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 ...
Creative arts can promote physical, mental and social well-being. The arts can be an effective way of providing people with the confidence to put their views forward and of promoting health messages to those who do not usually listen. This book looks at some very different arts in health care ...
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 project followed the introduction of beta-interferon in one health region. It provided the opportunity to pilot many helpful approaches to the active management of drugs in health authorities. The report concludes that many of the approaches used in this situation were successful and could be applied to future similar ...
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 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 ...
It is simply not possible to provide people with all the health care they need. Rationing is inevitable and the public must play a major role in the debate. This publication is about talk and action in health care rationing, and presents the latest thinking and practical experience in rationing ...
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 book describes the trend towards more diverse and devolved forms of purchasing and combinations of purchaser organisations within health authorities in the NHS. It presents a multi-dimensional profile of each of the current models of purchaser organisation. Trends and policy developments are discussed in relation to the likelihood that ...
The book provides a comprehensive analysis of hospital services in the United Kingdom, and examines the key factors which should be taken into account by those responsible for planning this part of the health system. It traces the changes that have taken place in recent years and, drawing on unpublished ...
The papers in this book were presented at the 1995 King's Fund international seminar in Canada by representatives of health services in six countries which have undergone major attempts at reform. Assuming that problems will still exist after structural changes have been implemented, they consider what lies ahead for the ...
This report was prepared in response to a request from Health Partners International Ltd. It looks at hospital management in seven countries with differing health care systems in order to inform the South African Hospital Strategy Project.
This Review is based on the financial year 1994 to 1995. The first part examines the events of the year in four key policy areas: creating the new NHS ; promoting community care ; promoting public health ; promoting the interests of users. The second part of the work looks ...
This is a report on a competition held in 1993 by the King's Fund to find excellent examples of large hospital developments which were opened in Britain between 1980 and 1990. The aims for both National Health Service and independent sector hospitals were: to offer a high quality of life ...
Transplanting organs from one human to another is increasingly constrained by a shortage of donors. This report describes the wide variations between the number of kidney and heart transplantations and those waiting for these operations both in the United Kingdom and internationally; and how the UK could improve its performance. ...
The author considers discharge policy and practice in the UK which is aiming for a goal of seamless care. Chapter 2 summarises three areas of discharge related research: the experiences of elderly people and their carers; difficulties for those whose task is to manage acute beds; and communication between hospital ...
This Review is based on the financial year 1993 to 1994. The first part describes developments in each of the main policy areas of `The health of the nation', the Patient's Charter and community care implementation. For the first time results of the systematic research into the effects of the ...
This Review is based on the financial rather than the calendar year, and once again attempts to describe and assess the main developments in health policy. The calendar of events aims to describe what has actually happened and also to reflect on some of the wider issues that events within ...
This report examines the work of research ethics committees (RECs) in the United Kingdom. RECs examine proposals for research on human subjects largely within the NHS which throws up a variety of ethical problems. The role of RECs is essentially that of a public watchdog: to try to protect subjects ...
This report presents an appreciation of the significance of Primary Care Development Fund supported schemes for the future of UK primary care generally, and offers a point of common entry into a vital area of national health debate to a range of audiences amongst NHS service providers, users and purchaser ...
Consensus conferences are an increasingly accepted means of synthesising available information and of producing a widely agreed view of the value of medical techniques and advances. In the United Kingdom the King's Fund initiated their use, and developed them beyond their original purely professional focus by holding meetings in public, ...
Medical technology, defined broadly to include drugs, procedures and equipment used singly or in combination, has been of enormous benefit in improving the quality of health care. It has, however, raised many issues about how society can afford to pay for these often expensive developments and about associated ethical problems ...
The second edition of 'The Nation's Health' is an extensively revised and updated assessment of trends in health status and public health policy and practice over the last decade. Its wide-ranging scientific analysis forms the basis for developing 17 health priorities and a clearly defined strategy for improving health over ...
This report is an in-depth, comparative study of the UK plans and US experience of competition in the supply of hospital services. It shows how both competition and regulation policies have been used to contain escalating costs in the US. American experience raises concerns about the impact of competition on ...
The report attempts to review the main issues surrounding the funding and management of units providing dialysis services to people suffering from end-stage renal failure in the UK for the benefit of health service managers, renal physicians and other staff. The objective is to review the experience and information currently ...
The paper summarises recent literature giving an economic perspective on acute hospitals. The issues discussed include: the optimal size of a hospital; the role of the hospital in relation to other suppliers; cost containment and productivity; and the scope for cost reduction.
This report reviews the performance of health services in Sweden, Holland, West Germany, Canada and USA. The main aim has been to identify the countries' studies, to draw parallels with the UK, and to establish the lessons, if any, from abroad. Chapter one traces the origins of the Prime Minister's ...
This is a report on the first year of the Organisational Audit project. It describes the project set up by the Quality Improvement Programme to test the applicability of an 'accreditation' type approach to the UK health system.
The four essays in this volume offer some insights into the following issues: clinical directors, from the view point of a clinician and a manager; USA experience of physician as managers in hospitals and the implementation of such a system; an assessment of the options for the NHS with doctors ...
This report summarises the literature on geographical variations in hospital admission rates in the UK and internationally. It is restricted to studies of inpatient admissions. It concludes that the examination of the variations provides invaluable insights into the nature and extent of medical uncertainty, and that this information is essential ...
The briefing paper provides a constructive analysis of the White Paper (Working for Patients). It argues that the White Paper outlines an ambitious and high risk strategy. The paper identifies main themes underlying the White Paper proposals: new institutional arrangements for the health services; the management of clinical activity; responsiveness ...
The aim in producing the document has been to offer a quick reference tool for practitioners and others to indicate the sorts of people working in the 'quality' areas and their levels of interest. The entries have been supplied by individual practitioners and managers, as well as being drawn from ...
The briefing paper provides a constructive analysis of the White Paper (Working for Patients). The paper identifies main themes underlying the White Paper proposals: new institutional arrangements for the health services; the management of clinical activity; responsiveness patients; greater pluralism among providers; better management; new financial allocation mechanisms
In 1988 the King's Fund covered a multi-disciplinary panel to consider the following questions and to prepare a statement for discussion at a consensus conference: is there scientific evidence that ICUs cause a decrease in morbidity and mortality; what criteria should be set for admission and discharge to intensive care ...
This edition of the annual publication contains articles on hospice care, job-sharing in the NHS, research ethics committees, day surgery, resource allocation, optical services, cost effectiveness in the NHS, long-term care insurance and hospital care at home.
This conference proceedings report is an edited compilation of papers given at a conference for World A.I.D.S. Day. Topics covered at the conference included - resources for the 1990s, community care, role of the voluntary sector and an agenda for the 1990s.
This publication reviews the progress in public health over the last decade. It seeks to interpret trends in health and to identify measures likely to be effective in promoting the public health. It outlines a national strategy for the next decade, identifying the public responsibilities of government and of the ...
Although the development of community care has been national policy in Britain for at least thirty years, it means something quite different in England, Scotland and Wales. This book offers a comparative study both of the central government departments responsible for making and implementing policy for community care, and of ...
This book provides a detailed discussion of the organisation of postgraduate medical education in the NHS, and the administrative and financial implications if changes are to be made. The material is organised within a 'demand and supply' framework: demand from employers, notably the NHS, and supply provided by various institutions ...
This publication consists of the collated information of a survey undertaken in the autumn of 1985 by the Long Term and Community Care Team at the King's Fund Centre. All NHS district general managers in the UK were contacted, to find out about innovations in services for the elderly during ...
The concept of advocacy has been slow in gaining acceptance in the UK. An account of the work of Advocacy Alliance is provided here by Bob Sang, its first co-ordinator, who examines all the barriers (both attitudinal and structural) that are placed in the way of any organisation seeking such ...
This conference was one of a series of meetings Save the Children held to mark the publication of a report on the health of Traveller mothers and children in East Anglia. The conference was designed to give participants an overview of issues about Travellers' health, their difficulties with the health ...
Judy Heumann is currently with the World Institute on Disability, a US policy organisation which works on both national and international issues. During November 1983, she was in England to meet disabled people in Hampshire, Manchester, Nottingham and London, where Centres for Independent Living are being developed. This is a ...
The conference sought to discuss, in the broadest terms, what the definition, function, purpose and relationship of primary health care should be in the future. The conference was held within the context of 'Health for All by the Year 2000' as resolved by the World Health Assembly in 1977. One ...
Papers from a King's Fund international seminar. The contributors work in the health services in Australia, Canada, New Zealand, United Kingdom and the United States. The book deals with three important aspects of working with people in the context of health service administration. The first is that of trying to ...
In the USA, the Joint Commission on Accreditation of Hospitals, (JCAH) has for many years been engaged in defining and promoting standards of good practice in health care. In 1981, a small multi-disciplinary team from the UK supported by a King's Fund grant visited the JCAH in Chicago and took ...
This seminar described the present organisation of infection control in the UK within the hospital and its links with the community. The role and responsibilities of the infection control nurse, infection control officer and other members of the infection control team were discussed with particular reference to relationships and co-operation. ...
This study compares the American experience of both nurse practitioners and physician's assistant with that of Britain. The study traces their professional development alongside that of traditional medicine and nursing and reviews the literature and relevant legislation. The author describes his observations of the work and training of the different ...
This book is a collection of papers given at a conference which examined what the role of senior administrators in the health field should be. The following four questions were addressed by the speakers. Does the senior health administrator have a role as either innovator or catalyst in 1) the ...
The International Seminar of Nurses held at the King's Fund College in July 1976 was the third in the series. The question of leadership and the emergence of leaders is of paramount importance to the nursing profession in the three countries represented, Canada, United Kingdom and United States of America. ...