Click here to skip to content

Welfare Reform on the Web (August 2009): National Health Service - primary and community care

Commissioning NHS dentistry in England: issues for decision-makers managing the new contract with finite resources

R.D. Holmes and others

Health Policy, vol. 91, 2009, p. 79-88

As a result of the new General Dental Services Contract introduced in 2006, Primary Care Trusts (PCTs) in England have been charged with commissioning local dental services with finite resources devolved from the government's national budget for NHS dentistry. This paper explores the views of dental decision-makers within English PCTs operating under the new contract and investigates their preparedness to commission dental services using tools such as programme budgeting and marginal analysis.

Obesity in the UK: a review and comparative analysis of policies within the devolved administrations

P. Musingarimi

Health Policy, vol. 91, 2009, p. 10-16

Obesity is a significant public health threat in the UK. Since devolution in 1998, the formulation and implementation of policies to tackle obesity and other health issues are the responsibility of the devolved administrations of Scotland, Wales and Northern Ireland. This paper reviews and compares their policies. A review and analysis of policy responses in the devolved administrations reveals differences in strategic approaches to tackling obesity, with England having recently introduced a population-wide strategy in contrast to the other countries. Policies to address obesity in England and Northern Ireland are target driven in contrast to Scotland and Wales. In all countries, the focus has been on addressing childhood obesity with Scotland having taken the lead on setting nutritional standards for school meals.

'Out of hospital': a scoping study of services for carers of people being discharged from hospital

R. Borthwick, L. Newbronner, and L. Stuttard

Health and Social Care in the Community, vol. 17, 2009, p. 335-349

Successive government policies have highlighted the need to inform and involve carers fully in the hospital discharge process. However, some research suggests that many carers feel insufficiently involved and unsupported in this process. This paper summarises a scoping review to identify what the UK literature tells us about service provision for carers, and its effectiveness, around the time of hospital discharge of the care recipient, and also describes a mapping exercise of the work being done by Princess Royal Trust for Carers Centres in England to support carers around the time of hospital discharge. While the mapping exercise showed that in some areas there are services and/or initiatives in place to improve the process of discharge for carers, in many places there is still a gap between what policy and research suggest should happen and what actually happens to carers at this time. Even where services to support carers at this time exist, there is only limited evidence from research or evaluation to demonstrate their impact on the carer's experience.

Powerful chemistry

G. Clews

Health Service Journal, July 16th 2009, p. 22-24

The 2008 White Paper Pharmacy in England outlined how pharmacies could contribute to the shift towards more treatment in the community and self-management of long-term conditions by moving from dispensing to offering clinical services. However many pharmacists feel that the level of pharmacy commissioning envisaged by the White Paper has not yet happened. Commissioning a wider range of pharmacy services is not a priority for primary care trusts.

Search Welfare Reform on the Web