Views of general practitioners and head and neck surgeons on the referral system for suspected cancer: a survey

2015 ◽  
Vol 129 (9) ◽  
pp. 893-897 ◽  
Author(s):  
G S Bethell ◽  
P Leftwick
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Head And Neck ◽  
General Practitioners ◽  
National Health ◽  
Secondary Care ◽  
Referral System ◽  
North West

AbstractBackground:The two-week wait referral system for suspected cancer was introduced in the National Health Service in 2000. This study aimed to identify areas for improvement to the two-week wait system by seeking the opinions of doctors working in primary and secondary care.Method:A questionnaire was distributed to general practitioners and head and neck surgeons within North West England with ethical consent.Results:Twenty-seven general practitioners and 15 head and neck surgeons responded. Of the general practitioners, 59.3 per cent declared that they never attend training on referrals in this specialty. Overall, 59.3 per cent of general practitioners and 86.7 per cent of head and neck surgeons felt that the two-week wait system could be improved.Conclusion:The main areas for further work are development of pre-referral communication between primary and secondary care along with development of practical educational measures for general practitioners.

scholarly journals Local initiatives in clinical effectiveness

2000 ◽  
Vol 6 (5) ◽  
pp. 373-379 ◽  
Author(s):  
Robert Kehoe
Keyword(s):  
Professional Development ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Secondary Care ◽  
Continuing Professional Development ◽  
Clinical Effectiveness ◽  
Clinical Governance ◽  
Local Initiatives

With the arrival of clinical governance, psychiatrists working for the National Health Service (NHS) can no longer work in isolation, and commitment to both clinical effectiveness and continuing professional development (CPD) is expected and likely to become mandatory. Clinical governance gives clinical effectiveness a high priority within NHS organisations, both at primary and secondary care levels, together with clearer lines of accountability.

Developing GP Monitoring Systems Guided by a Soft Systems Approach

1995 ◽  
Vol 8 (4) ◽  
pp. 259-267 ◽  
Author(s):  
Tony Hindle
Keyword(s):  
National Health Service ◽  
Health Service ◽  
General Practitioners ◽  
National Health ◽  
Systems Approach ◽  
Soft Systems Methodology ◽  
Monitoring Systems ◽  
Contract Management ◽  
Systems Methodology ◽  
Soft Systems

This paper describes a selected aspect of a research project concerned with ‘contracts and competition’ in the recently reformed National Health Service. The particular feature highlighted in this paper is the central role played by the general practitioners in the health service as principal sources of the demands made on provider units (particularly hospitals) and, hence, critical determinants of volumes and costs in contracting. A practical outcome of the research has been the development of GP monitoring systems to be used by provider units particularly in the context of marketing-led referral expectations. The approach used to highlight areas of potential GP contract management and monitoring improvements has been a development of soft systems methodology.

Is England Always Behind the USA?

PEDIATRICS ◽  
1971 ◽  
Vol 48 (4) ◽  
pp. 669-669
Author(s):  
Ronald MacKeith
Keyword(s):  
Child Care ◽  
National Health Service ◽  
Health Service ◽  
Medical Care ◽  
General Practitioners ◽  
National Health ◽  
School Children ◽  
Preventive Service ◽  
English Reader ◽  
The Usa

I would answer Dr. Cone's note (Pediatrics, 47:769, 1971) by telling him that at least one English reader thinks the National Health Service (1948) brought medical care to all children, with every part of the country having specialist pediatricians available for seeing children referred by their general practitioners and a universal preventive service for infants, preschool, and school children, without division into indigent and nonindigent, and that England is not now always behind the U.S.A. in all aspects of child care.

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