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Commissioning
Commissioning : Third report of session 2010-11, Vol. 2: Oral and written Evidence
The provision of out-of-hours care in England
Approximately 9 million patients receive urgent primary out-of -hours care in England. In April 2004 the Department of Health gave GPs the chance to opt out of providing this service and transfer responsibility to the Primary Care Trust. This report looks at three main issues related to the change: how well did the Department of Health prepare; how did the new service perform and what did it cost. It concludes that the preparation was shambolic both at local and national level and although the new service is starting to improve performance against key access targets is still not good enough. In addition the cost of the new out-of-hours service has been £70 million higher than was foreseen.
The Use of Overseas Doctors in Providing Out-of-Hours Services
In 2004 new arrangements for out-of-hours general practice were introduced as part of a new General Practitioner (GP) contract with the aim of addressing inadequate standards and difficulties in retaining doctors in general practice. Many consider the new system an improvement on its predecessor, but it has some serious weaknesses. In particular the use of EEA doctors and the failure to check their language skills and clinical competence has led to poor clinical care and deaths of patients. It is on this aspect that this report focuses.
Kidney Disease Management
“This informative book has been put together with the support and input of many clinical renal experts, who have been willing to share their knowledge and years of experience and I’m sure it will be an excellent resource for those caring for kidney patients for the first time – as well as for those with some years of experience!” - From the Foreword by Rosemary Macri, Chief Executive of the British Kidney Patient Association Kidney Disease Management has been written to help optimise the care of people with chronic kidney disease (CKD) across the healthcare spectrum. It is aimed at a range of professionals, including nurses, junior doctors, general practitioners, pharmacists and diet...
Integrating Primary Healthcare
This book combines models, theory and practical advice that guides clinicians, managers and facilitators to lead integrated primary health care. Using case studies and real life examples, the practical sections are cross-referred to theoretical sections that show how theories of whole system learning and change can be applied in different situations. Exercises help the reader to devise their own tailor-made interventions in small organisations, in networks, and in large institutions. The latest theories about leadership in complex situations are covered and challenges to traditional approaches to research and understandings of health are made. This book is perfect for those who lead or teach change in health care institutions such as primary care organisations, in small organisations such as general practices, and through networks. In particular practitioners and managers who wish to make sense of complex interacting factors will find it of great benefit.
Workforce planning
Workforce Planning : Fourth report of session 2006-07, Vol. 2: Oral and written Evidence
Delivering Quality in the NHS 2004
Part One: The James Lind Legacy; The James Lind legacy: the past - James Lind; The James Lind legacy: the present - the relevance of his work today; Part Two: Filling the evidence gap; Filling the evidence gap - how big is it? Part Three: Raising standards - national policy and practice; Social care and joint working with the NHS: how the.
Working with Self-Management Courses
The management of chronic disease and the contribution patients make to their own care is attracting widespread attention, nationally and internationally. This is the first book to bring together those who have been instrumental in developing this practice, and to assess the value it holds for the different groups involved.
Department of Health
This report, from the Committee of Public Accounts, examines the cost of prescriptions in primary care. It is estimated that around a quarter of all expenditure in primary care is on drugs. In 1996, the number of prescriptions was 485 million, dispensed in England; by 2006 this had increased by 55% to 752 million, with the primary care drugs bill increasing from £4.0 billion to £8.2 billion, a 60% increase. The Committee took evidence from the Department of Health, on the basis of an earlier report from the NAO (HCP 173, session 2006-07, ISBN 9780102945171). The Committee has set out a number of conclusions and recommendations, including: that the NHS could save more than £200 million a y...
