Showing papers in "British Journal of Healthcare Management in 2000"
6,291 citations
TL;DR: Preliminary findings from a major survey of multidisciplinary team working and effectiveness in primary, secondary and community health care teams are presented.
Abstract: With the arrival of the National Plan, this timely paper presents preliminary findings from a major survey of multidisciplinary team working and effectiveness. The three-year study covered primary, secondary and community health care teams.
321 citations
TL;DR: The history, establishment and methodology of the NHS Purchasing and Supply Agency (PASA) is looked at and the possibilities for better management in this vital area are looked at.
Abstract: This article looks at the history, establishment and methodology of the NHS Purchasing and Supply Agency (PASA). PASA's Chief Executive Duncan Eaton looks at the possibilities for better management in this vital area.
23 citations
TL;DR: As the final few days stretch out before the festive season, managers throughout the country will be hoping that the seasonal flu remains as it is at present: mainly of the least virulent strain.
Abstract: Another year winds itself up like a scroll. As the final few days stretch out before the festive season, managers throughout the country will be hoping that the seasonal flu remains as it is at present: mainly of the least virulent strain. The prayer must be that, if not ‘the season to be jolly’, this winter will not be the cause of misery for patients and for all the team of staff throughout the health service.
21 citations
TL;DR: The realisation that the NHS cannot deliver the scope and standard of health care that meets the public's expectations appears to have come as something of a revelation to some commentators and health organisations.
Abstract: Whatever apocalyptic dramas accompany the Millennium (whenever it is), there is little doubt that the NHS is now facing its own day of judgement. The realisation that the NHS cannot deliver the scope and standard of health care that meets the public's expectations appears to have come as something of a revelation to some commentators and health organisations.
14 citations
TL;DR: This series of cost-benefit analyses moves on to ways of making clinically-effective and cost-effective progress in management of wound dressings.
Abstract: Our new series of cost-benefit analyses continues. As budgetary constraints, evidence-based medicine and health economics have come to the fore in managing health care, the importance of examining cost-effective solutions to common health care problems has grown. We move on to ways of making clinically-effective and cost-effective progress in management of wound dressings.
5 citations
TL;DR: ‘Setting up the medical establishment as a high-profile whipping boy creates an alternative source of blame and helps to deflect public anger away from the government’
Abstract: ‘Setting up the medical establishment as a high-profile whipping boy creates an alternative source of blame and helps to deflect public anger away from the government’
5 citations
TL;DR: This provocative article, written from the perspective of a consultant geriatrician, argues that the perverse incentives within the overall system will frustrate the government's current policy objectives.
Abstract: This provocative article, written from the perspective of a consultant geriatrician, argues that the perverse incentives within the overall system will frustrate the government's current policy objectives.
4 citations
TL;DR: Andy Bell of The King's Fund looks at the public consultation exercise, and considers what its results could actually mean.
Abstract: If Chancellor Gordon Brown was playing Santa Claus with the Budget bonus for the NHS, the time has come to look after the puppy of reform that accompanied the new bicycle of extra funding. Andy Bell of The King's Fund looks at the public consultation exercise, and considers what its results could actually mean.
4 citations
TL;DR: The NHS Plan (Department of Health, 2000) is a blueprint for transforming the culture of the NHS and with little exception, the plan is rooted in a strong, centrally-controlled and quantitatively-orientated approach.
Abstract: The NHS Plan (Department of Health, 2000) is a blueprint for transforming the culture of the NHS. If successful, it will result in an innovative, patient-focused and 21st century health service. However, with little exception, the plan is rooted in a strong, centrally-controlled and quantitatively-orientated approach.
4 citations
TL;DR: This paper examines the introduction of a new system to assist in the management of violence in a psychiatric in-patient environment with important lessons about change management.
Abstract: This paper examines the introduction of a new system to assist in the management of violence in a psychiatric in-patient environment. Challenges and successes in the implementation of clinical effectiveness guidelines are honestly discussed and presented, with important lessons about change management.
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TL;DR: On a recent weekend in Somerset, my daughter, Terry, told me the good news that my beautiful granddaughter, Lauren, has decided to become a psychiatrist instead of a fat-kitten commercial lawyer.
Abstract: On a recent weekend in Somerset, my daughter, Terry, told me the good news that my beautiful granddaughter, Lauren, has decided to become a psychiatrist instead of a fat-kitten commercial lawyer. Her choice of psychiatry owes much to my daughter's complaint that her own profession, clinical psychology, is very much undervalued in the NHS.
TL;DR: The NHS Plan (Department of Health, 2000) would be easy to be cynical about, ‘All politicians are bad, everything they do is full of lies and they will always get it wrong’.
Abstract: Most people have heard a version of the venerable quip that if you want to hear God laugh, you should tell Him your plans. In such a light, it would be easy to be cynical about The NHS Plan (Department of Health, 2000). The facile response would go something like, ‘All politicians are bad, everything they do is full of lies and they will always get it wrong. Plans never work. Can't you hear that sound? That's God laughing.’
TL;DR: This work considers how Total Purchasing helped prepare primary care organisations for the change to Primary Care Groups and proposes a population-based strategy for health.
Abstract: We consider how Total Purchasing helped prepare primary care organisations for the change to Primary Care Groups. PCGs’ focus in developing a public health role and addressing health inequalities is thrown into relief by the limited enthusiasm found for increased accountability, partnership-working and adopting a population-based strategy for health.
TL;DR: This article presents a strong personal view of the potential value and use of humour within the context of delivering health care, and the lessons that it can convey uniquely and valuably.
Abstract: This article reviews the importance and uses of humour, narrative and learning methods in medicine. It presents a strong personal view of the potential value and use of humour within the context of delivering health care, and the lessons that it can convey uniquely and valuably.
TL;DR: The benefits discovered by Ealing Hospital NHS Trust pathology services and The Doctors Laboratory when they worked together to set up a public–private partnership for pathology services are discussed.
Abstract: This article discusses the benefits discovered by Ealing Hospital NHS Trust pathology services and The Doctors Laboratory when they worked together to set up a public–private partnership for pathology services.
TL;DR: In this article, the authors examine the role of mission statements in the creation of a "quality culture" in the NHS and question the effectiveness of some of the attempts at culture management.
Abstract: The creation of a ‘quality culture’ has been identified as a central feature of the Government's approach to managing the new NHS. Is this a realistic aim? This article examines the role of mission statements in this enterprise, and questions the effectiveness of some attempts at culture management. Has the mission (statement) been accomplished?
TL;DR: The learning outcomes and practical use-value of this way of working are examined, as are implications for future training programmes.
Abstract: This paper explores recent initiatives in the use of a competence framework method regarding the training of managers in Primary Care. The learning outcomes and practical use-value of this way of working are examined, as are implications for future training programmes.
TL;DR: With the formation of Primary Care Groups and Trusts, a new level of responsibilities has passed on to practice managers in general practice and the implications for levels of stress and job satisfaction are considered.
Abstract: With the formation of Primary Care Groups and Trusts, a new level of responsibilities has passed on to practice managers in general practice. This article considers the implications for levels of stress and job satisfaction for this important group: a subject not reported previously.
TL;DR: Comparing positions and attitudes between 1998 and 1999 is compared and central themes in the views of managers are discussed and potential implications for the management of mental health services are examined.
Abstract: Since July 1996, researchers at the Centre for Mental Health Services Development have surveyed senior managers of London mental health services to identify changing positions and attitudes. This paper compares positions and attitudes between 1998 and 1999. Central themes in the views of managers are discussed and potential implications for the management of mental health services are examined.
TL;DR: This paper draws on a recent survey of senior hospice personnel's opinions to suggest the new agenda for hospice provision in terms of Health Improvement Programmes and Primary Care Groups.
Abstract: This paper draws on a recent survey of senior hospice personnel's opinions to suggest the new agenda for hospice provision in terms of Health Improvement Programmes and Primary Care Groups.
TL;DR: This article examines statistical methods of analysing and modelling patient flow in a geriatric ward and could hold some valuable lessons for the wider issues of managing demand.
Abstract: As the winter preparations continue apace, this article examines statistical methods of analysing and modelling patient flow in a geriatric ward The lessons and outcomes of this project could hold some valuable lessons for the wider issues of managing demand Will these lessons be learnt, or indeed heard?
TL;DR: This article takes as its starting point the programme of a recent conference organised by Dr David Kernick, author of May's ‘Provocations’ piece, as the starting point for a former subject: the perception of health economics by medics.
Abstract: The ‘Provocations’ series returns to a former subject: the perception of health economics by medics. This article takes as its starting point the programme of a recent conference organised by Dr David Kernick, author of May's ‘Provocations’ piece.
TL;DR: Andy Bell of The King's Fund looks at health inequalities in the NHS and whether the political and managerial will exist to address the many issues preventing greater equality.
Abstract: Andy Bell of The King's Fund looks at health inequalities in the NHS Are they inevitable? Does the political and managerial will exist to address the many issues preventing greater equality?
TL;DR: This article covers the mid-point findings of a research programme into the impact of Health Improvement Programmes (HImPs) in a sample of six Primary Care Groups and considers HImPs’ value and likely strategies for further development.
Abstract: This article covers the mid-point findings of a research programme into the impact of Health Improvement Programmes (HImPs) in a sample of six Primary Care Groups. It considers HImPs’ value and likely strategies for further development.
TL;DR: The National Institute for Clinical Excellence (NICE) is trundling along nicely with a ‘bash’ in Harrogate before Christmas, and its Director appearing all over the place, preaching the virtues of his organisation.
Abstract: The National Institute for Clinical Excellence (NICE) is trundling along nicely with a ‘bash’ in Harrogate before Christmas, and its Director appearing all over the place, preaching the virtues of his organisation.
TL;DR: This paper examines the particular difficulties faced by Health Authorities in tackling this complex agenda of inequality.
Abstract: Building on the received wisdom of the 1998 Acheson Report on Health Inequalities, this paper examines the particular difficulties faced by Health Authorities in tackling this complex agenda.
TL;DR: How prior reforms have affected primary care in England is examined, and the new challenges of collaborating with social services professionals are considered, and ways to optimise such partnerships suggested.
Abstract: As speculation about the imminent NHS reform plan alludes to closer formalised integration of health and social services, this article examines how prior reforms have affected primary care. The new challenges of collaborating with social services professionals are considered, and ways to optimise such partnerships suggested.
TL;DR: The changing nature of professional development and the implications of such plans are discussed from the GPs perspective, drawing on the experience of GP tutors in Sheffield.
Abstract: Personal Development Plans (PDPs) are being introduced across the UK as a requirement for all health care professionals. In this article the changing nature of professional development and the implications of such plans are discussed from the GPs perspective, drawing on the experience of GP tutors in Sheffield.
TL;DR: Andy Bell of The King's Fund considers the inherent problems of finding workable criteria by which NHS performance and improvement can be judged.
Abstract: Continuing our new series of ‘Provocations’, Andy Bell of The King's Fund considers the inherent problems of finding workable criteria by which NHS performance and improvement can be judged.