H. McIntyre and A. Dix
Health Service Journal, vol.115, May 19th 2005, p.30-32
Heart failure accounts for about 5% of all admissions to general medical and acute wards and 10% of hospital bed occupancy. Once patients are stabilised, specialist nurse-led support services in the community offer major benefits. However, improvements in care need to encompass both primary and secondary services.
G. Meads & J. Ashcroft
Oxford: Blackwell, 2005 (Promoting partnership for health)
This book is the first in a series entitled Promoting Partnership for Heath. The series emanates from the UK Centre for the Advancement of Interprofessional Education and explores partnership working in healthcare from policy, practice and educational perspectives. Whilst strongly advocating collaboration in healthcare, the series alerts readers to the pitfalls and how to avoid them.
Department of Health London: 2005
Document sets out how the NHS will:
Health and Social Care Department, Welsh Assembly Government Cardiff: 2005
Document sets out a ten year plan for the NHS in Wales. Capital spending will be tripled over the next three years, rising to £309m in 2007/08, but there will also be major secondary care rationalisation. Specialist services will be centralised. The plan also envisages a review of financial arrangements and a shake-up in performance management, with sharpened incentives and sanctions and the introduction of demand management strategies.
Journal of Health Services Research and Management, vol.10, 2005, p.118-119
Critics of evidence-based policy (EBP) see it as either vacuous (who thinks that public policy shouldn't be based on evidence?), unrealistic (the naïve product of ivory-tower thinking) or conservative (an excuse to delay reform). It need be none of these things. EBP should be thought of as a set of rules and institutional arrangements designed to encourage transparent and balanced use of evidence in public policy-making. Unfortunately much of the evidence on which NHS reform has been based under New Labour has not been published. Nor have there been rigorous post-implementation evaluations of the results of the reforms.
Practice Development in Health Care, vol.4, 2005, p.50-55
An integrated care pathway determines locally agreed, multidisciplinary practice, based on guidelines and evidence where available, for a specific patient group. It facilitates clinical governance and continuous care improvement, but may be inimical to patient-centred care and clinical freedom.
Health Service Journal, vol.115, May 5th 2005, p.12-13
The NHS would collapse without the immigrant workers who staff it at all levels. However, many doctors and nurses are recruited from Third World countries, whose health services are being decimated by the loss of trained staff.
Health Service Journal, vol.115, May 5th 2005, p.20-22
Neurological conditions account for a fifth of all acute hospital admissions. The long-term neurological conditions NSF takes a structured approach to improving the patient journey. However, its success will depend on rigorous implementation of its quality standards.
Health Service Journal, vol.115, May 19th 2005, p.17
Discusses different approaches to helping patients make a choice of elective treatment provider. This could be done by GPs or by using a booking management service.
Health Service Journal, vol.115, May 12th 2005, p.16-17
Article assesses John Reid's record as Health Secretary from 2003 to 2005. Having little personal interest in the NHS, he, unlike his predecessor Alan Milburn, did not attempt to micromanage the service. However his "broad brush" approach allowed his ministerial team and the NHS Chief Executive a more prominent role. His pragmatic approach made him someone the medical profession could work with.
N. Bosanquet and M. Rawlins
Health Service Journal, vol.115, May 26th 2005, p.20-21
The authors debate the question of whether use of quality adjusted life years to ration access to treatment discriminates against older patients and those with long-term conditions.
Health Service Journal, May 5th 2005, p.33-40
The HSJ analysed the Healthcare Commission's March 2005 staff survey results to produce a list of acute, primary care and ambulance trusts which demonstrated best practice in human resource management. Article then reports brief interviews with senior human resource managers in a selected trust in each category on what sets them apart.
National Institute for Health and Clinical Excellence 2005
The Institute consults on what socio-economic factors, such as age and lifestyle, it should consider when developing guidance on the promotion of good health and the prevention and treatment of ill health.
Health Service Journal, vol.115, May 5th 2005, p.15
Government tends to assume that clinicians are purely motivated by self-interest when they oppose reform and therefore ignores their expert opinions. Author argues that this assumption is flawed.
The Times, May 6th 2005, p.28
Elderly patients could be denied some treatments because of their age under new proposals set out by the Government's national health advisory body. The National Institute for Health and Clinical Excellence, which provides guidance on treatment cost-effectiveness for England, confirmed yesterday that it had set out the controversial ideas in a consultation paper. Members of the Institute's Citizens' Council said that in cases in which age could affect the benefits or risks of treatment, medical staff would be justified in discriminating.
(See also The Independent, May 6th 2005, p.14)