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Welfare Reform on the Web (February 2004): National Health Service - Primary and Community Care

EMERGENCY CARE

Health Service Journal, vol.114, Jan.22nd 2004, Supplement, 11p

Special supplement highlights partnership working to improve emergency services sponsored by the Modernisation Agency's Improvement Partnership for Ambulance Services team. Looks at how trusts are working together to improve in the key areas of clinical governance, commissioning, data collection and job redesign.

EVER READY

C. Lewis

Health Service Journal, Vol. 114, Jan. 8th 2004, p.26-27

Evercare is a US model of care for at-risk older people, which is being piloted in the UK. It revolves around an expanded nurse practitioner role in which "advanced primary nurses" act as care co-ordinators for frail elderly people with a view to avoiding hospital admission.

MANAGING CHRONIC DISEASE: WHAT CAN WE LEARN FROM THE US EXPERIENCE?

J. Dixon and others

London: King's Fund, 2004

Health maintenance organisations in the USA have a better record than the NHS for successfully managing chronic diseases. Report suggests some elements of the US model that could be imported into the NHS, including franchising management of primary care trusts, introduction of competition between them for patients, and offering GPs financial incentives.

PRIMARY CARE IN URBAN DISADVANTAGED COMMUNITIES

J. Kai and C. Drinkwater

Abingdon: Radcliffe Medical Press, 2003

This book examines how primary care is responding to the challenge of urban disadvantage and inequalities in health. Case studies illustrate community-orientated approaches to health for local communities, mental ill health, drug misuse, minority ethnic groups and younger and older people. They underline the need to understand and develop new ways of working for local contexts. The book also identifies challenges and opportunities for the development of social capital, empowerment and health in the real world.

THE PUBLIC'S PERCEPTION OF GPS: POLICY IMPLICATIONS

M. Thomas and others

British Journal of Health Care Management, vol.10, 2004, p.18-24

Paper describes the application of the Importance-Performance analysis (Martilla and James, 1977) to primary care practice and its development as a tool that enables patients to identify and prioritise those attributes of primary care services of importance to them.

PUTTING PATIENTS FIRST: DESIGNING AND PRACTISING PATIENT-CENTRED CARE

S. Frampton, L. Gilpin and P. Charmel (editors)

San Francisco, Calif.: Jossey-Bass, 2003

This book is a complete guide to patient-centred care - the philosophy championed by the Planetree Institute. The book explains the origins and uses of patient-centred care and provides a practical approach to implementing it in any health care organization. These methods are also applied to the larger issues of health care delivery such as managed care, workforce shortages, patients 'right-to-know' legislation, and hospital marketing and branding efforts. It includes examples from hospitals and health care organisations that have successfully implemented the Planetree model.

SEEING DOUBLE

A. Moore

Health Service Journal, vol.114, Jan.15th 2004, p.10-11

The new GP contract allows practices to opt out of providing many enhanced services such as flu immunisation or cervical cytology, and personal medical services practices may only offer a limited primary care service and may be nurse-led. These changes may lead to dual registration with more than one GP or primary care provider.

SO FAR SO GOOD FOR SCOTTISH PILOT

L. Whyte

Community Practitioner, vol.77, 2004, p.12

A family health nurse in Scotland is a skilled generalist who has a similar approach to a GP. The main elements of the role are to:

  • act as a point of contact for the public;
  • act as a resource for families as a whole, at all stages of life;
  • combine the care of family members who are sick with health promotion and protection for the whole family.
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