A special report on health management qualifications detailed the number of management qualifications. One aspect which deserves additional mention is the use of accreditation of prior learning (APL) which is a growing feature of management qualification courses. Sue Balderson and John Knibbs describe their research into the use of APL as part of an NHS trust's management development strategy.
A counselling scheme has been set up in general practices in Salisbury Health District by Wiltshire FHSA. Rose Wiles and colleagues give details of the findings of an audit of the scheme and Wiltshire FHSA's responses.
Since 1988, the Health Services Management Development Trust has given some 34,000 pounds in awards to people embarking on management projects in the health services. The Trust is funded by a partnership of the Institute of Health Services Management and a group of major suppliers to the health services: Boots, Four Square Division of Mars GB, Gardner Merchant, Hewlett Packard and IBM. They also offer mentoring and assist in publicising the project results.
Graham Slater and Kate Del Bravo describe the priorities considered and work undertaken by SETRHA to develop its capital investment strategy. Although the underlying concepts are straightforward, it represents a significant development beyond traditional NHS approaches to planning, embraces the NHS market reforms, and has reduced capital aspirations for the same service objectives by some 300m pounds.
Private capital can now be invested in the NHS. This new market freedom needs to be balanced against a backdrop of public accountability. Brian Salter and Glenn Douglas explain.
Despite the fact that Welsh Secretary John Redwood has stated he would like to see Welsh health authorities (HAs) administration cut by around 50% he has provided no indication as to whether or not his local government reforms will alter the HA's geographical or structural basis. This may mean that not only is there the possibility of moves towards 'commissioning authorities' and increases in the number of HAs and FHSAs merging, in addition Wales will have to contend with the unknown effect of local authority boundary changes. This is a concept which England and Scotland will also have to deal with. Russell Deacon and Tracey Deacon explore.
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