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 ...
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 ...
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 object of this time-table is to provide information which will help to prevent the waiting, with possible resulting hardship, which occurs when patients attend hospital out-patient departments at the wrong hour or even the wrong day.
The object of this time-table is to provide information which will help to prevent the waiting, with possible resulting hardship, which occurs when patients attend hospital out-patient departments at the wrong hour or even the wrong day.
This is a report of a workshop held at the King's Fund Centre on 26th November, 1981. As part of the King's Fund continuing concern with developing health services in London, this workshop was organised to provide a forum for health service personnel and anthropologists interested in city-centre problems to ...
The object of this time-table is to provide information which will help to prevent the waiting, with possible resulting hardship, which occurs when patients attend hospital out-patient departments at the wrong hour or even the wrong day.
The object of this time-table is to provide information which will help to prevent the waiting, with possible resulting hardship, which occurs when patients attend hospital out-patient departments at the wrong hour or even the wrong day.
The object of this time-table is to provide information which will help to prevent the waiting, with possible resulting hardship, which occurs when patients attend hospital out-patient departments at the wrong hour or even the wrong day.
The object of this time-table is to provide information which will help to prevent the waiting, with possible resulting hardship, which occurs when patients attend hospital out-patient departments at the wrong hour or even the wrong day.
St Mark's colo-rectal hospital celebrated its 150th anniversary in 1985. It is the only colo-rectal hospital to survive in Britain and thus is unique. It is also a particularly distinguished example from a class of hospitals that developed in the nineteenth century in London and elsewhere to combat specific diseases, ...
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 ...
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 ...
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. ...
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.
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 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 ...
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 ...
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 ...
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 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, ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
'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 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 ...
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 ...
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 ...
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 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 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 ...
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.
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 ...
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 ...
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 ...
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 ...
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.
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 ...
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 ...
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, ...
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 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 ...
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 report gives an account of the development of the King's Fund London Programme. It was launched in 1979 to develop activities in relation to health care in London. Its broad aim is to identify, encourage and disseminate good practice in inner city areas through a coordinated programme of research ...
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 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 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.
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 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 ...
In this report the authors have been concerned with the effects of reorganisation on specialist postgraduate medicine in Greater London. It draws together and comments on the various functions and activities of the postgraduate hospitals. Part 1 reviews the past and present activities of the hospitals and institutes, and Part ...
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 ...
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 ...
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 ...
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 ...
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 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 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 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 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 ...
It is customary for the Fund's General Council to invite two speakers to talk about aspects of the Fund's work at its general meeting. On 6 June 1986, the first meeting to be held under the Presidency of HRH The Prince of Wales, the subject was the Fund itself. This ...