There is increasing public concern about the availability, quality and appropriateness of care services for London's diverse older population. In February 2004, the King's Fund launched an inquiry to investigate whether the care market was working for older people in London and if there would be enough care services of ...
This working paper makes the basic case for supporting and developing advocacy. It explores the advocacy sector in London and the government's growing interest through a literature review, document analysis, and explorative questionnaire to advocacy providers, in-depth interviews with key stakeholders, and focus groups with a range of community leaders. ...
This document is a summary of the King's Fund Inquiry into care services for older people in London. The Inquiry 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 ...
This research summary presents the findings of a two year research and development project, supported by a King's Fund grant, examining how London's primary care professionals are working in the community to provide palliative care, and how general practitioners, district and community nurses , and PCT and specialist palliative care ...
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. According to the mental health charity MIND, one in four people in Britain will ...
The grants programme “Partners for Health” was established in 2006 as a different approach to funding by the King’s Fund. The “Partners for Health” programme was similar to the open grants programme in that it intended to offer 3 years funding for projects from the voluntary sector and NHS with ...
This document sets out The King's Fund's consultation response to the Mayor of London's draft health inequalities strategy. Overall, the draft is a good start, but we believe as the strategy is finalised its commitments need to be more tightly focused on inequality reduction than they currently are.
Sustainability and transformation plans (STPs) are key to the future of health and care services. This report, commissioned by the Mayor of London and based on work completed in March 2017, looks at the five STPs in London, their contents and common themes.
The authors, from The King’s Fund and ...
This report, commissioned by the Mayor of London, reviews the progress made over the past year by the capital’s five sustainability and transformation partnerships (STPs), new bodies established to implement local plans for the future of health and care services. It finds evidence of improvements in services for patients in ...
This report considers issues facing stakeholders in London who are working on two problems: "how do we build healthy and safe communities in the capital?" and "what role does the NHS have in improving community safety?" It is written for policy makers and practitioners in the NHS and its partner ...
This research summary, based on a King's Fund survey of 178 pharmacists in North East London, examines the level of services they provide, their views on government targets - and the support they need to achieve these - along with the changes they expect to see in their own pharmacies. ...
This working paper says that mental health services have been slower to address inequalities than other health sectors and that this is exacerbating the problem of mental illness in the capital. As a result, services are less likely to be accessible to women from black and minority ethnic groups. The ...
This guide to public involvement in primary care is written for people who are trying to put public involvement into practice, but is actually a presentation of findings from a year long research project. The project explored the diverse approaches of six primary care groups and trusts in London to ...
An important component of the 1997 King's Fund report on mental health services in London was to analyse the costs of service provision. Over the six years since 1997, there have been some major policy and practice developments in the provision of mental health services in the UK, particularly the ...
This report outlines the challenges faced by general practice in London and the improvements needed in order to address them. The report is aimed at those who have a role in leading quality improvement in primary care, namely GPs working in London and leaders of primary care providers, clinical commissioning ...
Children's physical and emotional health are key determinants of their ability to learn. Since the launch of the government's Healthy Schools Programme, promoting health in schools has become a national priority; but how this translates in practice varies enormously from school to school. This research summary pulls together the findings ...
Two key elements of the quality of health care provided by GPs are the Quality and Outcomes Framework (QOF), which rewards GP practices for achievement against a range of indicators of clinical quality, and the GP Patient Survey, which asks patients about their experience of using GP services. Using data ...
As part of its continuing efforts to reform the NHS, the government has introduced a number of incentives to help the health sector meet national targets and objectives for improving care. This paper examines whether these incentives are helping or hindering progress. Its findings are based on interviews with health ...
The issues surrounding international recruitment and the migration of health workers have generated huge media attention. However, relatively little primary research has been done in this area. Based on a survey of international nurses in London, this paper reports on the country of origin, demographic profile, motivations, experiences and career ...
The aim of this report is to provide an update on the service changes taking place in the NHS in London, and in particular to address the question of who will lead these changes in the NHS structures that came into effect in April 2013. The report builds on an ...
This paper aims to explore the opportunities available to create stronger and more consistent partnerships between health and education, both in terms of the challenges facing schools and the issues surrounding local strategies that link the two sectors. In doing so, it also seeks to identify some of the ways ...
This research summary profiles the international workforce in London and provides case studies detailing the experiences of three London NHS trusts and their international recruitment activities. It is the first publication from a wider programme of work on the international recruitment of health workers to the capital. [SMD]
The King's Fund Mental Health Inquiry 2002/3 revisits many of the issues covered in its previous inquiry of 1997. This identified several areas of concern about the mental health workforce, specifically: a crisis in recruitment and retention of mental health professionals of all disciplines in London; among primary care staff, ...
This is a summary of a report on emergency hospital admissions in London, funded by the former London Regional Office of the NHS Executive. It 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 ...
Nine NHS walk-in centre pilot sites opened in London during 2000. Six of the nine centres are located in hospital sites. The other three centres are in Soho in central London, the High Street in Croydon, and Parsons Green in Fulham. NHS walk-in centres are nurse-led and offer primary care ...
The 'Working Together in London' programme was set up by the King's Fund, the Sainsbury Centre for Mental Health and the Department of Health to establish assertive outreach teams and develop new ways of working that can bring about the social inclusion of people with severe and long-term mental health ...
This research summary, based on interviews with stakeholders in London and nationally, plus a review of recent policies and commentaries, analyses the public health issues faced by local strategists and managers, and offers recommendations to support the development of the function locally. It demonstrates the need to embrace the complexity ...
This paper summarises the results of a small research study designed to capture the experiences of and reflections on revalidation of responsible officers (ROs) in London. The results provide a snapshot of what the implementation of revalidation has meant for the new ROs six months in. The paper also draws ...
The government’s mandate for achieving parity of esteem between physical and mental health has put the spotlight on mental health provision. In London, meeting the mental health needs of the large and diverse population poses major challenges, and the London Health Board has identified improving the mental wellbeing of Londoners ...
The specific dynamics of the London health care labour market, and the challenges they create for recruitment and retention, were highlighted in the 2003 King's Fund report 'In Capital Health?'. In the 18 months since, a number of important and far reaching changes have been initiated across the NHS. This ...
Patient choice has been central to the government's recent NHS reforms, along with a new payment system that rewards hospitals that are attractive to patients. But will these reforms make services more responsive? In the treatment of HIV and AIDS, patients have always had a choice of which hospital to ...
In recent years the NHS has made significant progress in increasing the number of non-executive directors (NEDs) from black and minority ethnic (BME) communities, as part of a wider move to reflect diversity at all levels of NHS organisations. Drawing on the findings of two surveys and interviews with individuals ...
While working as a volunteer at the Latin American Elderly Project, a day centre in Islington, Lucrecia Janowicz recognised that the older members of the project were unable to access the health information that they needed because they didn't speak English. She therefore decided to organise a series of talks ...
This working paper aims to revisit findings from the 1997 King's Fund Inquiry on Mental Health and to examine the extent to which primary care mental health services have developed in line with recommendations made at that time. It takes a narrow view of 'primary care' as relating to general ...
This is one of a series of papers being produced in 2002/03 as part of the King's Fund Mental Health Inquiry. The Inquiry aims to assess whether London mental health and mental health services have improved over the last five years. In 1997 the King's Fund produced a report entitled ... and Effective promotion of mental health and well being encompasses coordinated activities for communities, families and individuals. However, little is known about the current state of mental health and well being promotion in London. This paper seeks to fill that gap, drawing evidence from three 'case study' projects promoting mental health ...
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. While working at a west London community centre, Imo Akpan recognised a reluctance among ...
The 24 papers presented at two conferences in May and June 1988 organised by the KFC, London Boroughs Training Committee, Terrence Higgins Trust and Frontliners. The book represents individual viewpoints from 24 people who organise, provide or receive care. The book contains sections on the shift towards care in the ...
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 ...
These guidelines have been compiled in response to an assessed need from hospitals for help with commissioning arts and artists. It is divided into seven chapters and includes guidance on the need for a committee; choosing a site; the commissioning process; fundraising. Its recommendations are based on 10 years of ...
This conference was organised by the London Strategic Policy Unit and held on 8 April 1987. Workers from health services, local authorities and voluntary bodies met to exchange ideas and compare experience of providing services for A.I.D.S. patients. A paper was presented by the director of supportive housing from the ...
In response to the DHSS circular `Patients dying in hospital' (DA(84)17) the Bloomsbury District Management Team asked for an examination of the way that dying patients and their relatives are cared for in Bloomsbury hospitals. This paper arises out of that examination and also out of discussions with nurses, doctors ...
This document is a report of the Pay Beds Committee which was set up with the following terms of reference: "to inquire and report upon the question of hospital accommodation in london for persons prepared to pay more than ordinary voluntary hospital patients; and to report the conclusions at which ...
This document brings up to date the particulars of pay bed accommodation in London shown in appendix II of the report on pay bed accommodation. The original terms of reference for this report were "to inquire and report upon the question of hospital accommodation in London for persons prepared to ...
This document presents the minutes of evidence from the Pay Beds Committee which was set up with the following terms of reference: "to inquire and report upon the question of hospital accommodation in London for persons prepared to pay more than ordinary voluntary hospital patients; and to report the conclusions ...
On March 24, 1923, the Voluntary Hospitals Commission wrote to the King's Fund, referring to a question and answer given in the House of Commons on Wednesday, March 21, on the subject of hospital accommodation for accident cases, and asking that the King's Fund, as the Voluntary Hospitals Committee for ...
In June 1987 the King's Fund convened the first meeting of a working party on the future shape of paediatric surgery in the four Thames regions, with special reference to Greater London. The working party was composed primarily of paediatric surgeons. This document is their report. The emphasis is on ...
The Committee was appointed to enquire into and report upon methods in use in London Voluntary Hospitals regarding the attendance of patients in outpatient and casualty departments, and the effect of those methods upon the suitability of the patients treated and on the length of time during which patients wait ...
This survey originated from tutorial discussions at the college, at a time when there was concern about the difficulty experienced by hospital authorities in recruiting grammar school leavers in the London area. It was decided to seek information about the problem from regional training officers and, at the same time, ...
In 1961 King Edward's Hospital Fund undertook a study to look at the application of electronic computers to hospital practice. The committee also met to develop an integrated management information and accounting system suitable for operation by computers. The document is divided into three sections, the first of which looks ...
This checklist is the result of a study carried out during the management course which formed part of the National Training Scheme in Hospital Administration at the King's Fund College. The aim of the study was to discover the extent to which good industrial relations practice, as set out in ...
In 1976, the Jubilee Project was established by the King's Fund to commemorate Her Majesty Queen Elizabeth's Silver Jubilee by upgrading wards in ten of London's older hospitals. Many of London's district general hospitals had not been rebuilt as had been planned in the early 1960s, and little renovation had ...
The function of a meals on wheels service is to provide meals sufficiently often and of such nutritive value as to make a significant contribution to total food intake. In this investigation the meals supplied by six meals on wheels kitchens and two luncheon clubs in two North London boroughs ...
Early in 1987 five health visitor managers and five district nurse managers came together from across London to explore ways of working together in the 'spirit of Cumberlege'. The focus was caring for elderly people in the community. A record was kept of the process of the workshop with a ...
In January 1980 the Conservative Government appointed a study group under Sir Donald Acheson to produce ambitious proposals for rapid and effective action on primary care in London. This report examines how and why the study group was established, the issues it confronted, the route by which it reached its ...
The King's Fund was asked by the Voluntary Hospitals Committee for London to consider the need for further provision for the middle classes for insurance against hospital expenses and the associated specialist fees. The Committee needed to formulate a scheme which, while meeting the needs of the middle class for ...
The terms of reference for the enquiry were : "to enquire and report as to the existing provision for pensions to officers and staff employed in the London Voluntary Hospitals and as to what alteration or extension (if any) of the existing arrangements is desirable and practicable, and generally to ...
This report was commissioned from the King's Fund by the chairman of the twelve District Health Authorities. It was felt that there was a lack of a factual basis against which to assess the London-wide implications of the plans of the four Thames Regional Health Authorities. This report, which is ...
During the influenza epidemic of December 1967 - January 1968 the Emergency Bed Service (EBS) encountered serious difficulties in securing admission to hospital for many acutely ill patients. In the light of these experiences the King's Fund decided to appoint a working party to investigate the effect of coloured warnings ...
Under the terms of the Chronically Sick and Disabled Persons Act 1970, social services departments are required to help with the provision of aids to daily living for disabled persons discharged from hospital, and with adaptations to their homes. The study aims to establish the extent to which social services ...
In the first half-century of its work, the King's Fund was concerned with the support, benefit and extension of the voluntary hospitals of London, and therefore had little or no contact with mental and mental deficiency hospitals. When the National Health Service Act was implemented in 1948, the need for ...
The memorandum discusses methods by which individual hospitals may prepare records of quantities of items consumed (for example gas, soap, food), and may use them for the purpose of securing the co-operation of the various departments of the hospitals in strengthening the control of expenditure.
In 1941, King Edward's Hospital Fund for London and the Voluntary Hospitals Committee for London established a Joint Committee to consider post-war problems of the hospitals of London with a view to maintaining and improving the standard of services which they render to patients. This is the report produced by ...
This document, presented in tabular form, is a summary of the published accounts of London hospitals and serves to provide each hospital with the figures of other hospitals as an aid to financial control.
The main purpose of this information note is to provide, for those concerned with ethnic minorities' health care in London, an up-to-date source document listing local projects and initiatives. Other information has also been included to help the reader: some data on the ethnic composition of London's population; a list ...
This document divides into three distinct sections. The first considers improvements in the Statistical Returns prepared by King Edward's Hospital Fund for London in order to facilitate a truer comparison between the expenditure of different hospitals. The second part presents tables which should be used for statistical returns, including the ...
This document divides into three distinct sections. The first considers improvements in the statistical returns prepared by King Edward's Hospital Fund for London in order to facilitate a truer comparison between the expenditure of different hospitals. The second part presents tables which should be used for statistical returns, including the ...
This series of papers intends to make a contribution towards the improvement of health and social care in London and elsewhere. The particular issues covered in this document are: London's future population and social structure noting some possible problems; population boundaries for health services; an overview of London's health services; ...
This series of papers intends to make a contribution towards the improvement of health and social care in London and elsewhere. The particular issues covered in this document are: London's future population and social structure noting some possible problems; population boundaries for health services; an overview of London's health services; ...
This is the record of a workshop on services for mentally handicapped children, organised jointly, in March 1976, by King Edward's Hospital Fund for London, Association of Professions for the Mentally Handicapped and Institute of Mental Subnormality.
This response to the Green Paper `Primary health care : an agenda for action' steers a middle course between `alternative' green papers and detailed comments on the few firm proposals. The structure of the response follows that of the six objectives outlined in the Green Paper: 1) raising standards of ...
The purpose of this conference was to promote discussion about some of the issues that London district health authorities must face when deciding policies and planning services for children. The debate that took place illustrated a variety of views on the best ways of organising child health services, especially those ...
The conference aimed to introduce members of London district health authorities to the particular problems of providing services for elderly people within London, following reorganisation of the NHS in April 1982. Quality of provision for old people, both in the community and in hospitals in London contrasted greatly with the ...
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 ...
This series of papers intends to make a contribution towards the improvement of health and social care in London and elsewhere. The particular issues covered in this document are: London's future population and social structure noting some possible problems; population boundaries for health services; an overview of London's health services; ...
This survey of employee opinion was an innovation in the hospital field and so it is hoped that it will be of interest to a wider audience than just the London Hospital Group as some of the results have implications of more general interest. A small number of results from ...
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 ...
This publication gives the participants, programme and notes for this event. It looks at four different scenarios for London in 2010, and the effects on health care of each.
This report outlines and discusses the King's Fund Ward Sister Training Project being piloted at Guy's Hospital and Whipps Cross Hospital in London. This arose from debate in 1977 about how the Fund could respond to the climate of management awareness and professional concern about the role of the ward ...
This document follows the results of an enquiry to consider and report generally as to the circumstances and conditions under which patients are admitted to casualty and outpatient departments of the London Voluntary Hospitals. It looks especially at what precautions are taken to prevent the admission of people who are ...