Showing papers in "British Journal of Healthcare Management in 1999"
TL;DR: What a great start to 1999, with papers bursting with stories describing ‘trolley jams’ in the corridors of many of the country's hospitals as patients wait several hours before an appropriate in-patient bed becomes available.
Abstract: What a great start to 1999. Papers bursting with stories describing ‘trolley jams’ in the corridors of many of the country's hospitals as patients wait several hours before an appropriate in-patient bed becomes available; the relatives of patients being asked to help ease the workload on nurses by washing, dressing and feeding patients themselves, and there seems little dignity for the deceased either with refrigerated lorries being employed by hospitals with overflowing mortuaries.
20 citations
TL;DR: In this paper, the authors examine why the government has endorsed the European Foundation for Quality Management (EFQM) Excellence Model as the most expedient management tool for implementing its clinical governance agenda.
Abstract: This article examines why the government has endorsed the European Foundation for Quality Management‘s Excellence Model as the most expedient management tool for implementing its clinical governance agenda.
6 citations
TL;DR: Following the fever pitch of the inauguration of America's new President, it is time for the President to roll up his sleeves and deliver on the promises he made, given the current financial climate.
Abstract: For those of you who may have been hibernating this winter, last month saw the inauguration of America's new President, Barack Obama. And following the fever pitch of this momentous occasion, it is time for the President to roll up his sleeves and deliver on the promises he made. Not least, perhaps, with healthcare reform, given the current financial climate.
5 citations
TL;DR: This article suggests a new matrix of inter-organisational relationships within Primary Care Groups based on research conducted by the Health Education Authority.
Abstract: This article suggests a new matrix of inter-organisational relationships within Primary Care Groups based on research conducted by the Health Education Authority.
4 citations
4 citations
TL;DR: In this article, emotional management techniques can help managers and their staff cope with major change in organizations, which can often create feelings of fear and isolation, but they can also help managers in their work.
Abstract: Major change in organisations can often create feelings of fear and isolation, but learning emotional management techniques can help managers and their staff.
3 citations
TL;DR: Early messages from the first year of data collection are presented, showing how personal medical services pilots are using local contracts to tackle health inequalities, particularly in areas such as the inner city.
Abstract: Personal Medical Services pilots are using local contracts to tackle health inequalities, particularly in areas such as the inner city, where General Medical Services are seen to have failed. The King's Fund has been working with four London pilot sites on their local evaluations, and this paper presents early messages from the first year of data collection.
2 citations
TL;DR: In this paper, the cumulative experience of the regulators in the water and electricity supply industries has yielded important insights into the use of cost benchmarking for the NHS, drawing lessons of direct relevance to the NHS.
Abstract: The cumulative experience of the regulators in the water and electricity supply industries has yielded important insights into the use of cost benchmarking. This article draws lessons of direct relevance to the NHS.
2 citations
TL;DR: The author assesses the various management tools available in the light of the substantial cultural change required and questions how best to manage public involvement in primary care purchasing.
Abstract: This article questions how best to manage public involvement in primary care purchasing. The author assesses the various management tools available in the light of the substantial cultural change required.
2 citations
TL;DR: In this paper, the authors report on a survey designed to establish user involvement in mental health services, and they seek to stimulate new initiatives and fresh dialogue about the issues, and propose a new dialogue framework.
Abstract: Reporting on a survey designed to establish user involvement in mental health services, this article seeks to stimulate new initiatives and fresh dialogue about the issues.
1 citations
TL;DR: The NHS is offering no or little service to people with mild to moderate Alzheimer's disease; 90 per cent of public spending is on institutional care with very little on prevention.
Abstract: At present the NHS is offering no or little service to people with mild to moderate Alzheimer's disease; 90 per cent of public spending is on institutional care with very little on prevention. But a recent symposium at the RCP showed that we were frustratingly close to a breakthrough in terms of low cost effective services.
TL;DR: This article draws on Welsh experiences to outline potential operational arrangements for clinical governance and seeks to identify ways in which appropriate systems can be firmly embedded within day to day management.
Abstract: This article draws on Welsh experiences to outline potential operational arrangements for clinical governance. It seeks to identify ways in which appropriate systems can be firmly embedded within day to day management.
TL;DR: In this paper, the authors describe moving the deckchairs on the Titanic as a quick and easy description of NHS organisational change, which is not without good reason either, since, despite the almost continual state of reorganisation since 1948, we are yet to see a service capable of delivering its original goals.
Abstract: ‘Moving the deckchairs on the Titanic’ has often served as a quick and easy description of NHS organisational change. Not without good reason either, since, despite the almost continual state of reorganisation since 1948, we are yet to see a service capable of delivering its original goals.
TL;DR: This article discusses Best Practice Guidelines, in particular, how to draft and deploy them correctly, whether or not they are needed in the future.
Abstract: This article discusses Best Practice Guidelines, in particular, how to draft and deploy them correctly.
TL;DR: A raft of new legislation for workers' rights has been introduced by the Government as mentioned in this paper and a key issue is the new legal landscape for unfair dismissal, which will have an impact on all employers.
Abstract: A raft of new legislation for workers’ rights has been introduced by the Government. A key issue is the new legal landscape for unfair dismissal, which will have an impact on all employers. What are these changes and what can employers do to protect themselves?
TL;DR: An examination of the pivotal role carers need to play if collaboration is to be meaningful in the support of young people with mental health problems.
Abstract: An examination of the pivotal role carers need to play if collaboration is to be meaningful.
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TL;DR: In this paper, the authors investigate whether the new public-private sector partnerships prove as benign as the government claims, and are the objectives of private finance and the egalitarian principles of the NHS really compatible?
Abstract: Will the new public-private sector partnerships prove as benign as the government claims? Are the objectives of private finance and the egalitarian principles of the NHS really compatible? We investigate.
TL;DR: The authors demonstrate the fundamental nature of Assertive Community Treatment (ACT) and the role it has to play in assisting to deliver on the wider strategic aims of securing sound and supportive services.
Abstract: This article is an attempt to demonstrate the fundamental nature of Assertive Community Treatment (ACT) and the role it has to play in assisting to deliver on the wider strategic aims of securing sound and supportive services.
TL;DR: Drawing on several recent surveys and the inquiry into surgical standards at the Royal Brompton, the author discovers scandalous evidence of thoughtless behaviour and discriminatory rationing.
Abstract: Anticipating the government's National Learning Disability Strategy, this article questions whether people with learning difficulties are getting what they need from the NHS. Drawing on several recent surveys and the inquiry into surgical standards at the Royal Brompton, the author discovers scandalous evidence of thoughtless behaviour and discriminatory rationing.
TL;DR: ‘Medical science is now capable of things that were complete sci-fi to Beveridge and Bevan,’ says Widdecombe.
Abstract: Last month the Government published its controversial clinical and high level performance indicators and took another important step down the road impelled by the disaster at Bristol. But Widdecombe doesn't sound like she is reading the last rites to the NHS, she links its problems to its successes rather than any failures. ‘Medical science is now capable of things that were complete sci-fi to Beveridge and Bevan.
TL;DR: Effective communication is not only one of the best forms of risk prevention, but can have an important and profound impact on health outcomes.
Abstract: Effective communication is not only one of the best forms of risk prevention, but can have an important and profound impact on health outcomes.
[...]
TL;DR: A key architect involved in the creation of the lauded National electronic Library for Health, the author outlines the thinking behind the project and the pivotal role it will play in the Government's modernisation drive as mentioned in this paper.
Abstract: A key architect involved in the creation of the lauded National electronic Library for Health, the author outlines the thinking behind the project and the pivotal role it will play in the Government's modernisation drive.
TL;DR: Those south of the border who doubt that the advent of Primary Care Groups (PCGs) has serious ramifications for the future of NHS Community Health Services (CHS) should take a short visit to Scotland.
Abstract: Those south of the border who doubt that the advent of Primary Care Groups (PCGs) has serious ramifications for the future of NHS Community Health Services (CHS) Tr usts should take a short visit to Scotland. Any such doubts or opinions would be quickly dispelled.
TL;DR: In this article, the authors seek to guide managers through the often arduous task of facilitating an independent inquiry and provide guidance in the process of conducting an investigation of a company's conduct.
Abstract: This article seeks to guide managers through the often arduous task of facilitating an independent inquiry.
TL;DR: Normally, the passage of a Bill, with all its convoluted language contrived by the specialist Parliamentary legal draftsmen, is one of the most excruciatingly boring things to observe, but some bills are more stimulating than others.
Abstract: Normally, the passage of a Bill, with all its convoluted language contrived by the specialist Parliamentary legal draftsmen, is one of the most excruciatingly boring things to observe. Nonetheless, some bills are more stimulating than others. For example, the new Mental Health Act. Although many would argue that any legislation foreshadowed by Health Secretary Frank Dobson is bound to be interesting, I must confess that interest on my part has been guaranteed more by strong personal feelings about the subject.
TL;DR: The sustained growth of the internet has catalysed the development of NHSnet — a secure intranet linking GP's surgeries to secondary care and the technology's attendant philosophy of empowered consumerism has facilitated the introduction of intelligent triage 1 systems like NHS I Direct.
Abstract: The role of medicine in modern society is expanding and evolving at a rapid pace. Based on the attenuation and application of knowledge, it has been profoundly influenced by the impact of advances in information technology. The continued and massive changes to primary care in this country being one obvious example of this. The sustained growth of the internet has catalysed the development of NHSnet — a secure intranet linking GP's surgeries to secondary care. And the technology's attendant philosophy of empowered consumerism has facilitated the A introduction of J intelligent triage 1 systems like NHS I Direct and the new approach to personal health sym-bolised by Walk In centres.
TL;DR: This article explores the various options outlined in the recently launched mental health strategy by the Department of Health and Social Care.
Abstract: This article explores the various options outlined in the recently launched mental health strategy.
TL;DR: The National Health Service bids farewell to the ministerial equivalent of Status Quo as discussed by the authors, and just like their pop music equivalents, Messrs Dobson and Jowell have completed their performance well before the first interval.
Abstract: So the National Health Service bids farewell to the ministerial equivalent of Status Quo. And, just like their pop music equivalents, Messrs Dobson and Jowell have completed their performance well before the first interval... or have they?
TL;DR: The authors explores how the interplay between the devolution and health policy agendas may evolve over the next few years, and identifies potential pressure points, and explores the potential for pressure points.
Abstract: This paper explores how the interplay between the ‘devolution’ and ‘health policy’ agendas may evolve over the next few years, and identifies potential pressure points.