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Author: Great Britain: Parliament: House of Commons: Health Committee Publisher: The Stationery Office ISBN: 9780215553881 Category : Medical Languages : en Pages : 80
Book Description
In 2004 new arrangements for out-of-hours general practice were introduced as part of a new General Practitioner (GP) contract with the aim of addressing inadequate standards and difficulties in retaining doctors in general practice. Many consider the new system an improvement on its predecessor, but it has some serious weaknesses. In particular the use of EEA doctors and the failure to check their language skills and clinical competence has led to poor clinical care and deaths of patients. It is on this aspect that this report focuses.
Author: Great Britain: Parliament: House of Commons: Health Committee Publisher: The Stationery Office ISBN: 9780215553881 Category : Medical Languages : en Pages : 80
Book Description
In 2004 new arrangements for out-of-hours general practice were introduced as part of a new General Practitioner (GP) contract with the aim of addressing inadequate standards and difficulties in retaining doctors in general practice. Many consider the new system an improvement on its predecessor, but it has some serious weaknesses. In particular the use of EEA doctors and the failure to check their language skills and clinical competence has led to poor clinical care and deaths of patients. It is on this aspect that this report focuses.
Author: Rachel Clarke Publisher: Metro Publishing ISBN: 1786068192 Category : Biography & Autobiography Languages : en Pages : 278
Book Description
'I am a junior doctor. It is 4 a.m. I have run arrest calls, treated life-threatening bleeding, held the hand of a young woman dying of cancer, scuttled down miles of dim corridors wanting to sob with sheer exhaustion, forgotten to eat, forgotten to drink, drawn on every fibre of strength that I possess to keep my patients safe from harm.' How does it feel to be spat out of medical school into a world of pain, loss and trauma that you feel wholly ill-equipped to handle? To be a medical novice who makes decisions which - if you get them wrong - might forever alter, or end, a person's life? To toughen up the hard way, through repeated exposure to life-and-death situations, until you are finally a match for them? In this heartfelt, deeply personal account of life as a junior doctor in today's health service, former television journalist turned doctor, Rachel Clarke, captures the extraordinary realities of ordinary life on the NHS front line. From the historic junior doctor strikes of 2016 to the 'humanitarian crisis' declared by the Red Cross, the overstretched health service is on the precipice, calling for junior doctors to draw on extraordinary reserves of what compelled them into medicine in the first place - and the value the NHS can least afford to lose - kindness. Your Life in My Hands is at once a powerful polemic on the systematic degradation of Britain's most vital public institution, and a love letter of optimism and hope to that same health service and those who support it. This extraordinary memoir offers a glimpse into a life spent between the operating room and the bedside, the mortuary and the doctors' mess, telling powerful truths about today's NHS frontline, and capturing with tenderness and humanity the highs and lows of a new doctor's first steps onto the wards in the context of a health service at breaking point - and what it means to be entrusted with carrying another's life in your hands. 'Eloquent and moving' - Henry Marsh 'There have been many books written by young doctors... but none comes close to Clarke's' - Sunday Times 'From the very heart of the NHS comes this brilliant insight into the continuing crisis in the health service. Rachel Clarke writes as the accomplished journalist she once was and as the leading junior doctor she now is - writing with humanity and compassion that at times reduced me to tears.' - Jon Snow, Channel 4 News 'Dr Clarke has written a blockbuster, a page-turner, a tear-jerker. This is a "from-the-heart" front-line account of the human cost of the wanton erosion of a magnificent ideal - healthcare free at the point of need, funded through public taxation, available to all - made real in the UK for near 70 years. It is a love-song for the wonderful National Health Service that has embodied - to an extent equalled nowhere in the world - the principle that healthcare is not a commodity but a great duty of state.' - Prof. Neena Modi, President of the Royal College of Paediatrics and Child Health 'A powerful account of life on the NHS frontline. If only Theresa May and Jeremy Hunt could see the passion behind the people in the NHS, they might stop treating them as the enemy, and understand that without them we don't have an NHS worth the name.' - Alastair Campbell
Author: Dean T. Jamison Publisher: World Bank Publications ISBN: 0821361805 Category : Medical Languages : en Pages : 1449
Book Description
Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.
Author: Great Britain: National Audit Office Publisher: The Stationery Office ISBN: 9780102953015 Category : Medical Languages : en Pages : 60
Book Description
Each year general medical practices provide some 290 million consultations. The new contract (implemented in April 2004 but increased spending began in April 2003) changed the basis for commissioning primary care services. Instead of contracting with individual General Practitioners (GPs), Primary Care Trusts (PCTs) commission services from some 8,325 GP practices with around 33,000 GPs. This study examines the negotiation and implementation of the new contract and how well it is working in practice. In the first three years the PCTs spent £1.76 billion (9.4 per cent) more than the minimum committed by the Department of Health. Mostly this was due to an underestimation of the amount that GPs would earn from the pay for performance scheme, the Quality and Outcomes Framework (QOF), and the additional cost of providing out-of-hours care (most GPs have opted out of providing this service). GPs' salaries have increased by an average of 58 per cent. Practice nurses have not benefited to the same extent. While the number of consultations with patients has increased, these are not in proportion with the increase in costs, and productivity has fallen by 2.5 per cent per year. GPs are working less hours. Some progress has been made in extending the range of patient services, reduced administration, high quality care and linking pay and performance, and staff satisfaction and morale. Progress has not yet been demonstrated in productivity, and re-designing the services around patients. The contract has contributed to improved recruitment and retention of GPs. The NAO recommends that the Department develop a strategy for yearly negotiations on the QOF, which should be based more on health outcomes. PCTs should provide more services based on local need and review the number and skills of staff employed to commission and performance manage GP services with the aim of improving local commissioning.
Author: United States. Congress. Senate. Committee on Armed Services. Subcommittee on Manpower and Personnel Publisher: ISBN: Category : United States Languages : en Pages : 296
Author: Nancy J. Niles Publisher: Jones & Bartlett Publishers ISBN: 1284034429 Category : Business & Economics Languages : en Pages : 443
Book Description
Basics of the U.S. Health Care System, Second Edition provides students with a broad, fundamental introduction to the workings of the healthcare industry. Engaging and activities-oriented, the text offers an especially accessible overview of the major concepts of healthcare operations, the role of government, public and private financing, as well as ethical and legal issues. Each chapter features review exercises and Web resources that make studying this complex industry both enjoyable and easy. Students of various disciplines—including healthcare administration, business, nursing, public health, and others—will discover in Basics of the U.S. Health Care System, Second Edition a practical guide that prepares them for professional opportunities in this rapidly growing sector. The Second Edition has been updated substantially to reflect the passage and implementation of the health care reform act of 2010, as well as new information on information technology, Medicare, Medicaid, and much more. Basics of the U.S. Health Care System features: • A new chapter on the Patient Protection and Affordable Care Act of 2010 • A complete overview of basic concepts of the U.S. healthcare system • Student activities including crossword puzzles and vocabulary reviews in each chapter • Helpful case studies • PowerPoint slides, TestBank, and Instructor’s Manual for instructors • Online flashcards, crosswords, and an interactive glossary for students
Author: BMA Medical Ethics Department Publisher: John Wiley & Sons ISBN: 1118384849 Category : Medical Languages : en Pages : 207
Book Description
Everyday Medical Ethics and Law is based on the core chapters of Medical Ethics Today, focussing on the practical issues and dilemmas common to all doctors. It includes chapters on the law and professional guidance relating to consent, treating people who lack capacity, treating children and young people, confidentiality and health records. The title is UK-wide, covering the law and guidance in each of the four nations. Each chapter has a uniform structure which makes it ideal for use in learning and teaching. "10 Things You Need to Know About..." introduces the key points of the topic, Setting the Scene explains where the issues occur in real life and why doctors need to understand them, and then key definitions are followed by explanations of different scenarios. The book uses real cases to illustrate points and summary boxes to highlight key issues throughout. Whilst maintaining its rigorous attention to detail, Everyday Medical Ethics and Law is an easy read reference book for busy, practising doctors.
Author: Anggraeni Endah Kusumaningrum Publisher: Springer Nature ISBN: 2384760246 Category : Law Languages : en Pages : 770
Book Description
This is an open access book. ICLEH will bring the theme of “Recover Together, Stronger Together Through the Development of Law, Economy and Health.”, as our commitment to continuously sharing and disseminating the development of knowledge in the field of Social Science and Law. Through this conference, therefore, we do encourage international collaboration, idea-sharing and networking among experts and participants in the respected field of law, economy and health discipliners.
Author: Great Britain: Parliament: House of Commons: Health Committee
Author: Great Britain: Parliament: House of Commons: Health Committee
Author: Rachel Clarke
Author: Dean T. Jamison
Author: Great Britain: National Audit Office
Author: United States. Congress. Senate. Committee on Armed Services. Subcommittee on Manpower and Personnel
Author: Nancy J. Niles
Author: BMA Medical Ethics Department
Author: Anggraeni Endah Kusumaningrum
Author: House of Commons
Author: Stationery Office (Great Britain)