Lord Darzi's report, NHS Next Stage Review, attempts to open a new chapter in the story of 'quality' in the English NHS: how to move on from a centrally driven performance management regime - with its focus on driving activity and meeting targets - to a more sophisticated strategy that ...
The reconfiguration of acute and community hospital services in England has recently come to dominate discussions about NHS reform - both locally and nationally - and is provoking a great deal of controversy. This briefing examines the background to the current debate, identifies the main factors driving the changes, explores ...
Since 1997, the Labour government has made some momentous changes to the way primary care is managed and delivered. The creation of Primary Care Groups, the development of NHS Direct and the implementation of clinical governance will all have an effect on GP services for decades to come. In "What ...
This book is based on interviews with the four politicians who served as secretary of state for health between 1988 and 1997; Kenneth Clarke, William Waldegrave, Stephen Dorrell and Virginia Bottomley, and offers insights into the events of this period. The author explores the world in which the health secretaries ...
This Review is based on the financial year 1996 to 1997. The first part examines the main events of the year in five key policy areas: creating the new NHS ; community care ; public health strategy; serving the consumer; and clinical knowledge. The second part of the work contains ...
The Government's eagerly awaited White Paper on health aroused no great passions when it was launched at the end of 1997. Unlike its predecessor, the 1989 Conservative White Paper "Working for Patients", Labour's "The new NHS" has prompted no battle of words or major health debate. Yet in this, warn ...
This Review is based on the financial year 1996 to 1997. The first part examines the main events of the year in five key policy areas: creating the new NHS ; community care ; public health strategy; serving the consumer; and clinical knowledge. The second part of the work contains ...
This report examines the findings of a national survey of NHS speech and language therapy managers and assesses the impact made by the reforms on this profession. It is divided into six parts. The introduction describes the context of the research and briefly reviews the literature which informed and seems ...