Skip to main content

Running a clinical service: a case study

  • Chapter
  • 139 Accesses

Abstract

In order to meet the challenge of directing a children’s secondary care service one must first understand the environment in which clinical services are functioning. A fuller account of the NHS environment will be found in other chapters. However, there are two major and quite separate changes to the way that providers of clinical services function. The first is the resource management initiative [1] and the second is the separation of the commissioning and provision of services under the NHS reforms [2].

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. DHSS (1986) Resource Management (management budgeting) in Health Authorities. Health Notice, (86)34, Department of Health, London.

    Google Scholar 

  2. DoH (1990) National Health Service and Community Care Act. HMSO, London.

    Google Scholar 

  3. Buxton, M, Packwood, T., Keen, J. (1989) Resource Management: Process and Progress. Monitoring the six acute hospital sites. Brunei University, Uxbridge.

    Google Scholar 

  4. Hunter, D. J. (1993) The internal market: the shifting agenda, in Managing the Internal Market (ed. L Tilley), Paul Chapman, London, pp. 31–43.

    Google Scholar 

  5. British Paediatric Association (1992) Management Models in Established Combined or Integrated Child Services. BPA, London.

    Google Scholar 

  6. Barker, R. S. and Purvis, R. J. (1992) Building a combined child health service. Archives of Disease in Childhood, 67, 1298–1301.

    Article  Google Scholar 

  7. South West Regional Health Authority (1992) Care and Support in the Community - Future of Community Child Health Services, SWRHA, Bristol.

    Google Scholar 

  8. Appleby, J., Smith, P., Ranade, W. et al. (1993) Competition and the NHS: monitoring the market, in Managing the Internal Market (ed. L. Tilley), Paul Chapman, London, pp. 99–117.

    Google Scholar 

  9. Clinical Standards Advisory Group (1993) Neonatal Intensive Care, Access to and Availability of Specialist Services. HMSO, London.

    Google Scholar 

  10. Maxwell, R. J. (1984) Quality assessment in health. British Medical journal, 288, 1470–1471.

    Article  Google Scholar 

  11. Department of Health (1991) Welfare of Children and Young People in Hospital. HMSO, London.

    Google Scholar 

  12. National Association for the Welfare of Children in Hospital (1990) Setting Standards for Children in Hospital. NAWCH, London.

    Google Scholar 

  13. NHSME (1993) Medical Advice to Purchasers. NHS management executive, EL(93)60, London.

    Google Scholar 

  14. Opit, L. (1993) Commissioning: an appraisal of a new role, in Managing the Internal Market (ed. I. Tilley), Paul Chapman, London, pp. 82–98.

    Google Scholar 

  15. Polnay, L., Bingham, H. and Tamhne, R. (1993) Contracting for child health services in the community. Archive of Disease in Childhood, 68, 517 – 520.

    Article  Google Scholar 

  16. British Paediatric Association (1992) Community Child Health Services, an Information Base for Purchasers. BPA, London.

    Google Scholar 

  17. Department of Health (1989) An Introduction to the Children Act. HMSO, London.

    Google Scholar 

  18. Ebrahim, S. (1993) Health care of the elderly and the internal market, in Managing the Internal Market (ed. I. Tilley), Paul Chapman, London, pp. 261–274.

    Google Scholar 

  19. Audit Commission (1992) Children First. HMSO, London.

    Google Scholar 

  20. Hogg, C. (1989) The NAWCH Quality Review: Setting Standards for Children in Health Care. National Association for the Welfare of Children in Hospital, London.

    Google Scholar 

  21. Hogg, C. (1990) Quality Management for Children: Play in Hospital Play in Hospital Liaison Committee, c/o Save the Children, London.

    Google Scholar 

  22. Thornes, R. (1988) Hidden Children: Caring for Children in the Health Services. NAWCH, London.

    Google Scholar 

  23. British Paediatric Association (1985) The Needs and Cares of Adolescents. BPA, London.

    Google Scholar 

  24. National Association for the Welfare of Children in Hospital (1990) Setting Standards for Adolescents in Hospital. NAWCH, London.

    Google Scholar 

  25. International Neonatal Network (1993) The CRIB (clinical risk index for babies) score: a tool for assessing initial neonatal risk and comparing performance of neonatal intensive care units. Lancet, 342, 193–198.

    Article  Google Scholar 

  26. Royal College of Physicians (1988) Medical Care of the Newborn in England and Wales. Royal College of Physicians, London.

    Google Scholar 

  27. National Perinatal Epidemiology Unit (1994) Disability and Perinatal Care: Measurement of Health Status at Two Years. National Perinatal Epidemiology Unit, Oxford.

    Google Scholar 

  28. Fleming, P. (1993) The Care of Critically Ill Children. Report of a multidis-ciplinary working party on intensive care. British Paediatric Association, London.

    Google Scholar 

  29. Thornes, R. (1991) Just for the Day: Children Admitted to Hospital for Day Treatment. On behalf of Caring for Children in the Health Services. National Association for the Welfare of Children in Hospital, London.

    Google Scholar 

  30. British Paediatric Association (1992) Flexible Options for Paediatric Care. BPA, London.

    Google Scholar 

  31. Department of Health (1993) Hospital Doctors: Training for the Future. The report of the working group on specialist medical training. HMSO, London.

    Google Scholar 

  32. Standing Committee on Postgraduate Medical Education (1991) Improving the Experience: Good Practice in Senior House Officer Training, SCOPME.

    Google Scholar 

  33. British Paediatric Association (1993) Hospital Paediatric Medical Staffing: a Discussion Document. BPA, London.

    Google Scholar 

  34. Hall, D. M. B. (1991) Health for All Children, 2nd edn. Oxford University Press.

    Google Scholar 

  35. Department of Health (1996) Child Health in the Community: a Guide to Good Practice. Department of Health, London.

    Google Scholar 

  36. Welbury, J., Paynter A., Parkin, J. M. (1990) Senior house officer posts in community paediatrics - an introduction to child health. Archives of Disease in Childhood, 65, 1009–1010.

    Article  Google Scholar 

  37. British Paediatric Association (1994) Services for Children and Adolescents with Learning Disability (Mental Handicap). BPA, London.

    Google Scholar 

  38. British Paediatric Association (1995) Report of a Joint Working Party on Health Needs of School Age Children. BPA, London.

    Google Scholar 

  39. Department of Health (1992) The Health of the Nation. The Strategy for Health in England. HMSO, London.

    Google Scholar 

  40. Harrison, A. and Prentice, S. (1993) Paediatric services, in Health Care UK. An Annual Review of Health Policy, 1992/93 (ed. A. Harrison), King’s Fund Institute, London, pp. 51–54.

    Google Scholar 

  41. Department of Health, Health Service Directorate (1997) Paediatric Intensive Care: a framework for the future. Report from the national coordinating group on paediatric intensive care to the chief executive of the NHS Executive. NHS Executive, London.

    Google Scholar 

  42. Department of Health (1997) A bridge to the future. Nursing standards, education and workforce planning in paediatric intensive care. Report to the Chief Nursing Officer’s taskforce. NHS Executive, London.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1998 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Rigby, M., Ross, E.M., Begg, N.T. (1998). Running a clinical service: a case study. In: Rigby, M., Ross, E.M., Begg, N.T. (eds) Management for Child Health Services. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3144-3_8

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-3144-3_8

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-412-59660-5

  • Online ISBN: 978-1-4899-3144-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics