Hello
I have pasted below the current publications catalgue of the Nuffield Trust. Publications can be ordered by mail from:
Sheila MacGregor
Office Manager
The Nuffield Trust
59, New Cavendish Street
London
W1G 7LP
or by phone: 0207 631 8450
Some are available as free pdf downloads from: www.nuffieldtrust.org.uk
bw
Adam
THE NUFFIELD TRUST
PUBLICATIONS CATALOGUE - April, 2003
New Publications Since June, 2002:
** Health Care Priority Setting: Proceedings of the meeting of the Health Equity Network,
November, 2002
Editor: Adam Oliver
ISBN 1-902089-84-7 Price: £10.00 Paperback Report
**Health Inequalities: Proceedings of the meeting of the Health Equity Network,
July, 2002
Editor: Adam Oliver
ISBN 1-902089-82-0 Price: £10.00 Paperback Report
These are the two latest reports of the Health Equity Network. They are also available as free pdf downloadable reports on The Nuffield Trust website.
**Globalisation & Transborder Health Risk in the UK: case studies in tobacco control and population mobility
Jeff Collin and Kelley Lee
This is the report of a project funded by The Nuffield Trust as part of its interest in the implications of globalisation for health in the UK. It looks in some detail at transborder health risk, population mobility and public health. It considers the case of the tobacco industry and tobacco control in detail, showing how industry interests have slowed up the impact of legislation to curb tobacco advertising, in order to protect revenues. The study ends with a call to the UK government to develop a national strategy on global health that recognizes the broad and diverse challenges of globalisation for public health in the UK. A ground-breaking report which must be read by those who wish to be at the leading edge of thought in health policy making at the beginning of the 21st century.
ISBN 1-902089-78-2 Price: £10.00 Paperback Report
**Care of the Dying and the NHS: some carers' views
Compiled by Jayne Thomas
This is a report of a day of consultation and discussion held in July, 2002 at St.Christopher's Hospice, South London, and organised jointly by the hospice and the National Council for Hospice and Specialist Palliative Care Services (the National Council) in response to a request from the Nuffield Trust to gather the views of some carers on Care of the Dying and the NHS. The meeting was funded by the Trust. The report is not easy reading for anyone passionately concerned with the quality of NHS care and shows where shortcomings and deficiencies of care of the dying lie in all to stark detail, as told through the eyes of carers who have watched their loved ones die on NHS premises.
ISBN 1-902089-77-4 Price: £5.00 Paperback Report
**Inquiries: Learning from Failure in the NHS?
Dr Kieran Walshe
This report explores the use of inquiries in the NHS. It presents an overview of their history and development; describes their purposes and how and why they are set up; discusses the models, methods and processes that inquiries use; and reviews how their findings and recommendations are used. It concludes by outlining some lessons for policymakers and other stakeholders in the NHS, which might inform the design and conduct of future inquiries and further research in the area. From the Committee of Enquiry into the allegations of abuse and ill treatment of long-stay patients at Ely Hospital in Cardiff in 1967 to the Public Enquiry into the treatment of patients by Dr Harold Shipman in 2001 this report is a fascinating study of inquiries, their type, nature, cost and effect in shaping health policy change. It is also a must read publication for those interested in the developing area of regulation of health care.
ISBN 1-902089-76-6 Price: £5.00 Paperback Report
** Arts, Health and Well-being
Dr Robin Philipp, Professor Michael Baum, Dr Jane Macnaughton, Sir Kenneth Calman
This report summarises the outcome of the Nuffield Trust Windsor I and II conferences on the Arts, Humanities and Medicine held in March, 1998 and September, 1999 respectively. It includes the full transcript of the influential Windsor Declaration that made important recommendations in the fields of professional education, arts therapies and creative environments and the place of the arts in community development and health. It also points the way forward in the development of the humanities in healthcare, a new inter-discipline of increasing significance.
ISBN 1-902089-75-8 Price: £14.50 Paperback Report
**Privacy and the Secondary Use of Data in Health Research: Learning from Experience
Dr William Lowrance
Dr Lowrance, international health policy consultant, explores how the two social goods - improved knowledge and privacy - implied in this question can be pursued simultaneously. It describes the importance of the issue, reviews the background, mentions many examples of research and privacy protection, identifies problems, and suggests ways forward. This report is required reading for anyone concerned with the ethics of research and access to health databases.
ISBN 1-902089-73-1 Price: £10.00 Paperback Report
**Identity and Ideology
Mr Stephen Davies
Stephen Davies undertook this comparative study of USA and UK Academic Health Centres while pursuing a Harkness Fellowship at the Institute for Health Policy at Massachusetts General Hospital within the Partners HealthCare System between September 2001 and July 2002. It probes a key area of health policy: the relationship between service provision and academic teaching and training of doctors in two differently funded and managed health care systems. A report of crucial relevance to the UK at a time when supply of qualified Doctors remains a rate-limiting factor on the achievement of the ambitious targest set out in the NHS Plan.
ISBN 1-902089-74-X Price: £5.00 Paperback report
**Foundations for Health Improvement'
Professor Walter Holland
In this remarkable work of public health scholarship, Professor Holland charts and compares epidemiological public health research in the UK and USA between 1919 and 1998, dividing this span of time into two eras: 1919-1939 and 1945-1998. In two annexes to the text, public health research in the German Democratic Republic before the fall of the Berlin Wall is examined and the political influences which shaped it, and the BSE crisis and the public health response to it is explored.
ISBN 0117029947 Price: £21.50 Hardback (TSO)
**The Autonomous Patient
Professor Angela Coulter
In this monograph Professor Angela Coulter examines the changing nature of the clinician-patient relationship and recommends some tools to enable patient autonomy to develop in an appropriate way. Set in the wider context of health and societal trends, it is a fascinating study of the changing nature of medicine at the beginning of the 21st century.
ISBN 0 11703056 2 Price: £5.99 Paperback (TSO)
**From Conception to Birth - a policy analysis of the NHS University
Professor Celia Davies
In this Nuffield Trust Report, Professor Celia Davies charts the provenance of the corporate NHS University and predicts possible futures. She examines in particular the maelstrom of political influences at play and highlights nursing education as a particular battleground of public policy. The report is set in the wider context of the development of higher education covering the spectrum from the traditional Universities through to the new corporate Universities.
ISBN 1 902089 71 5 Price: £5.00 Paperback
** Introducing Market Forces into Healthcare
Professor Alain C. Enthoven
In this speech given by Professor Alain Enthoven at The Fourth European Conference on Health Economics in Paris on July 10th, 2002, an interesting comparison is made between the 'internal market' years of the NHS and the American healthcare industry. Professor Enthoven argues the case for targeted and managed market reform as being the only way forward in creating efficient healthcare delivery systems.
ISBN: 1 90 208970 7 Price: £5.00 Paperback (TSO)
____________________________________________________
**The State of Communicable Disease Law
Dr Stephen Monaghan
This report examines the key area of Communicable Disease Law in the UK and its current appropriateness to a global context and the advent of bioterrorism. Dr Monaghan tracks the development of English statute and highlights the problems that would be encountered in trying to take a UK-wide perspective because of the divergence of law and policy in the four countries, particularly with the development of devolution.
ISBN: 1 902089 65 0 Price: £19.50 Paperback Report
The Maureen Dixon Essay Series on Health Service Organisation (No. 4)
** Being a Health Service Manager - Expectations and Experience. A study of four generations of managers in the NHS
Andrew Wall
This essay discusses the experiences and expectations of being a health service manager . It is based on the detailed analysis of interviews with four generations of health service managers, which were recorded on CD-ROM. Given the changing status of managers, the experience that the participants narrate will reflect key changes in the nature of the job and such discussion is undeniably important.
ISBN: 1 902089 64 2 Price: £4
**The Issues Panel for Equity in Health. The Discussion Papers
Edited by Adam Oliver, Richard Cookson & David McDaid
This set of discussion papers, written by leading UK experts from an unusally wide range of disciplinary backgrounds, attempts to set out and classify, in a reasonably complete and systematic manner, the full range of issues raised by the pursuit of equity in health. This is done in the belief that progress in tackling inequities in health in the UK has been hampered by a lack of clarity on these issues, as well as political and practical obstacles. It is also done in the hope that reading these papers will help people at least to agree on what it is that they are disagreeing about when they argue about equity in health.
ISBN: 1 902089 Price: £5 Paperback Report
**International Perspectives on Equity and Health: As seen from the UK
This publication is the second in a series based on seminar workshops organized by the Health Equity Network. This set of papers seeks to explore and increase understanding of the issues which link concerns with equity and health in the UK and globally, with an emphasis on low and middle income countries. It gives new international perspectives on Equity, in the context of globalization.
Edited by Adam Oliver
ISBN:1 902089 65 0 Price: £5 Paperback Report
**Divergence and Devolution
Scott Greer
In this report the author examines the four UK health care systems and finds evidence of significant divergence of policies and priorities despite the primary-care led, market-orientated English model being New Labour's goal for them all. Scott Greer asks what the NHS would look like if a single organisation structure and set of priorities were allowed to bed down and become institutionalised and notes that for decades NHS staffers have complained that they could do a good job running the service if they were freed of constant reorganisation.
ISBN: 1-902089-63-4 Price: £5 Paperback Report
Medicine Matters After All.. Measuring the benefits of medical care, a healthy lifestyle, and a just social environment
John Bunker
Dr John Bunker, Professor Emeritus at Stanford University and visiting Professor of Epidemiology and Public Health at University College London Medical School states in this monograph that medical practitioners of the past have, in general, assumed that medicine is the dominant determinant of health. Indeed, such has been the view of many scientists and of most members of the public. Medicine's role has been, however, shown to be relatively small in the first half of the twentieth century. The claim that medicine has little to contribute to health was widely accepted by public health analysts, who concluded that it is unhealthy personal habits that are largely responsible. Accordingly, large public programmes of community health promotion were set up to encourage adoption of a healthier lifestyle. When these programmes failed to achieve their objectives, attention was shifted to the poor health associated with social and economic deprivation. In the resultant crusade to reverse the inequality in health associated with social position, it was again argued that medicine is relatively unimportant, perhaps even harmful. Medicine, lifestyle and socio-economic influences all, in fact, do have large and important effects on health. The contributions of each should be carefully weighed against those of the others, and each must be assessed in the broader context of the greater impact of public health measures achieved earlier in the twentieth century. Drawing on a broad range of knowledge and understanding that extends from basic science through clinical practice to epidemiology the author examines the relative contributions to improvement in mortality and morbidity played by a social policy initiative, a prevention strategy and medical care.
ISBN: 0117027286 Price: £12
Auditing the Auditors: Audit in the National Health Service
Patricia Day & Rudolf Klein
This book focuses on the Audit Commission which, since 1991, has been charged with auditing the activities of health authorities and trusts, in addition to those of local government. The Audit Commission not only examines the financial accounts but also scrutinises the performance of the NHS: the way in which hospital beds are used, professional staff are deployed and services are organised. But how effective is the Audit Commission in carrying out this task? How does it generate the criteria against which to assess performance in the NHS? How do its activities relate to those of the other actors in the increasingly crowded audit field, such as the National Audit Office and the Commission for Health Improvement? Is there a case for rationalising the multiplicity of audit agencies? This book addresses these and other questions: it is the first study to provide an audit of audit in the NHS. In doing so, it provides new insights into the NHS and into the larger world of inspection and accountability in the public sector.
ISBN: 0117027529 Price: £12
**Promoting Mental Health in a Civil Society: Towards a Strategic Approach
Marcus Longley, Richard Williams, Sally Furnish, Morton Warner
Mental health problems are projected to be one of the largest pressures on health care resources by the year 2025. Mental health services have been subject to constant reorganisation during the last 40 years yet there is little evidence that existing mental health institutions will be equipped or indeed appropriately configured to respond to this. This book addresses the challenges facing the providers of mental health services in the twenty-first century and the responses in terms of redesign, as distinct from reorganisation, that might be appropriate to meet these needs, with the overall objective of developing a strategic intent and direction for mental health in the United Kingdom. This book demonstrates that there is a clear national commitment to improved mental health services but asks, where is the strategic framework to bring in education, employment, housing and all other aspects of a civil society that could do so much to maintain people's mental health.
ISBN: 1-902089-61-8 Price: £4
Building a 2020 Vision: Future health care environments
Susan Francis, Rosemary Glanville
This book is the outcome of a one year project that has scanned and synthesised key issues and trends across health care and design. The study recognises that two key industries, health and construction, are each undergoing a phase of accelerated change and modernisation. It addresses four main topics from care organisation and location to design and construction and has synthesised these into a vision for future health care environments. Information from policy, research and practice on these topics has been gathered and how they affect the planning and design of environments for care has been analysed. The study draws on literature and a series of multi-disciplinary focus group meetings with experts from health and architecture looking separately and together at the four main topics. It is observed that the current policy emphasis on patient centred care is not particularly evident in the designs for health care buildings. As design can be a catalyst for change the interface between health service clients and designers is not being utilised to best effect. This book is about stimulating new thinking. It does not attempt to deliver a definitive or singular concept for the design of health buildings in 2020. Rather it sets out a vision that advances emergent policy, research and good practice.
ISBN: 0117028010 Price: £19.50
Ninth H.M. Queen Elizabeth the Queen Mother Fellowship
Between You and Me. Closing the gap between people and health care
Professor Jessica Corner
In this monograph Professor Corner explores how the relationship between health care and those in need of it operates and is experienced: how and why in many instances health care erodes or undermines this relationship and calls for a more concerted effort to be made to incorporate the notion of 'self' and care of people's 'selves' into health care. Also explored is the 'great space' between the patient and the health care system, the power of biomedicine, the fact that gender continues to determine professional health care roles, and the contribution of the built environment to health care.
ISBN: 0 11 702529 1 Price: £17.50 Hardback pp66
**Local Medical Emergency Units. Learning Set Interim Report
Edited by Durrow
The UK supports around 225-250 District General Hospitals with 'traditional' planning populations of around 250,000. In 1997 the BMA published a paper suggesting that 400,000 population might be the right planning assumption for the future. In such a scenario perhaps 100 communities with current DGHs would be drawn into discussions about the future of their acute hospitals. The learning set, formed in 1990, set out to examine and test the proposition 'can undifferentiated medical emergencies be managed at local level'. This is their interim report.
ISBN: 1 902089 60 X Price: £5 PaperbackA4 pp 55
**Faculty of Public Health Medicine Queen Elizabeth the Queen Mother Lecture
Gases Germs, Genes and Greenhouse: The changing landscape of population health
Professor A.J. McMichael
Public health has always had a commitment to learn from the past and to use this knowledge to look to the future. This lecture not only does this but reminds us that some of the problems of the past are just as relevant today. It reviews some of the new issues in health and covers aspects of infection, environmental hazards, genetic advances and pollution.
ISBN: 1 902089 59 6 Price: £5 PaperbackA4 pp24
**Care for the Dying and the NHS. The Buckinghamshire Declaration
Care for the Dying and the NHS is an important but often difficult and neglected topic and the Nuffield Trust, in September 2000, sponsored a conference to bring together health professionals and others with varying experiences in and beyond the NHS to generate innovative and practical ideas for improving care for patients and families at the end of life. This leaflet is a summary of the conference and its recommendations.
ISBN: 1 902089 56 1 Price: £2 Pamphlet pp12
**Clinical Ethics Support in the UK: A review of the current position and likely development
Anne Slowther et al
This report describes the findings of an assessment of the current provision of clinical ethics support services in the UK. The objectives of the study were to identify any ethics support services relating to clinical practice currently provided for health professionals working in the UK; to investigate the perceived need for such a service among senior managers and clinicians within the health service; to place the UK experience broadly within an international context; and, to make recommendations on how clinical ethics support could be developed in the UK. The report recommends the further development of a national network of clinical ethics support services to share information and provide education for clinical ethics support services in the UK and the design of specific initiatives to develop models of best practice appropriate to the roles of different trusts, including the new primary care trusts.
ISBN: 1 902089 55 3 Price: £5 Paperback A4 pp75
Nuffield Trust Series No 14
University Clinical Partnership: A new framework for NHS/University Relations
Tom Smith
This monograph is a synthesis of recent work in the UK to develop the interface between university teaching hospitals and medical schools. It touches on the totality of the NHS/university interface, but it is principally concerned with the major centres in which the complex components of health service provision, research and education are combined across organisational boundaries. The book outlines the recent history of NHS/University relations, the state of current relations and the contemporary challenges that face this partnership at different levels.
ISBN: 0 11 702679 4 Price: £12 Paperback pp97
**The Boundaries Between Health and Social Care for Older People in Developed Countries
Mark Minford
ISBN: 0 902089 58 8 Price: £6 A4 pp247
**Systems For the Care of People with Mental Health Problems in Developed Countries
Mark Minford
These two reports look at how other countries provide care for people with mental health problems. They are concerned with the boundary problems that arise in providing care across various agencies and examines how the UK can learn from models of excellence in other countries. The reports describe the findings of a nine month study fellowship examining long-term and mental health care in the United States of America, New Zealand, Australia, Singapore, the Netherlands, Germany and Sweden.
ISBN: 1 902089 57 X Price £4 A4 pp103
**The Maureen Dixon Essay Series on Health Service Organisation (No. 3)
Colouring the Kaleidoscope. Emotion in health care organisation
Annabelle Mark
The author uses the metaphor of a kaleidoscope to explore emotion in health care organisation. It is an aspect of health care delivery and organisation which she suggests has been marginal to our understanding. Yet as she shows, the manipulation of emotion in both patients and professionals has become central to that relationship and the context of the health care system in which it operates. Developments in the understanding of emotion and the role it now plays in society is contrasted with the continuing emphasis of scientific rationality in medicine, which, although necessary is not sufficient for the organisation of health care in the 21st century.
ISBN: 1 902089 54 5 Price: £4 A4 pp41
Nuffield Trust Series No 13
The Impact of New Technologies on Future Primary Care
Edited by Professor Aly Rashid
This publication described a new generation of miniaturised diagnostic equipment and a unique visual interface for the electronic patient record. Some of the developments discussed have considerable implications for skill mix and workforce planning, particularly as patients in the future are more likely to be managed within primary care for their entire illness episode. Such a shift in emphasis will alter the dynamics of the current primary/secondary care referral axis. Such innovations are discussed in the context of the National Health Technology Assessment Programme and information technology strategy. Whilst welcoming new technologies and their positive impact on patient care, widespread adoption of such technologies prior to careful evaluation is cautioned.
ISBN: 1 902089 52 9 Price: £6 Paperback pp41
Rock Carling Fellowship 2000
New Medicines, The Practice of Medicine and Public Policy
Sir Richard Sykes
The author, Chairman of Glaxo Welcome plc at the time of writing, gives a strategic view of how innovation in the development of medicines will impact on the practice of medicine and the delivery of health care during the next two decades. He addresses issues that will affect the pharmaceutical industry and the challenges governments will face in the delivery of care that medical developments will bring about. He looks at the impact of developments in science and technology on new medicines; takes a fresh look at the future demand for medicines and proposes new approaches to the financing of medicines as well as addressing issues on a global scale.
ISBN: 0 11 702676 Price: £16.50 Hardback pp220
Nuffield Trust Series No 12
Dying to Know. Public Release of Information about Quality of Health Care
Martin Marshall, Paul Shekelle, Robert Brook, Sheila Leatherman
Co-published with RAND
Until recently doctors have been trusted by society to provide clinical care without having to demonstrate that they are achieving acceptable standards. Recognition of signficant variation in the quality of health care and recent high profiled examples of the failure of self-policing by the medical profession have started to damage this trust. This has resulted in increasing calls for more information to be made available to the public in the form of comparative performance reports. This book explores the potential advantages and problems of such a strategy. The authors draw upon the extensive experience of public disclosure in the United States and examine the lessons for an international audience.
ISBN: 1 902089 50 2 Price: £12 Paperback pp137
**A summary document in the form of a pamphlet is also available. Price £1
Eighth H.M. Queen Elizabeth the Queen Mother Fellowship
A Study of Story Telling Humour and Learning in Medicine
Professor Sir Kenneth Calman
In this book Sir Kenneth Calman provides a refreshing glimpse into how to deal with stress, improve bedside manner and retain a level head in an increasingly frantic medical world. Tracing the history of story telling and humour in medicine back as far as Aristotle, Sir Kenneth aims to show how doctors and nurses, past and present, have used humour and story telling in their work for the benefit of both patients and themselves alike. He demonstrates how the various forms of story telling - from case notes to medical textbooks, anecdotes to classical literature and even the world wide web - can help to put medical problems in a new perspective
ISBN: 0 11 702516 X Price: £17.50 Paperback pp152
The Rag and Bone Shop of the Heart
The Most Reverend Richard F. Holloway
Faculty of Public Health Medicine Queen Elizabeth the Queen Mother Lecture
In his lecture, Richard Holloway, Primus of the Episcopal Church in Scotland, presents a diagnosis of the human condition reflecting on key issues of concern to public health, including social exclusion and the use of drugs. In suggesting remedy and therapy he points to both the more radical action which is a strategic change in employment, education, housing and social welfare but recognises that there is also more immediate action than can ameliorate distress. He concludes by warning 'One of the main dangers to the health of our nation is the way power hijacks our very thought processes, so that we deny ourselves the right to think creatively about the problems that confront us'.
ISBN: 1 902089 47 2 Price: £5 A4 pp12
Commonwealth Fund and Nuffield Trust 1999 Margaret E. Mahoney Symposium
Quality of Health Care: Current Issues and Future Directions. A Trans-Atlantic Perspective
The goal of the symposium was to encourage an open exchange between US and UK participants and to foster collaborative analysis that would help improve quality of care in both countries. The monograph begins with a summary of the remarks made by the then Secretary of State for Health, Frank Dobson and the US Secretary of Health and Human Resources, Donna Shalala. Selected papers commissioned by the Fund and the Trust follow. Part II presents an exchange on the policy context between Liam Donaldson, the Chief Medical Officer and John Eisenberg, the Director of the US Agency for Healthcare Research and Quality. In part III Bob Brook of RAND draws on 25 years of experience to discuss ways to define and measure quality of care. The monograph concludes with a paper from Sheila Leatherman on the common themes and future pathways shared by the UK and the US.
ISBN: 1 902089 51 0 Price £10 A4pp58
** The Maureen Dixon Essay Series on Health Service Organisation (No. 2)
Evidence-based Organisation Design in Health Care: the contribution of the health services organisation research unit at Brunel University
David Hands
The NHS is always reorganising itself. But is this necessary? There is a danger in this continuing process that past knowledge and experience is devalued or even forgotten entirely. A victim of this process has been the work undertaken by the Health Services Organisation Research Unit at Brunel University. David Hands states that when so much importance is rightly attached to evidence-based practice, we should remember just how important was the work of Elliot Jaques and his colleagues. By detailed studies of the way the NHS worked, they established appropriate principles on which to build effective organisational structures. As David Hands says ' poor or inappropriate organisation or management will make the clinical contribution less effective'. This extended essay is a timely reappraisal of some of the most important organisational action research ever undertaken in the NHS.
ISBN: 1 902089 49 9 Price: £4 A4pp44
Evidence-Based Health Care Processes: Some issues of evaluation and application. Shared country experience
Edited by Vivienne McLoughlin
This report is an overall summary of a workshop, hosted by the Nuffield Trust, which brought together a group of leading academics, policy advisers and practitioners to explore the potential scope and limitations for evidence based medicine and health outcomes approaches to improve clinical performance and value for money. Essentially there were two main topics addressed by the workshop. The first was the process of identifying evidence, both of effectiveness and cost-effectiveness. The second was the translation of these findings into practice.
ISBN: 1 902089 48 0 Price: £5 A4 pp54
** University Clinical Partnership. Harnessing Clinical and Academic Resources
A Nuffield Trust Working Group on NHS/University Relations
Establishing strategic links between research, education and health service provision (the tripartite mission) is a major challenge for a health service that strives to become a knowledge-based, learning organisation, and for universities to meet the changing demands of clinical education and research. This report does not address the totality of the NHS/University interface. It is principally concerned with the more limited topic of managing the tripartite mission in major centres, in which the complex components of health service provision, research and education are combined across organisational boundaries. It focuses particularly on the relationship between university medical schools and university teaching hospitals.
ISBN: 1 902089 46 4 Price: £4 A4pp40
Devolution and Health
Edited by Paul Jervis & William Plowden
First Annual Report of a project to monitor the impact of devolution on the United Kingdom's health services.
Price:£10 A4pp99
Genetics and Health.Policy Issues for genetic science and their implications for health and health services
Ron Zimmern and Christopher Cook
The last two decades have seen unprecedented advances in our understanding of human genetics and of genetic influences on people's susceptibility to diseases. The scope of technology has widened from rare single gene disorders such as cystic fibrosis to encompass many common conditions like cancer, diabetes and heart disease. These changes will significantly affect the practice of medicine. They will also give rise to a host of new ethical and social implications which must be addressed, not just by doctors and geneticists, but by government and across society. The Nuffield Trust Genetics Scenario Project is a joint enterprise between the Public Health Genetics Unit and The Nuffield Trust to explore in detail the potential impact of genetic science on health and health services and its implications for society.
ISBN: 0 11 702675 1 Price: £17.50 Paperback A4pp82
Policy Futures for UK Health. 2000 Report
Charlotte Dargie in association with Sandra Dawson and Pam Garside
Fundamental changes are taking place in health driven by new discoveries and new treatments, a more informed and assertive health consumer, globalisation and the internet, and a greater awareness of the effects of the environment on population health. Policy makers and those working in, and interested in, the health sector need to think about the future, and this report is designed to help them to do so. It describes trends and issues towards 2015 for both population health and health care in the UK covering such subjects as disease, society, environment, governance, economy and industry. It also raises issues for policy makers based on an analysis of the future. Six major policy issues have been raised for UK health: rising public expectations the ageing population assessing new technologies information and communications technology and information management workforce education and training system performance and quality. The report is a step in building up an analysis of future trends and issues in UK health as we head towards 2015. A broad and forward look shows that health is wider than health care or medical care. It is about improving population health, reducing health inequalities and tackling the environmental factors that have a negative effect on the health of individuals and communities.
ISBN: 0 11 702504 6 Price: £19.50 Paperback A4 pp72
Nuffield Trust Grant Report No 1
Elderly People and the Boundary Between Health and Social Care 1946-91: Whose Responsibility?
Paul Bridgen and Jane Lewis
Since the 1990s, the boundary between health and social care has increasingly been recognised as a major policy issue with regard to provision for elderly people. Yet the boundary is far from new: a division between the two services has existed since 1946. This study presents a thorough investigation of central government's policy, based on archival sources. It shows that while the problem has been defined differently over time, there has been more continuity than change. The boundary issue has manifested itself as a struggle over the respective responsibilities of health and local authorities, with both seeking to avoid caring for a growing group of people in need of nursing and/or medical attention on a regular, but not constant, basis. Health officials, worried about the growing costs of hospital care and influenced by hospital doctors, increasingly sided with the health authorities, but without openly discussing the implications of a shift of responsibilities to local authorities.
ISBN: 1 902089 39 1 Price: £8.50 Paperback pp124
Rock Carling Fellowship
A Model for Health. Innovation and the Future of Health Services
Michael Peckham
A first hand account, by the architect of National Health Service Research and Development, of the design and introduction of a unique resource into health care. The book argues the case for building on this to create a capacity within the service for organisational innovation and development. What is proposed provides a new model for the public sector and a powerful mechanism for enhancing and implementing policies for health.
ISBN: 1 902089 38 3 Price: £15 Hardback pp187
VIDEO: Global Health: a local issue
This video provides edited highlights from a National Conference to promote action in response to the opportunities and threats presented by globalisation for global health. The conference was jointly hosted by the Nuffield Trust and Royal College of Physicians and papers from the conference can be obtained on the website. £50.00
** Global Health: a Local Issue.
Collection of papers edited by Luise Parsons and Graham Lister
ISBN: 1 902089 45 6 Price: £5 A4pp200
The Pen is as Mighty as the Surgeon's Scalpel. Improving health communication impact
Based on the proceedings of the WHO European Health Communication Network Consultation on Health and Environment Communication Policy, Moscow 28-30 May 1988 Organised by Franklin Apfel
The WHO European Health Communication Network was established in 1997 to put health communicators (public information officers and journalists, as well as inter- and non-governmental organisations and the private sector) in touch with each other across the European Region. Some 130 members of the network, from 31 countries, met in May 1998 in Moscow to draw up guidelines for professionalism in communication, improve communication between the media and institutions, and identify and strengthen the capacities of local, national and international communicators at times of disaster. Using the open space meeting technique, the participants examined media relations, the effectiveness of health communications, the role of communicators in disasters, the need for professional codes of conduct and the use of public service announcements. A thought provoking book on the challenges facing those whose business is communicating about health.
ISBN: 1 902089 43 X Price: £12 Paperback A4 pp 97
Reflections on Globalization of Health
Edited by Denise Holmes
This book is based on a Trilateral Conference involving Canada, the United Kingdom and the United States held in Washington D.C.
As the world shrinks and nations become increasingly more interconnected, no one nation can afford to turn inward and focus solely on health status, health professions education, or health system development and enhancement simply for the sake of its own citizenry. Rather, economic globalization, rapid air travel, the shifting of national borders, and the new and enhanced communications systems all point to the many ways in which health and health care are being altered at the global level. The themes addressed, and reported in this book, were: Experiences in the field; Global informatics; Emerging infections; and Recent medical advances and developments.
ISBN: 1 879694 14 X Price: £10 Paperback pp115
Nuffield Trust Travelling Fellowship Report Series No. 1
Preparing for Practice. An analysis of the state of community-based medical education in the US
Helen Hogan
The UK is currently seeing an expansion of interest in community-based education of medical students. Driven by demographic changes, reorganisations with the health service, the need to modernise the curriculum, and the decreasing ability of teaching hospitals to provide a 'real world' context to medical training, schools are increasingly turning to non-hospital settings to provide students with competencies they will need for future practice. This book explores the contextual background to the expansion of community-based education in the US and the major models that are emerging and informs the wider medical education community on a number of concepts and considerations related to medical student education in community-based settings.
ISBN: 1 902089 22 7 Price: £12.50 Paperback pp146
Nuffield Trust Series No. 11
Incarceration. Humane and Inhumane. Human values and health care in British prisons
Edited by Stuart Horner & Meg Stacey
This book records the proceedings of a Human Values in Health Care Forum on human values and health care in British prisons. The papers presented are reproduced, together with an account of the general discussion which identified the following themes: the lack of clarity about whom and what prisons are for; the role of health care professionals in prisons; how to balance the demands of security and those of providing health care; the use of resources; the gap between vision and actuality and the changes afoot. In conclusion Professor Stacey draws out major points from the conference to illustrate continuing unacceptable practices.
ISBN: 1 902089 41 3 Price: £8.50 Paperbackpp115
John Fry Fellowship 1999
Patient-Centredness and the Politics of Change: A day in the life of academic general practice
John Howie's remit for his 1999 John Fry monograph was to write about Ôquality of care'. He saw his task as being about personal and professional values, and about the realities which hinder and promote their expression. The monograph thus has turned into an academic autobiography, starting with a description of the life events and influences which shaped his subsequent choice of professional priorities. His first theme is about structure. In this he writes about the negotiations he led over the ten years to win a share of SIFT/ACT (the English and Scottish subsidies to hospitals to support teaching) for general practice. The second theme about the process of care traces the story of his team's researches into the determinants and delivery of quality care at general practice consultations, concluding with the view that longer consultations and better continuity improve patient outcomes - and may be more likely to be delivered by doctors working in smaller as against larger practices. The monograph is above all an attempt to show the importance of the interplay between beliefs and visions on the one hand and data and theory on the other. Will this message be as true in the future as it has been in the past?
ISBN: 1 902089 40 5 Price: £15 Hardback pp160
Rock Carling Fellowship 1999
In Pursuit of an Improving National Health Service
Alain Enthoven
Professor Enthoven, in this monograph, explains that previous attempts at introducing market-based reforms in the NHS failed due to poor implementation and too much political interference. Disappointingly little progress was made with poor hospitals being allowed to continue to operate, health authorities denied the freedom to purchase selectively and every minor change became a major political issue. Today, some 15 years later, quality related information in the NHS remains virtually non-existent, and fear of political cross-fire continues to frustrate much need progress in developing a model for the NHS which would allow it to succeed in the 21st century. Professor Enthoven recommends re-inventing the internal market in a way which allow the NHS to achieve modernisation through consumer choice, competition and substantially more resources and lists the key elements necessary to ensure the success of a new model.
ISBN: 1 902089 37 5 Price: £15 Hardback pp126
Healthcare Building for Tomorrow. Developing a 2020 Vision
This book is the result of a joint Nuffield Trust/MARU seminar which set out to develop a vision for health care environments addressing the needs of the 21st century from our current recognition that we are on the verge of a huge technological change in health care due to developments in genomics and infomatics. This gave an exciting opportunity to set up a forum for interdisciplinary discussion about the future. Seminar presentations are reproduced together with the discussions, which covered 'Framework for Healthcare Networks', Hospitals of the Future' and 'Design and Construction Strategies'.
ISBN: 1 902089 42 1 Price: £4 Paperback pp 42
Freeing the Dragon. New Opportunities to Improve the Health of the Welsh People
Stephen Monaghan, Jane Davidson & David Bainton
New Opportunities for developing a health improvement agenda in Wales following the establishment of the National Assembly for Wales, the modernisation of local government and the decisions regarding Objective 1 funding, are analysed in this book. Wales has a very poor health record, with life expectancies varying 5 years within a mile. Inequalities in health are most pronounced in areas that also experience social and economic deprivation, such as the South Wales valleys. Improving people's health cannot be done through healthcare systems alone. A concerted effort needs to be made to tackle the causes of ill health and their roots. It is hoped that this book, which sets out such an agenda in the context of the new political landscape, will become a useful handbook for policy makers in Wales, in order to ensure that Wales is able to utilise its increased autonomy in the interests of creating a holistic agenda to improve the health of the people of Wales.
ISBN: 1 902089 36 7 Price: £10 Paperback pp 104
In keeping with its tradition and reflecting the more complex issues in health and health care policy today, the Nuffield Trust established a Policy and Evaluation Advisory Group (PEAG), supported by the appointment of a Nuffield Trust Fellow at the Judge Institute of Management Studies at the University of Cambridge, to provide a research and intelligence capability for the Trust. The Policy Futures for UK Health Project stems from the work of PEAG. It involves examining the future environment for UK health, with a time horizon of 2015. The first environmental scan has resulted in a series of 10 technical papers, which are listed below. Each paper in the series is a stand-alone piece, but has also been used by the project to derive an overview report, which focuses on policy assessment in the light of the environmental scan. Entitled 'Pathfinder Report', the overview report is published separately and will be subject to external consultation.
Policy Futures for UK Health - Pathfinder Charlotte Dargie
Technical Series 1999
No 1.
Global Context. A review of priority global health issues for the UK
Kelley Lee
No 2.
The Physical Environment. A Review of trends in the natural and built environment
Stephen Palmer
No 3.
Demography. Analysing trends and policy issues in births, deaths and diseases in the UK population in 2015
Charlotte Dargie
No 4.
Science and Technology. Trends and issues forward to 2015: Implications for health care
Glenn Robert
No 5.
Economy and Finance. A prospective view of the financing of health care
Panos Kanavos
No 6.
Social Trends. The social context of healthy living
Ray Pahl
No 7.
Organisation and Management. Archetype change in the organisation and management of health care?
Ewan Ferlie
No 8.
Workforce. Analysing trends and policy issues for the future health workforce
Charlotte Dargie
No 9.
Ethics. Reconciling conflicting values in health policy
Martyn Evans
No 10.
Public Expectations. From paternalism to partnership: changing relationships in health and health services
Marian Barnes
The complete set of 10 papers plus the pathfinder report is available from the Trust at a cost of £10 to include postage and packing.
Nuffield Trust Series No 10
Humanities in Medicine: Beyond the Millennium
Robin Philipp, Michael Baum, Andrew Mawson, Sir Kenneth Calman
This book is a summary of the papers, proceedings and outcome of a Nuffield Trust conference convened to learn about and assess current activities, perceptions, beliefs and models of effective practice in medical undergraduate education in the United Kingdom and the USA and about the place of the arts in therapy both in the community and in the health care environment. The conference brought together people from different backgrounds and practitioners from many of the health professions, the arts, philosophy and theology to explore the three themes of the conference. Foundations were laid for a strategy to promote the arts into a pivotal role across the spectrum of Britain's healthcare and public health systems, to complement the scientific and technological models of diagnosis and treatment that have driven medical policies and practice for much of the 19th Century.
ISBN: 1 902089 24 3 Price: £12.50 Paperback pp164
BSE and the Principles of Public Health
Sir John Pattison
In this paper, Sir John explores the origin of the BSE epidemic and looks at predictions of new infection and cases of BSE, annual occurrence of new infection and the number of cases by year of diagnosis.
ISBN: 1 902089 21 9 Price: £5 A4 paperback pp8
** The Maureen Dixon Essay Series on Health Service Organisation
Icebergs and Deckchairs - organisational change in the National Health Service
Andrew Wall
The constant reorganisation of the NHS has been unduly influenced by managerial fads and fancies, confusing style with structure and the illusion that there is a perfect organisation solution, if only it could be found, states Andrew Wall. He concludes that managers have a duty to patients but also to government and this accountability is best honoured through well defined hierachies.
ISBN: 0 902089 23 5 Price: £4 A4 Paperback pp33
Nuffield Trust Series No 9
Realising the Fundamental Role of Information in Health Care Delivery and Management: Reducing the Zone of Confusion
Michael Rigby with contributions by Ruth Roberts, Ian Purves and Sally Robins
Many countries throughout the world have long realised that Information Technology offers the prospect of a revolution in their approach to patient care but although many of the UK's key health initiatives are totally dependent upon information, very little consideration has been given to the development of applied information science in the UK health care. The author cites numerous reasons for this failure to make effective use of IT and recommends a number of solutions.
ISBN: 1 902089 18 9 Price: £5 Paperback pp37
Nuffield Trust Series No 8
Managing Nutrition in Hospital: A Recipe for Quality
Alan Maryon Davis and Amanda Bristow
This report focuses on the key organisational and management issues of food and feeding in hospital, from ward level upwards. The findings confirm the need for clear definitions of role and responsibilities together with closer co-ordination of food provision and nutritional care at all levels within hospital Trusts. It is argued that food provision should be managed as an integral component of clinical care rather than a 'hotel' function.
ISBN: 1 902089 19 7 Price: £10.50 Paperback pp118
50 Years of Ideas in Health Care Buildings
Susan Francis, Rosemary Glanville, Anne Noble & Peter Scher
This book revisits the history of hospital building in the year following the celebration of the 50th Anniversary of the NHS and suggests that the UK has lost its position at the leading edge of ideas about health care building. The links between the ideologies and development of health care buildings over the past 50 years is traced: architects are provided with a deeper understanding of their professional roles and the interplay to date of ideas, theory and practice.
ISBN: 1 902089 20 0 Price £20 Hardback pp68
Nuffield Trust Series No 7
The Contribution of Global Health Policy to the Control of Emerging Infectious Diseases: Implications for the UK
Stephen Palmer et al
In this review of the factors which lead to emergence of infectious disease the authors call for re-investment in traditional public health infrastructures at national level and in the development, internationally, of surveillance and field investigation capacity. They also encourage policy makers to consider infection risk as part of health assessment of any policy, including at the level of the World Trade Organisation, as once conquered infections return, often because of neglect of public health infrastructures or because globalization or trade and travel threaten to bring epidemic disease from remote ecosystems into western countries.
ISBN: 1 902089 15 4 Price: £8.50 Paperback pp87
Nuffield Trust Series No 6
Future Challenges for the NHS: An International Perspective on the 50th Anniversary
Donald Light
Professor Light, Professor of Comparative Health Care Systems at the University of Medicine and Dentistry of New Jersey, provides an international perspective on the past and future of the NHS. He offers some provocative thoughts about the prospects of GPs and primary care, staffing and demand and financing. The report includes the Prime Minister's speech and his vision of the NHS delivered on the 50th Anniversary of the NHS.
ISBN: 1 902089 16 2 Price: £8.50 Paperback pp57
7th H.M. Queen Elizabeth the Queen Mother Fellowship
Resolving Complaints and Promoting Openness: Can the ombudsman help?
Sir William Reid
In this monograph, Sir William Reid, Parliamentary Commissioner for Administration and Health Service Commissioner for England, Scotland and Wales for seven years and a European Director of the International Ombudsman Institute for four years, discusses the complexities surrounding the NHS complaints procedure, the role of the independent arbiter and how complaints from patients are investigated.
ISBN: 1 902089 13 8 Price: £10 Hardback: pp72
Nuffield Trust Series No. 5
Evolving Quality in the New NHS. Policy, process and pragmatic considerations
Sheila Leatherman and Kim Sutherland
This study reviews the current landscape and potential direction of quality initiatives and provides markers which may assist decision makers to determine how to advance. It evaluates the context, policies and processes in the NHS that inform and impact on the capacity for quality improvement in health care.
ISBN: 1 902089 14 6 Price: £8.50 Paperback: pp46
Nuffield Trust Series No. 4
Hurdles and Levers. A comparative US-UK study of guidelines
Patricia Day,Rudolf Klein and Frances Miller
This comparative study examines how best to promote change in clinical practice and persuade doctors to use resources more efficiently. Among the functions of the new UK institutions, proposed by the Government's recent White Paper, will be responsibility for developing, diffusing and monitoring guidelines designed to promote good practice. Drawing on the successful impact of guidelines in the US, the authors suggest that policy makers in the UK should be thinking about the incentives and sanctions required if guidelines are to be translated into changes in medical practice.
ISBN: 1 902089 12 X Price: £10.50 Paperback: pp68
Nuffield Trust Series No. 3
Devolution and Health
Robert Hazell and Paul Jervis
This books sets out to explore to what extent we can still talk of the NHS once it is run by three or four different governments within the UK. How much will health policy diverge in Scotland and Wales and what will be the implications for the NHS in England?
ISBN: 1 902089 11 1 Price: £12.50 Paperback: pp121
The Rock Carling Fellowship 1997
Public Health. The vision and the challenge
Professor WW Holland and Susie Stewart.
This Rock Carling Fellowship monograph reviews the practice of public health in the United Kingdom over the past 100 years and sets the major issues and developments against the background of the 'golden era' of public health in the 19th century and in the context of the next century.
ISBN: 1 902089 10 3 Price: £30 Hardback: pp254
Nuffield Occasional Papers: Health Economics Series No. 8
Managed Care: Panacea or palliation?
Alan Maynard and Karen Bloor define managed care as the practice of funding agencies using purchasing power to control prices and the activity of clinicians and their patients. They illustrate that the US experience of managed care has similarities with the NHS but also major differences and simplistic adoption of US management techniques may be dangerous and undermine performance.
ISBN: 0 902089 09 X Price: £10.50 Paperback: pp49
Nuffield Occasional Papers: Health Economics Series No.7
Economic Evaluation and Health Care
John Cairns provides an overview of the state of economic evaluation of health care. The author maintains that the role of economic evaluation in informing health care choices is fundamental but remains an evolving technology which needs to be applied with care and flexibility. If practised intelligently it can be an important tool for informing choices: if done badly it can corrupt the knowledge base and waste resources.
ISBN: 0 902089 08 1 Price: £10.50 Paperback: pp55
Improving the Health of the NHS Workforce: Report of the Partnership on the health of the NHS workforce
This report, by the Partnership's support team, Sian Williams, Susan Michie and Shriti Pattani, is a review of previous work into the extent, nature and causes of ill health in the NHS workforce. The report, prefaced by a submission from the Partnership to the Secretary of State for Health, summarises the evidence base, draws attention to gaps where further research is required, and sets out recommendations and a ten-point action plan.
ISBN: 1 902089 07 3 Price: £10 Paperback: pp60
Nuffield Occasional Papers: Health Economics Series No. 6
Future Hospital Services in the NHS: One size fits all?
Dr Peter West opens with a broad history of hospitals in the UK and the impact of specialisation and the growth of cottage hospitals. The author goes on to review the current hospital capacity and its distribution and concludes by examining the technical and economic factors generating further pressures for change and their implications for future hospital provision in the UK.
ISBN: 1 902089 06 5 Price: £12.50 Paperback: pp103
Nuffield Occasional Papers: Health Economics Series No. 5
Who Pays for and Who Gets Health Care? Equity in the finance and delivery of health care in the United Kingdom
Professor Carol Propper illustrates the effects of recent NHS reforms on the payment for and receipt of health care. The author examines equity in both finance for and delivery of health care, looks at who pays for health care and who gets health care, and examines how this varies across individuals of different incomes and socio-economic status.
ISBN: 1 902089 05 7 Price: £10.50 Paperback: pp47
Nuffield Occasional Papers: Health Economics Series No. 4
A Social Contract for 21st Century American Healthcare: Three tier health care with bounty-hunting
Professor Uwe Reinhardt, Professor of Political Economy at Princeton University, offers a commentary on development in recent health reform in the United States and advises other countries not to emulate the incompletely evaluated US experiments.
ISBN: 1 902089 04 9 Price: £12.50 Paperback: pp59
Nuffield Occasional Papers: Health Economics Series No. 3
Going for Gold: The redistributive agenda behind market-based health care reform
In this essay, Professor Robert Evans, Professor of Economics at the University of British Columbia, argues that the evidence from market innovations over the last forty years demonstrates inferior system performance bringing greater inequity, increased inefficiency, cost inflation and higher levels of public dissatisfaction.
ISBN: 1 902089 03 0 Price: £12.50 Paperback: pp64
Nuffield Occasional Papers: Health Economics Series No. 2
Devolved Purchasing in Health Care. A review of the issues
Professor Peter Smith examines the implications of moving towards a devolved model of purchasing in the National Health Service. The history of setting devolved budgets in the NHS is examined and the author concludes that the most appropriate system is likely to be heavily influenced by political priorities and local circumstances and recommends the retention of maximum flexibility in any future system of devolved purchasing.
ISBN: 1 902089 02 2 Price: £10.50 Paperback: pp48
Nuffield Occasional Papers: Health Economics Series No 1
Mergers in the NHS. Made in heaven or marriages of convenience?
Maria Goddard and Brian Ferguson review the evidence base about the costs and benefits of hospital mergers and conclude that not only is the case for this policy unproven, but that such policies may reduce rather than enhance efficiency.
ISBN: 1 902089 01 4 Price: £12.50 Paperback: pp92
Nuffield Trust Series No 2
The Physician Workforce in the United Kingdom: Issues prospects and policies
Professor Alan Maynard and Dr Arthur Walker examine the current and projected future size and disposition of the physician workforce in the United Kingdom. They discuss the issues that face decision-makers within the context of a changing health service and look at the implications for workforce policy. They also consider the changing training and career structures within medicine in this country.
ISBN: 1 902089 00 6 Price: £12.50 Paperback: pp56
Nuffield Trust Series No 1
Re-designing Health Services: Reducing the zone of delusion
In this book, the first in the new Nuffield Trust Series, Professor Morton Warner suggests that we require to re-design our health services to meet the needs of the twenty-first century rather than merely to re-organise them yet again. The author outlines actions that require to be taken to point the National Health service in a more innovative and entrepreneurial direction.
ISBN: 0900574 97 6 Price: £12.50 Paperback: pp44
|
