Community Practitioner, vol. 72, 1999, p. 83-85.
Clinical governance is a new term covering a range of professional activities which together should ensure the quality and appropriateness of clinical care and services. The most important foundation for clinical governance is the acceptance by practitioners of three key principles:
Abingdon: Audit Commission Publications, 1999.
Report recommends that:
(For comment see Community Practitioner, vol. 72, 1999, p. 78).
British Journal of Health Care Management, vol. 5, 1999, p. 101-103.
Article reports on a recent study examining joint purchasing by health and social services at the locality level and identifies lessons for emerging primary care groups.
London: TSO, 1999. (House of Commons papers, Session 1998/99; HC 153)
Preliminary examination of the development and implementation of proposals for Primary Care Groups. Concludes by expressing overall support for the policy underlying PCGs, but points out that as they develop further questions about their performance and structure and the role of Health Authorities are likely to arise.
British Journal of Health Care Management, vol. 5, 1999, p. 96-100.
Research identifies four distinct organisational types of PCG using an analysis of differences in organisational purpose and objectives, management arrangements, health strategies and public health functions, information sources, and internal and external relationships. The models which emerge are PCG as defence association, PCG as friendly society, PCG as executive agency and PCG as franchised company.
Health Service Journal, vol. 109, April 29th 1999, p. 10-11.
Reports that relations between clinicians and managers in some primary care groups are under strain as GPs fear that their status as independent contractors is under threat.
Guardian, April 14th 1999, p. 12
Reports major speech by Tony Blair on the future of the NHS in which he announced:
(See also Independent, April 14th 1999, p. 11 and Daily Telegraph, April 14th 1999, p. 15)
Health Service Journal, vol. 109, 29th April 1999, p. 9-11.
New initiatives such as NHS Direct, nurse prescribing and "fast access walk-in centres" will undermine traditional general practice and threaten continuity of care. Primary care will become a shambles with patients being given conflicting advice and little control over access to secondary care.