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 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, ...
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 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 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 ...
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, ...
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 ...
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 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 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 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 ...
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 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 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 ...
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. ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...