The Calman-Hine report: a personal retrospective on the UK's first comprehensive policy on cancer services Export

@article{citeulike:1036727, abstract = {SummaryCalman-Hine was the first comprehensive cancer report to be produced in the UK, and set out principles for cancer care and the clinical organisation for service delivery. It advocated a change from a generalist model (eg, care given by general surgeons and physicians) that was supported by specialists to a fully specialist service. The process of policy development was innovative and the report was accepted widely throughout the UK. However, implementation, which began at a time of organisational change across the UK National Health Service (NHS), was not addressed sufficiently in the years immediately after publication. Consequently, change was more variable both geographically and within a single location and took longer than necessary. Evidence from research, routine data, and external assessments suggest that the policy was eventually successful and a worthwhile change. Well thought out and sustained mechanisms for policy implementation are as crucial as well-designed policies, and government health reforms can conflict with specific policies for quality improvement.}, author = {Haward, Robert A.}, citeulike-article-id = {1036727}, citeulike-linkout-0 = {http://dx.doi.org/10.1016/S1470-2045(06)70659-3}, citeulike-linkout-1 = {http://www.sciencedirect.com/science/article/B6W85-4JKJH3T-15/2/85c87093760e25b71d3ea5f7e65fdcfa}, doi = {10.1016/S1470-2045(06)70659-3}, journal = {The Lancet Oncology}, keywords = {cancer\_research}, month = {April}, number = {4}, pages = {336--346}, posted-at = {2007-01-11 13:04:36}, priority = {2}, title = {The Calman-Hine report: a personal retrospective on the UK's first comprehensive policy on cancer services}, url = {http://dx.doi.org/10.1016/S1470-2045(06)70659-3}, volume = {7}, year = {2006} }

TY - JOUR ID - citeulike:1036727 L3 - citeulike-article-id:1036727 N2 - SummaryCalman-Hine was the first comprehensive cancer report to be produced in the UK, and set out principles for cancer care and the clinical organisation for service delivery. It advocated a change from a generalist model (eg, care given by general surgeons and physicians) that was supported by specialists to a fully specialist service. The process of policy development was innovative and the report was accepted widely throughout the UK. However, implementation, which began at a time of organisational change across the UK National Health Service (NHS), was not addressed sufficiently in the years immediately after publication. Consequently, change was more variable both geographically and within a single location and took longer than necessary. Evidence from research, routine data, and external assessments suggest that the policy was eventually successful and a worthwhile change. Well thought out and sustained mechanisms for policy implementation are as crucial as well-designed policies, and government health reforms can conflict with specific policies for quality improvement. IS - 4 JF - The Lancet Oncology EP - 346 TI - The Calman-Hine report: a personal retrospective on the UK's first comprehensive policy on cancer services VL - 7 SP - 336 KW - cancer_research AU - Haward, Robert PY - 2006/04// UR - http://dx.doi.org/10.1016/S1470-2045(06)70659-3 ER -