volume contains the full tabulations from a survey of 1139 Londoners. The survey was conducted by phone between 19 and 25 April 1999. The data are weighted by age, sex, working status and residents of inner and outer London, to ensure they represent the adult residents of the former ...
General practice has moved dramatically over the last ten years to occupy a centre-stage position in the NHS. From 1999, GPs will be expected to juggle a new range of health care commissioning responsibilities while providing the best possible care to patients. The pressure is also on for GPs and ...
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 report presents interview and focus group findings in Southwark. It looks at carers' backgrounds, their experience of access to services, with special reference to the assessment process, and their views about services currently received. The 'Key Messages' section at the end summarises the carers' views about desirable outcomes and ...
'The Health of Londoners' is the first public health report for Greater London. London lags behind other UK and European cities in its lack of a strong city-wide approach to health and this report is a vital initial step in putting the health of Londoners on the map. The report ...
This report summarises a meeting to evaluate the Carers Impact Project in Southwark. It reviewed the changes which have taken place during the course of the project and the impact on carers' lives, identifies what has helped and hindered progress, identifies how the work can continue, and evaluates the Carers ...
This report summarises the material produced by a workshop which was set up in response to feedback from local carers who took part in the first stage of the Carers Impact project. The workshop aimed to review the progress made in implementing the Carers Act and undertaking carer assessments and ...
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 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 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 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 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 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 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 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 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 ...
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 ...
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 ...
The aims of this review were: to strengthen the knowledge base of the Grants Committee with an up-to-date survey of needs and activity in relation to the health needs of homeless people and their access to services in London; to develop an overview of funding resources available to support work ...
This handbook was commissioned by the London Health partnership for use by groups who wish to address a concern about transport. It describes how to make the most of the transport that is available; suggests how to get a local transport scheme started; and provides background information of interest to ...
This pamphlet describes the whole systems approach taken by the London Health Partnership to achieve their aim of improving the well-being of older people by addressing long-standing problems of providing care and promoting health in cities. This summary was presented to the 1996 British Urban Regeneration Association Conference.
This is the third edition of this publication which was published for the first time in 1994. This edition is structured in three parts. The first is a calendar of events in London's health care during 1995, followed by a commentary by the editor. The second section presents the relevant ...
This is the second edition of this publication which was published for the first time in 1994. This edition is structured in four parts. The first is a calendar of events in London's health care during 1994, followed by a commentary by the editor. The third section presents the relevant ...
The object of this study was to collect information which embraced the richness and complexity of people's views on London's health care services to contribute to the King's Fund's work on London's acute services. This report provides a detailed picture of the ways in which respondents would like to see ...
In 1992 the King's Fund Commission published a report `London health care 2010 : changing the future of services in the capital'. This report was unable to describe in any detail the actual delivery of acute medical care in London. This required a more indepth study of care based on ...
The author looks at the NHS in London two years after the report of the King's Fund Commission on London and the Tomlinson report and three years before the next general election. Policies shaping the NHS in London have become increasingly controversial. He argues that despite the growing resistance to ...
Following on from the King's Fund London initiative in 1992 the authors investigated the extent to which acute services in London have moved from hospital into primary or community care. This article considers the extent of movement away from traditional acute care in hospital into the following settings: general practice; ...
This is the first issue charting the progress of developments in London's health services. Included are: a calendar of events from October 1992 to December 1993; a commentary on the development of the planning process in London including the series of reports from the Government and other professional bodies. There ...
The London Health Partnership is an alliance of charitable foundations, business interests and government, formed in June 1994. Its purpose is to generate a distinctive programme of work over the next few years to help develop urban health care. This is a report of their progress at the end of ...
This briefing paper aims to contribute some background analysis and data to inform a debate in the House of Commons on 28 April 1994 about London's health care system. It begins with comparative considerations; whether high needs and poor community based care lead to greater pressure on hospitals; and key ...
This report summarises the brief which was given to the King's Fund on finding the views of GPs following the Tomlinson report; setting up GP networks; clarifying what the King's Fund might expect from the Investment Fund launch; and improving working with GPs.
This working paper is based on the assumption that change in the direction of primary health care is desirable and inevitable. It explores the interface between acute hospitals and primary care, and describes developments that improve integration and show how a shift towards primary care might be achieved. It goes ...
This paper proposes an alliance of charitable foundations, together with Government, to make a distinctive contribution to the way in which health services for Londoners are being shaped. It explains how an investment fund could form the basis of a high profile three year development programme; how it could be ...
This report is based on public discussion of the six specialty reviews for London that were set up by the Secretary of State for Health earlier in 1993. In July 1993 the King's Fund arranged six meetings to encourage public debate about the outcomes of the independent reviews of specialty ...
The imbalance in London between primary health care and hospital services has long been recognised. Attempts are now being made to address this issue by strengthening community-based services. This paper quantifies the nature of the challenge facing primary health care in the capital relative to the rest of the country. ...
This report is based on a search conference which provided a forum for people who share a common concern about a particular issue, that is, community care but who approach that issue from different perspectives. This conference focussed on London and its community services, and how better services could be ...
The aim of this unpublished paper is to provide all Londoners with primary and community health services which both meet their needs for high quality health care and which - over time - can appropriately substitute for certain services currently provided in acute hospitals. If Sir Bernard Tomlinson's recommendations are ...
The aim of this paper is to highlight the fundamental principles upon which the future curriculum will be based, and to discuss the implications in terms of curriculum design and the issue of where students should learn, with special reference to London. In this way the likely developments in undergraduate ...
This working paper argues that the development of acute services should be a managed process, one in which they are positively reshaped and not just one in which development is coped with in isolation. The paper highlights some of the technological developments which have recently taken place, and those which ...
This working paper examines the London labour market for health care staff. The study was conducted against the background of the early implementation of the National Health Service and Community Care Act and focuses on labour supply and on the extent to which planned or predicted changes in the profile ...
A major incident is a high profile event which places the emergency services in the spotlight of public attention. It typically involves a number of autonomous agencies working together in hostile conditions. Some of these individuals will be working in an unfamiliar environment for the first time. Many lives are ...
This document is a personal view of the current issues of acute care in London based on the author's experience of working in the south east segment of inner London. It is a view informed by impressions gained in working in five different London teaching and postgraduate hospitals and the ...
This purpose of this project is to provide a summary picture of the condition of the estate of London's acute hospitals. It attempts to bring together information on the estate from standard returns and locally obtained evidence. The main issues that the study has tried to address are: how well ...
This report provides a users' perspective on acute health services in London. It begins with an overview of the situation in the capital and proceeds, by considering two vulnerable groups - elderly people and single homeless people, to look in detail at aspects of acute services which are of concern ...
This report deals with the two major areas of independent health care activity: acute sector and long-term care sector. In the independent health care context, acute sector broadly refers to the range of medical and surgical outpatients and inpatient treatment normally covered by private medical insurance. Long-term care sector refers ...
This is the review of the full report which analyses the interlocking set of problems posed by health services, medical education and research in London. It warns that health services in the city may become unsustainable unless tehre is the political will to back a strategy of fundamental reform. It ...
This report analyses the interlocking set of problems posed by health services, medical education and research in London. It demonstrates that Londoners receive a poor deal from present-day services. It warns that health care in the inner-city may become unsuitable unless there is the political will to back a strategy ...
This working paper is based on the assumption that change in the direction of primary health care is desirable and inevitable. It explores the interface between acute hospitals and primary care, and describes developments that improve integration and show how a shift towards primary care might be achieved. It goes ...
This paper concentrates on London's role as the principal national centre for specialist health services. The capital retains this function because of its concentration of undergraduate and postgraduate teaching hospitals. However, the shift of population away from the city's centre over the past century has created problems of access which ...
It is intended that this working paper should: introduce a discussion about some of the organisational options that might be considered if the widely held aspirations for change are to be achieved; indicate some of the current thinking among health service managers about the future direction of the organisation of ...
London occupies a unique position in the provision of acute health care in Britain, in terms of resources consumed, the quantity of care provided and the institutional framework within which service provision takes place. It is a commonly held belief that London has more than its fair share of health ...
This paper examines the relative health status of Londoners in the light of the current attention being given to the provision of health care in London. It has three aims: to compare the health of residents of London with that of people in comparable areas elsewhere; to investigate the factors ...
This unpublished paper outlines a process for specialty reviews, following on from the recommendations of the `Report of the inquiry into London's health service, medical education and research' (London : Department of Health, 1992) in which it was recommended that working parties be formed under the direction of the London ...
It is widely believed that homeless people place considerable demands on emergency hospital services, but quantifying this in a systematic way has proved difficult. The primary purpose of this paper is to develop a better empirical understanding of the nature and extent of unplanned admissions to acute hospitals in London ...
The first part of this briefing looks at the implications of the NHS reforms in theory and in practice and presents the six lines of enquiry which might be pursued. The second section discusses the particular impact of the NHS reforms on London which has maintained a very significant number ...