Click here to skip to content

Welfare Reform on the Web (July 2002): National Health Service - Community and Primary Care Services

COLLABORATION IS CRUCIAL TO IDENTIFYING UNDERPERFORMING GPs

H. Joesbury

Primary Care Report, vol. 4, issue 7, Apr. 2002, p. 26-29

Responsibility for dealing with poor GP performance now resides with Primary Care Trusts. Article describes best practice for setting up a local performance appraisal scheme.

COMMUNICATION IS KEY AS PCTS TAKE CHARGE OF CHILD PROTECTION

J. Cresswell

Primary Care Report, vol. 4, no. 6, Apr. 2002, p. 36-38

Primary Care Trusts have been given responsibility for the co-ordination, improvement and audit of child protection services. Article focuses on the challenges they face in recruiting and training staff and in setting up arrangements for partnership working.

EXEMPLAR SCHEME IS STILL ON TRACK DESPITE SETBACKS

M. Golding

Primary Care Report, vol. 4, no. 6, Apr. 2002, p. 28-29

The Exemplar Programme aims to establish best practice among selected pilots for the integration of GP out-of-hours services with NHS Direct.

GP CONTRACT WILL NOT CUT RANGE OF SERVICES

Anon.

Health Service Journal, vol. 112, Apr. 25th 2002, p. 6

Under the new GP contract, patients will be registered with practices rather than individual doctors. The new arrangement will allow practices to opt out of providing some services such as cervical smears, contraception services, vaccinations and maternity care. GPs will also be able to opt out of providing out of hours services, for which responsibility will be assumed by the primary care organisation. Patients may have to re-register with their GP by signing an agreement that they will use primary care services responsibly.

HIGHER PROFESSIONAL EDUCATION: CPD FOR NEW GPs

A. Rughani

British Journal of Health Care Management, vol. 8, 2002, p. 183-186

Describes the approach taken in North Trent to continuing professional development to ease the transition of new recruits into general practice.

HOW WELL ARE PILOT SITES RIDING THE FIRST WAVE OF PMS?

N. Walsh

Primary Care Report, vol. 4, no. 7, Apr. 2002, p. 34-35

Outlines findings on how the first wave Personal Medical Services pilots have performed on the key measures of accountability, integration with other parts of the NHS and social care, and responsiveness to local needs.

IS PFI A FRIEND OR FOE TO PRIMARY CARE?

S. Brown

Primary Care Report, vol. 4, no. 6, Apr. 2002, p. 20-22

Discusses the impact of the private finance initiative on primary care through Local Improvement Finance Trusts (LIFTs). These will build, refurbish and own primary care facilities in an area and lease them back to GPs, chemists, opticians and dentists.

LONDON PCTs PULL OUT ALL THE STOPS TO PREVENT GP BRAIN DRAIN

S. Crowe

Primary Care Report, vol. 4, issue 7, Apr. 2002, p. 14-15

London property prices are causing GPs to leave. Article describes how PCTs are offering relocation packages and salaried posts to boost recruitment.

PATIENTS' PROSPECTUS: WILL PCTs BE ABLE TO DELIVER IN TIME?

M. Pownall

Primary Care Report, vol. 4, no. 8, May 2002, p. 8-9

All Primary Care Trusts are required to produced a patients' prospectus within six months. The prospectus will contain a directory of local health services and an indication of their performance. There are concerns that some PCTs may fail to meet this deadline due to lack of detailed guidance and lack of time to gather the data required.

SUCCESS OF THE GP CONTRACT RESTS ON THE SHOULDERS OF PCOs

M. Pownall

Primary Care Report, vol. 4, no. 7, Apr. 2002, p. 4-7

Article outlines the provisions of the new draft contract for GPs. It aims to pay practices according to their workload and to reflect the quality of their services. All practices will be expected to provide medical care for those who are ill and management of terminal patients. Most practices will be expected to provide additional services such as vaccination, contraception, and cervical cytology. The more organised practices can optionally provide enhanced services, such as services for asylum seekers or travellers. Practices will also be able to opt out of provision of out of hours services, and hand over responsibility to their PCT.

A THIRD OF PCTs FACE DEFICIT BURDENS AS THE BALANCE SHIFTS

S. Crowe

Primary Care Report, vol. 4, no. 6, Apr. 2002, p. 8-11

Many of the newly created primary care trusts will have to borrow money from other NHS organisations to stay solvent in 2002/03. This is due to projected overspends in their prescribing and commissioning budgets and to debt inherited from now defunct health authorities.

WILL PCTs BE GIVEN THE FREEDOM TO TAKE CONTROL OF THE REINS?

S. Gillam

Primary Care Report, vol. 4, no. 6, Apr. 2002, p. 13-15

Discusses the challenges faced by Primary Care Trusts in overcoming obstacles to partnership working, in recruiting and managing staff, in commissioning hospital and community services, and in meeting government performance targets.

Search Welfare Reform on the Web