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Mobility Scooters
In the light of anecdotal accounts of accidents involving the vehicles, but little hard evidence, MPs urge the Government to collect better data on the use of scooters as well as incidents and injuries where they are involved. To develop sound policy, we need a comprehensive evidence base detailing the number and nature of incidents involving mobility scooters on the UK's pavements and roads. Only by doing so, will issues such as the legal status of mobility scooters, the appropriateness of proficiency tests and the rights of users to take the vehicles on public transport be adequately addressed. The Committee's report notes that the Department for Transport has launched a consultation on many of these issues, but is concerned that after a similar review in 2005, Ministers failed to act on many of its findings. With a growing number of mobility scooter users on the UK's pavements and roads, the MPs call on the Government to take decisive action where necessary.
National Institute for Health and Clinical Excellence
Healthcare systems have been confronted by multiple, often conflicting, guidelines on the use of medical technologies. The National Institute for Clinical Excellence (NICE) was established in 1999 to address these problems in England. This work looks at what it does, how it works, changes made since its establishment, and the challenges it faces.
Changes to Primary Care Trusts
NHS Primary Care Trusts (PCTs) were created in 2002 to commission health services for their local populations, and are currently responsible for controlling about 80 per cent of the £76 billion NHS annual budget. In addition, PCTs have responsibility for public health, and many also provide community-based health services such as district nursing and community hospitals. The Committee's report examines the Government's proposals (set out in the Department of Health paper 'Commissioning a Patient-led NHS' published in July 2005, which can be downloaded at http://www.dh.gov.uk/assetRoot/04/11/67/17/04116717.pdf) to cut the number of PCTs and to contract out community health services by the end of 2008. The report raises a number of serious concerns about the proposals, including in relation to: failings in the consultation process; the impact of PCT restructuring and divestment of provider services; and the likelihood that the estimated financial savings of £250 million will be achieved.
Positive Medicine
When Ivan Illich published Medical Nemesis in 1975, he offered a withering critique of the medical profession and the medical model. 'The medical establishment has become a major threat to health, ' he said. Nearly half a century has elapsed since then, and things have got worse. In the UK, only 5 per cent of the health budget is spent on prevention. The system is so strained that the rule is often 'one problem per consultation'. Disease management takes precedence over disease prevention, and a wider perspective on health and wellbeing is largely absent. At least once a month, one third of GPs consider leaving the profession. Patients are referred to secondary care simply because primary ca...
BMJ
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Making Sense of a Primary Care-Led Health Service
The shift of services from acute hospitals to general practice requires clinicians to become actively involved in the process of change. This book sets out to demonstrate that with careful planning, implementation and evaluation of this process, problems can be avoided and the quality of service enhanced. The authors demonstrate a clear understanding of the practical issues involved and their evident enthusiasm for the opportunities now available will stimulate innovation in hospital staff, the health care team in general practice and NHS managers responsible for the delivery of a more efficient and responsible service.
Community Medicine - Family Adoption Program (FAP)
Is it not within the realm of possibility for the students, together with the department faculty and outreach healthcare workers, to embrace the duty of safeguarding the health of our villagers? This book provides an opportunity to select and conduct feasible research on locally prevalent problems. The medical students are grateful to be supported by their mentor and an outreach team of healthcare workers. The Family Adoption Program (FAP), as introduced by the National Medical Commission (NMC), provides a switch from traditional interaction with rural families to an opportunity for developing interpersonal communication skills during individual and group interaction with the villagers. This...
When Death Goes Pop
Scholars, educators, health professionals, and activists from a variety of fields have struggled with one of the most significant questions of contemporary life: How do we rescue the experience of death and dying from the mire of fear, denial, and secrecy that it has been associated with for the better part of a century? In When Death Goes Pop, Charlton D. McIlwain describes a striking emerging shift in the way that death is represented in such omnipresent forms of media as television - a shift that seems to be moving the American discourse on death and dying from the private sphere to the public. The book surveys the past thirty years of death-related television programming, from daytime soaps to prime-time dramas, focusing primarily on Home Box Office's Six Feet Under and its innovative approach to the subject, and from the Sci-Fi Channel's Crossing Over to the genre of paranormal programming as a whole. This book also discusses the increasing use of multimedia and the Internet in the funeral industry and how the new technologies change the way that we remember the dead as they create and sustain what we might call a «virtual community of death».
