Practice-based commissioning is a policy that aims to give more influence and control to GP practices in England over how money is spent on health care services. At the moment, the bulk of NHS money is allocated to primary care trusts (PCTs) who then commission and reimburse hospitals (and other ...
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 publication reviews the Labour Party's inheritance when it came to power in 1997, its early promises and its actions to date. It analyses performance against pledges in the areas of funding, waiting, rationing, primary care, workforce, quality assurance, the private sector, long-term care, patient and public involvement and health ...
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 purpose of this publication is to examine the implications of contemporary policy and organisational change for the future of general practice. The opening chapter sets modernisation in context. The next two chapters examine the historical roots of the current situation and the profession's response to current crises. The fourth ...
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 ...
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 ...
Primary care is the life-blood of the NHS. At the core of health care in this country are the relationships between GPs, practice nurses, therapists and their patients. What matters most for these users of health services is that they have access to professionals they can trust. Yet for many ...
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 fundamental questions about the role of primary care in public health are: how can primary care develop its input into public health while also remaining focused on meeting the health care needs of individual patients and their families, and, how can GPs and others in the primary health care ...
This publication summarises the key points from the publication 'Improving Health at Local Level : the role of primary care' by Ros Levenson and Lucy Johnson. The fundamental questions about the role of primary care in public health are: how can primary care develop its input into public health while ...
This publication is a comprehensive review of health care and policy issues. It contains a calendar of events for the months June to August 2000 as well as discussion of key policy issues. Specific areas dealt with in this issue include: the NHS Plan; public attitudes towards the NHS between ...
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 booklet is a brief guide for general practitioners (GPs) and colleagues in the primary health care team who have patients who are refugees or asylum seekers, and wish to ensure that they have the knowledge and skills to deliver an appropriate service to those patients. It provides information on ...
This review analyses selective UK literature from 1994 to the present day on the attitudes towards, experiences of and comments by and about the capabilities of primary care.
This is the final report on the evaluation of an urban primary health care development programme undertaken by the London and Northern Health Partnerships (L&NHP). These partnerships were established in 1994 to generate a distinctive programme of work aiming to improve primary health care in urban areas, particularly in London. ...
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 ...
Policy changes in health and social care present new opportunities for primary care to work in partnership with others to improve provision for people with mental health problems. Policy connections between mental health services, primary and community care were not always made effectively in the past and attention to implementation ...
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, ...
New Health Network exists to encourage the NHS to fulfil its potential by stimulating an environment of innovation and change in the NHS for the benefit of patients. Its aim in publishing this book is to stimulate debate and provide a space for thinking that will be necessary to achieve ...
People with long-term mental health problems suffer considerable disability and are at risk of relapse or deterioration. Primary and secondary care have traditionally been separated, leading to poor communication and lack of role definition. Furthermore, there has been no national programme aiming to improve service delivery for this group of ...
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 ...
In this collection of stories, six managers and practitioners talk about their experiences of working with their counterparts in health and social services in development initiatives that were supported by the King's Fund in the period 1993-98. All of the accounts provide insights into the way people in primary health ...
The King's Fund Primary Care Programme and the Health Quality Service have collaborated on a project to define standards of good practice for primary care groups in England. The purpose of the standards is to define good practice from inception and to guide primary care groups in developing as effective ...
This publication is a comprehensive review of health care and policy issues. It includes a detailed description of health events in the last twelve months, as well as discussion of key policy issues. Specific areas dealt with in this issue include: influencing the diffusion of new medical technologies; the future ...
This paper examines what is known about linkworkers, using information derived from a review of the literature and from interviews with those working in the field. It discusses how linkworkers might make a contribution to primary care in the future, and considers some of the organisational issues that will need ...
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 paper reconsiders the meaning and impact of projects, the most common device for spending development monies. They argue that projects can distort the priorities of the host organisation. There are four aspects to this problem: the disruption caused to an organisation by the existence of a project; the project ...
This paper examines four major policy developments which are forcing changes in medical staffing arrangements and also in the reconfiguration of clinical services within and between hospitals. These developments are the primary care-led NHS, the New Deal on junior doctors' hours, the Calman report on specialist medical training and the ...
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 presents some of the main themes that emerged from a series of workshops on various aspects of primary care organised and hosted by the King's Fund in the summer and autumn of 1996. The topics covered in the workshops were change in primary health care, frail elderly people, ...
Community-oriented primary care (COPC) is an approach to health care which combines the principles and skills of public health and family practice. It offers participants an action-oriented framework for working together on health needs at practice level. In 1992, the King's Fund, in association with other organisations, initiated a pilot ...
This guide explores the benefits of introducing community development health programmes. Using a community-oriented primary care approach (COPC), the guide explains how to use resources more effectively, set health goals and health programmes linked to local needs, identify those who most need health care, and support people's desire to take ...
This guide has been written for members of primary health care teams (PHCTs) where the team has decided to run a community -oriented primary care (COPC) programme on depression or anxiety. It is designed to assist at the two stages of detailed problem assessment and intervention planning. As a result ...
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 publication consists of organisational standards and criteria for primary health care service providers which have been revised to reflect changes in general practice since the previous edition of this publication in 1994.
This publication gives an account of a project co-funded by the NHS Executive and the King's Fund. It was devised as a response to the crisis in GP morale which began to be recognised in 1994. A participative workshop, 'A Day in the Life of a GP 2010' was designed, ...
This Review is based on the financial year 1995 to 1996. 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 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 manual contains organisational standards for primary health care commissioning. It forms one part of the King's Fund Organisational Audit project for health authorities and primary health care commissioners. The standards apply to all primary care commissioning organisations, whether these are GP fundholding practices, multi funds or non-fundholding practices that ...