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Welfare Reform on the Web (November 2010): National Health Service - primary and community care

Developing cultural competence across communities: a coronary heart disease training programme for health advocates and trainers

R. Tozer and others

Diversity in Health and Care, vol.7, 2010, p.177-188

The health disadvantages faced by ethnic minority communities have prompted a range of local and national initiatives aimed at improving outcomes. Community-based health promotion and advocacy is one such initiative, which has been further developed in the UK by employing health trainers in voluntary and community organisations as part of a nationally sponsored government programme. These trainers complement the work of health advocates, interpreters and community health workers, bridging the gap between statutory provision and local communities by encouraging healthy lifestyles across different cultural groups. Between 2006 and 2008, the British Heart Foundation delivered a series of training courses to improve the knowledge of these workers, while at the same time ensuring that this knowledge had meaning within the context of a multicultural society. This article reports on an evaluation of the training programme.

Leadership: a challenge for GPs?

S. Willcocks

British Journal of Healthcare Management, vol. 16, 2010, p. 468-473

The Medical Leadership Competency Framework (2009) is the first strategic level attempt to develop the leadership competencies required by doctors at various stages in their careers. Leadership is all the more important given the plans of the new coalition government for spending restraint and major structural change to the NHS, including the introduction of GP commissioning consortia. The success of these new organisations will depend on the engagement of GPs and the leadership they provide. This article seeks to address to question of which of five leadership models (competency, cultural leadership, connective leadership, shared leadership, and emotional intelligence) is best for GPs working in primary care.

PCTs step closer to deciding fate of their provider arms

B. Clover

Health Service Journal, Oct. 7th 2010, p. 10-11

HSJ has obtained the details of most primary care trust plans for provider arms in all but two English strategic health authority regions. The proposals show that provider arms will either be integrated with acute and mental health service providers or will be converted into new standalone community foundation trusts.

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