Click here to skip to content

Welfare Reform on the Web (November 2006): National Health Service - primary and community care

“It’s not about Americans in 10-gallon hats, it’s about people who can deliver a high-quality service”

L. Greenwood

Health Service Journal, vol.116, Oct. 5th 2006, p.22-24

Reports that Central and Greater Derby primary care trusts (PCTs) have signed a contract with United Healthcare Europe (UHE), the subsidiary of America’s largest healthcare corporation, to run a GP practice. This is one of the first times that an in-hours GP service will be offered under an alternative provider medical services contract. The PCTs claim that they chose UHE because it could best meet local people’s needs. The article describes the process that led to letting the contract.

NHS credits would empower poorest patients, says Milburn

P. Wintour

The Guardian, Oct. 24th 2006, p.13

Speaking at the Care Continuum Congress in Washington, former Health Secretary Alan Millburn proposed a plan to give patients NHS credits to choose some of their healthcare. The programme would initially focus on people with long-term care needs living in disadvantaged areas, but would eventually be offered to others with chronic conditions. Patients would be given a choice between receiving care from the NHS and being given a budget in the form of NHS credits that they could use on private care. The initiative would be funded by the taxpayer and upwards adjustments would be granted to older and poorer people. Milburn claims that the proposal would drive down NHS costs and democratise primary care, introducing an era of bottom-up accountability for the NHS.

Number of cancelled NHS ops hits 1,000 a day

G. Wilson

The Daily Telegraph, Oct. 16th 2006, p.1

Tory MP Grant Shapps has revealed that nearly 1000 operations at NHS hospitals are cancelled per day. The MP gained the information from Freedom of Information requests to every NHS trust in the country. According to the report, the majority were cancelled as a result of administrative errors, miscommunication and patients not receiving notification of their operations. 7,704 operations were cancelled in 2005 due to equipment that was missing, unsuitable or unclean.

School nurse practice: a decade of change

D. DeBell

Community Practitioner, vol.79, 2006, p.324-327

In the past decade school nursing has undergone a paradigm shift from a medical to a social model of care. The service now works from a public health ethos and has a preventative agenda. The focus is on the child rather than on provision of a service to schools and school nurses work in teams rather than alone.

Tailoring postnatal care to the needs of mother and infant

C. Adams

Community Practitioner, vol.79, 2006, p.315-316

The NICE guideline for normal postnatal care was issued in July 2006. This article seeks to clarify some of its key recommendations for health visitors, including the role of the co-ordinating health professional, the number of postnatal contacts, engagement of the mother in the care process, access to breastfeeding support, and advocacy on behalf of clients.

Time to give PECs the muscle to make a real difference

D. Carlisle

Health Service Journal, vol.116, Oct.26th 2006, p.14-15

Primary care trust professional executive committees (PECs) have been weighed down by corporate affairs and unable to influence strategy and clinical design. The Department of Health has now decided to review them. This article presents expert opinion on what reformed PECs could look like.

Search Welfare Reform on the Web