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Welfare Reform on the Web (November 2005): National Health Service - Primary and Community Care

Best of health

B. Oaff

Young People Now, Oct.12th-18th 2005, p.14-15

Presents a case study of the Parallel in Bolton, a dedicated youth health centre which offers a range of services covering physical, mental, emotional and sexual health. As well as doctors, nurses and counsellors, the Parallel also has specialist advisers who deliver programmes in areas such as underage pregnancy and substance misuse. Staff are specially trained to work with adolescents. The Parallel could serve as the model for a new range of provision for young people across England.

Child protection training for primary health care teams: making a difference?

M. Keys

Child Abuse Review, vol.14, 2005, p.331-346

In 2001 the author, working as a Child Protection Adviser to an NHS Trust in Scotland, obtained funding to deliver child protection training to 23 primary care teams across the region over a one year period. By the end of the year 90% of practices had participated and 86% reported an improvement of at least 50% in knowledge, skills and confidence. Both medical staff and clerical personnel attended the training. Anecdotal evidence from social work and police colleagues is that contributions from, and communication with, GPs are more effective than prior to the training.

The Community General Dental Practitioner

W. Richards, J.R.M. Ameen and A.M. Coll

British Journal of Health Care Management, vol.11, 2005, p.308-312

Article introduces a new model of care labelled Community General Dental Practice which has four innovative features:

  • It is health-focused, based on prevention and oral health assessment
  • It measures oral health quality of life and thus patient experience, making it patient centred
  • It maintains physical and social access for the whole community, through registration and continuing care
  • Its delivery involves Total Quality Management (TQM) principles which develop the dental team

Outcomes demonstrating these four features are reported from a case study in South Wales of an urban general dental practice.

Evidence, policy and practice: developing collaborative approaches in Scotland

E. Wimbush and others

Evidence and Policy, vol.1, 2005, p.391-407

Within the field of health improvement policy and practice in Scotland, paper focuses on the development of collaborative mechanisms for bringing people working across research, policy and practice closer together. The first part of the article looks at research-policy-practice collaborations in the development and evaluation of two public health interventions: needle exchanges and teacher-delivered sex education in secondary schools. The second part of the article considers the development of professional roles that are intended to facilitate cross-boundary linkage and exchange between research, policy and practice.

First look at the primary care revolution

D. Martin

Health Service Journal, vol.115, Oct.27th 2005, p.14-15

The Strategic Health Authorities have now submitted their plans for new primary care trust boundaries. The HSJ has collated them in a map.

GPs issued with 'power questions' for patients

I. Lloyd

Health Service Journal, vol.115, Oct.13th 2005, p.9

The Department of Health is to issue GP practices with leaflets containing a list of key questions patients should ask their doctor at the point of referral. The questions might be around treatment options, waiting times, or distance and travel arrangements. The leaflets have met with a mixed reception from GPs.

Hewitt retreats over plans to transfer medical staff

M. White and J. Carvel

The Guardian, October 21st 2005, p. 12

The Health Secretary, Patricia Hewitt, has retreated on plans to "privatise" 250,000 NHS nurses and other medical staff in the face of stiff resistance by Labour MPs, unions and health-service professionals.

Minister hails Debenhamís model for NHS healthcare 'boutiques'

J. Carvel

The Guardian, October 13th 2005, p.8

A foundation hospital is using its freedom from Whitehall control to build up a chain of eye surgery "boutiques" in NHS hospitals across London. Moorfields NHS trust had capitalised on its international reputation for high-class ophthalmology to open branded clinics in 10 other general hospitals. It provides the surgeons, owns the equipment and maintains clinical standards. The experiment is being closely watched by other foundation hospitals as they prepare plans to attract more business. It was described yesterday by Sue Slipman, director of the Foundation Trust Network, as ushering in a "Debenham's model of healthcare" across the NHS. A Debenham's department store is made up a collection of branded boutiques, providing shoppers with convenient access to a full range of popular labels. That, she said, is what NHS general hospitals may soon look like.

PCT upheaval could kill clinical engagement, PEC chairs warn

M.-L. Harding

Health Service Journal, vol.115, Oct.6th 2005, p.5

A survey of Primary Care Trust Professional Executive Committee chairs shows that:

  • Four out of five think that the current PCT reconfiguration process will seriously weaken GP engagement with the NHS
  • Over 75% think that local circumstances and patient needs are not getting sufficient consideration in the reorganisation
  • 59% believe that the implementation of practice-based commissioning will be disrupted by the reconfiguration.

White teeth

M. Gould

Health Service Journal, vol.115, Oct.13th 2005, p.26-28

The government is planning extensive reforms of NHS dental services. The Department of Health has increased dentistry funding by 19% and its target of 25% of all dental practices to be working under personal dental services contracts has been surpassed. Dental undergraduate places are to be increased by 25% this year. It is also engaged on a consultation on replacing the current 400-plus charges that NHS dentists can levy with a system that will divide costs into three bands, ranging from low to high levels of required treatment. Under a new contract, providers will agree to supply a given number of units of dental activity and there will be a formula for calculating how many units each dentist or practice should provide. From April 2006, responsibility for commissioning dental services to meet local needs will be devolved to primary care trusts. There are fears that the new target-led contract will drive many dentists into private practice.

Who are the real experts?

A.U. Sale

Community Care, Oct. 6th-12th 2005, p.32-33

People who use palliative care services are experts in their own condition and should be involved in planning their own care instead of being regarded as passive recipients of services.

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