- jkkhkhkjedit
Research Interests:
Research Interests:
This article considers the inherent problems in attempts to realise The NHS Plan, and suggests some solutions to the paradoxes to be confronted.
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
This month's Provocations feature looks at the content of Secretary of State Alan Milburn's speech launching the Modernisation Agency. What does it all mean?
Research Interests:
Introduction Integrated health and social care systems are central to enabling person-centred care for people with complex needs. This paper reviews the evidence for systems leadership as a vital component in the delivery of these... more
Introduction Integrated health and social care systems are central to enabling person-centred care for people with complex needs. This paper reviews the evidence for systems leadership as a vital component in the delivery of these integrated systems. Delivering integrated health and social care for end of life care is seen as a remedy for the failings demonstrated in the Health Service Ombudsman’s report. Putting the development of integrated systems for end of life at the heart of the NHS agenda is recommended in both the 2015 Health Select Committee report on Palliative Care and the 2015 Choice Review. Hospices bring unique strengths to system leadership, not least their ability to use independence, resources, and expertise to bring the system together in the pursuit of improvement. Hospice leaders can offer system leadership and are well placed to work across organisational boundaries and contribute to the development of integrated care. Aims This paper will showhow the hospice sector can use system leadership to create the necessary conditions for change and how hospice leaders can use their connexions and skills to deliver it. Methods The literature review identifies themes in the discussion of systems leadership in relation to end of life care and the role of the hospice and of hospice leaders. These themes include the legitimacy of the hospice as a system leader and the potential role of hospice leaders in shaping new integrated systems of care. The paper will present a discussion of the way in which hospices and individuals might grasp this opportunity. The discussion will be based on deliberative focus groups with a purposive sample of hospice leaders. Conclusion This paper highlights the opportunity that system leadership creates for both hospices and their leaders to shape the development of integrated health and social care at the end of life.
Research Interests:
Research Interests:
Research Interests:
At present, NHS managers are highly constrained, suffering excessive regulation and central control. More autonomy for trusts would mean fewer directives and less performance management. Giving trusts a new organisational form, such as a... more
At present, NHS managers are highly constrained, suffering excessive regulation and central control. More autonomy for trusts would mean fewer directives and less performance management. Giving trusts a new organisational form, such as a public interest company or foundation hospital, might be reinvigorating and would not involve further reorganisation. These new freedoms should be accompanied by new accountabilities, not solely to politicians but to independent NHS regulators, local communities and patients. Devolved power and greater patient choice could produce a more responsive NHS. Its potential needs to be explored through experimentation and evaluation.
Research Interests:
Research Interests:
This paper describes the new approach being taken to quality improvement and assurance in the UK through clinical governance. The purpose is to identify what is required to make clinical governance work. The paper outlines an underlying... more
This paper describes the new approach being taken to quality improvement and assurance in the UK through clinical governance. The purpose is to identify what is required to make clinical governance work. The paper outlines an underlying set of themes within clinical governance and establishes the central role of interprofessional collaboration in achieving policy aims. It discusses the role that new accountabilities may play in supporting the development of clinical governance in secondary care and the need to consider networks of accountability as an effective way of underpinning collaborative effort. It is argued that a strong backbone of accountabilities will help generate the culture of collaborative working that is necessary to achieve clinical governance objectives. The paper highlights three areas where there are weak links in the chain of accountability.
Research Interests:
This article reviews the King’s Fund’s efforts to establish shared priorities for learning with grant applicants, to improve Londoners’ health through community-level projects. The Fund used partnership working for its Partners for Health... more
This article reviews the King’s Fund’s efforts to establish shared priorities for learning with grant applicants, to improve Londoners’ health through community-level projects. The Fund used partnership working for its Partners for Health grant programme, an innovative framework contrasting with the typical, more narrow and limited, model for funding relationships. The related focus on learning required robust evaluation plans from grant applicants, based on the ‘realistic evaluation’ approach. This shift to grant-aid relationships based on partnership and learning produced varied reactions, and raises far-reaching issues about the challenges presented by partnership that feed into broader debates about the place of partnership in public services.
Research Interests:
Research Interests:
Research Interests:
Research Interests:
The importance of high quality care for patients in the final hours and days of life has received national recognition in recent years.2 3 Increasingly the need to establish this element of care in the core business of hospitals and other... more
The importance of high quality care for patients in the final hours and days of life has received national recognition in recent years.2 3 Increasingly the need to establish this element of care in the core business of hospitals and other care settings is acknowledged. Providing high ...
Research Interests:
Research Interests: Nursing, Higher Education, Palliative Care, Group Processes, Family Practice, and 15 moreMedicine, England, Nominal Group Technique, Humans, End of life care, Consensus, End of life, Education and Training, Gold Standard, General practitioner, BMJ, Clinical Competence, Good Practice, Health Services Accessibility, and interprofessional relations
... Please use this identifier to cite or link to this item: http://hdl.handle.net/10068/391103. Title: Clinical governance under construction Problems of design and difficulities in practice. Authors: Dewar, S. King's Fund, London... more
... Please use this identifier to cite or link to this item: http://hdl.handle.net/10068/391103. Title: Clinical governance under construction Problems of design and difficulities in practice. Authors: Dewar, S. King's Fund, London (United Kingdom). Issue Date: 1999. ...
Research Interests:
Report 1: Overview and recommendations for future research in generalist end of life care ... Report for the National Co-ordinating Centre for NHS Service Delivery and Organisation R... more
Report 1: Overview and recommendations for future research in generalist end of life care ... Report for the National Co-ordinating Centre for NHS Service Delivery and Organisation R & D (NCCSDO) ... Irene J Higginson1, Cathy Shipman1,2, Marjolein Gysels1, Patrick ...
Research Interests:
The King's Fund has been running its nationally recognised award winning Enhancing the Healing Environment programme since 2000. In 2006 a pilot programme was launched in partnership with NHS charities and Marie Curie Cancer Care to... more
The King's Fund has been running its nationally recognised award winning Enhancing the Healing Environment programme since 2000. In 2006 a pilot programme was launched in partnership with NHS charities and Marie Curie Cancer Care to improve Environments for Care at ...
Research Interests:
Research Interests:
Reforming complaints systems: UK and New Zealand. By - Belinda Finlayson, Steve Dewar.