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Found 119 results
  1. Content Article
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    The toolkit covers the following topics: Creating conditions Understanding your system Developing aims Testing changes - identify change ideas, test and refine Testing changes - specific change ideas Implement and sustain changes Sharing learning
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    What needs to happen Above all we need to be honest with ourselves about the extent of the problems and the implications of the solutions. That requires an open and honest national conversation among politicians, patients and the public, healthcare professionals and policy makers, one which leads to action and meaningful change. What does a reformed system look like? A system fit for the twenty-first century must centre the needs of the whole person and of the whole population. This requires: Expanding workforce numbers Improving patient access to care across all settings.
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    The six patient safety priorities outlined by Jeremy Hunt are: Develop a credible and comprehensive NHS and social care workforce plan Reform primary care by bringing back individual GP lists Provide a timetable by which the recommendations from the Ockenden Review will be implemented Scrap national NHS targets Join forces with the Treasury and radically reform our litigation and compensation systems Revamp the Learning from Deaths programme so that all Trusts are publishing data on the avoidable deaths that happen in their services
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    The final guideline mirrors the draft guidance in advising that self-harming patients, when treated in primary care, must receive: regular follow-up appointments regular reviews of self-harm behaviour a regular medicines review. The guidance also said: After an episode of self-harm, the format and frequency of initial aftercare and which services will be involved must be discussed with the patient. If the psychosocial assessment after a self-harm episode was made by a GP, initial aftercare must be provided by the GP within 48 hours of the assessment.
  14. News Article
    An LMC has created template letters to help practices reject secondary care workload dumping, including rejected referrals and requests to complete work on behalf of hospital trusts. Cambridge LMC said it developed the tools amid a growing ‘tsunami’ of secondary care workload transfer into general practices. One template letter tackles the rejection of a referral ‘on the basis that a proforma was not enclosed or completed in full’. It points out that the GMC requires GPs to refer when they ‘believe it is necessary to do so’ and that their ‘contractual obligations make no mention of a
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    The recent publication of the Fuller Stocktake report sets out a new vision for the role of primary care in integrated care systems. With primary care the bedrock of the NHS and at “the heart of communities”, the paper’s recommendation to similarly establish it at the centre of new ICS systems and foster greater collaboration is a welcome one that has been greeted positively in many quarters. However, a key priority underpinning many of the recommendations made is the need to create sustainable primary care for the future. Within this, there is a challenge to tackle “inadequate access to
  20. News Article
    The large number of unfilled NHS job vacancies is posing a serious risk to patient safety, a report by MPs says. It found England is now short of 12,000 hospital doctors and more than 50,000 nurses and midwives, calling this the worst workforce crisis in NHS history. It said a reluctance to decisively plug the staffing gap could threaten plans to tackle the Covid treatment backlog. The government said the workforce is growing and NHS England is drawing up long-term plans to recruit more staff. Former Health Secretary Jeremy Hunt, who chairs the Commons health and social car
  21. Content Article
    The 'Workforce: recruitment, training and retention' report outlines the scale of the workforce crisis: new research suggests the NHS in England is short of 12,000 hospital doctors and more than 50,000 nurses and midwives; evidence on workforce projections say an extra 475,000 jobs will be needed in health and an extra 490,000 jobs in social care by the early part of the next decade; hospital waiting lists reached a record high of nearly 6.5 million in April. The report finds the Government to have shown a marked reluctance to act decisively. The refusal to do proper workforce planning risked
  22. Event
    Join this Royal Society of Medicine conference to learn some of the key medico-legal issues that impact upon GPs/primary care. The overarching aim is to improve patient safety in both primary and secondary care via learning from incidents and better understanding the indemnity provisions in place for GPs/primary care and how that feeds back into learning. The aim of this meeting is to review and promote an understanding of recent legal and regulatory developments, with a specific emphasis on inquests, clinical negligence and incidents in the primary care sector, and their impact upon pati
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    Key points The National Health Service (NHS) is in serious decline – struggling to recover from the devastating impact of the pandemic and Brexit. The issues are deep-seated and more extensive than the pandemic’s treatment backlog. The future sustainability of a tax-funded comprehensive NHS is now open to doubt. Throughout its history, the NHS has focused on treating ill-health, even as the disease profile of the UK has vastly changed. Rising demand will mean the NHS is unable to provide services to all, ushering in a two-tier health system that no longer provides free
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