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Found 44 results
  1. Content Article
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    Highlights Awareness of unintended consequences can help to balance a promissory discourse of digital health. Digital health technologies can disrupt power relations and lead to paradoxical outcomes. When digital health technologies fail staff can develop a general pessimism about innovations. When planning digital health technologies the ‘dark logic’ should be considered as well as to the potential. Accounts of unintended consequences make engaging stories for reflective, learning organisations.
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    Based on the evidence in the MARQUIS2 report, this editorial suggests that the following approaches could make patient involvement more effective: Healthcare workers need to choose appropriate times to offer information and coaching so that patients are more likely to be receptive. For example, giving medication instructions in advance, rather than waiting for the moment they are discharged. Research needs to apply a more general approach to patient medication experiences, rather than focusing on specific settings and timeframes, such as a hospital stay. Tracking the role patient
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    A survey of an area’s GPs and other primary care staff found those from a minority ethnic background feel they are less involved in decision making and less respected by their colleagues, according to results shared with HSJ. The survey, instigated by GPs in Doncaster, South Yorkshire, also found more staff from a minority ethnic background said they had experienced some form of bullying or harassment, including “instances of physical violence”. The work is thought to be unusual in primary care — annual “workforce race equality standard” surveys are required by NHS England for NHS tr
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    The frameworks are comprehensive and include: Comprehensive search tools to risk stratify patients – built for EMIS and SystmOne. Pathways that prioritise patients for follow up, support remote delivery of care, and identify what elements of long-term condition care can be delivered by staff such as Health Care Assistants and link workers. Scripts and protocols to guide Health Care Assistants and others in their consultations. Training for staff to deliver education, self-management support and brief interventions. Training includes health coaching and motivational inte
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    RCGP says the plans should contain: costed proposals for additional funding for general practice solutions for how the current GP workforce capacity can manage new and pre-existing pressures commitments to continue the reduction in regulatory burdens and ‘red tape’, which has enabled GPs to spend more time on frontline patient care during the pandemic a systematic approach for identifying those patients who are likely to require primary care support; and proposals for how health inequalities will be minimised to ensure all patients have access to the necessary post-COVI
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    The findings of this paper show that safety lapses in primary and ambulatory care are common. About half of the global burden of patient harm originates in primary and ambulatory care, and estimates suggest that nearly four out of ten patients experience safety issue(s) in their interaction with this setting. Safety lapses in primary and ambulatory care most often result in an increased need for care or hospitalisations. Available evidence estimates the direct costs of safety lapses – the additional tests, treatments and health care – in primary and ambulatory care to be around 2.5% of total h
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    Consider your balance between remote and face to face care – have you got it right and how might it need to change in the months to come? Think about how you are going to manage respiratory symptoms over the winter and be aware of the issues with COVID-19 in children and what to do if resuscitation is needed.Shielding is paused and is unlikely to return in the same form as at the start of the pandemic.Know about the standard operating procedure (SOP) for primary care Appraisal is restarting in a very light-touch way and there are other changes to administration.Continue to wear PPE w
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