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 ...