scholarly journals The Good General Practitioner and The National Health Service

BMJ ◽  
1963 ◽  
Vol 2 (5358) ◽  
pp. 673-675
Author(s):  
D. Craddock
Keyword(s):  
General Practitioner ◽  
National Health Service ◽  
Health Service ◽  
National Health

1974 and after: A General Practitioner's Views of the Reorganization of the British National Health Service

1975 ◽  
Vol 5 (3) ◽  
pp. 425-427 ◽  
Author(s):  
John Fry
Keyword(s):  
General Practitioner ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Working Through ◽  
British National Health

Living and working through the period since the British National Health Service began in 1947, the author describes his experiences as a family and general practitioner and in particular notes the effects and non-effects of the reorganization that took place in the National Health Service in 1974.

scholarly journals Copying letters to patients: a study of patients' views

2005 ◽  
Vol 29 (2) ◽  
pp. 56-58 ◽  
Author(s):  
Marek Marzanski ◽  
Padmapriya Musunuri ◽  
Tim Coupe
Keyword(s):  
General Practitioner ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Healthcare Professionals ◽  
Clinical Implications ◽  
Family Work ◽  
The Cost ◽  
To Receive

Aims & MethodTo investigate patients' views on receiving copies of letters sent by their healthcare professionals, 72 patients were asked about their willingness to receive a copy of the letter sent to their general practitioner and about preferences for the type of information to be included in such letters. We also asked what concerns, if any, they had about the process.ResultsThree-quarters of the respondents (n=55) said they would like to receive a copy of the letter. Patients accepted the inclusion of information about their illness but were reluctant for data about their family, work and finances to be included.Clinical ImplicationsAlthough the majority of the patients we interviewed wished to have the copy letter, many of them expressed concerns about confidentiality, the risk of distress and the cost of the process to the National Health Service. The rights of those who do not want copy letters should also be respected.

scholarly journals Do patients really want copies of their GP letters? A questionnaire survey of older adults and their carers

2004 ◽  
Vol 28 (6) ◽  
pp. 199-200 ◽  
Author(s):  
Jenny Dale ◽  
George Tadros ◽  
Susan Adams ◽  
Nikhila Deshpande
Keyword(s):  
Older Adults ◽  
General Practitioner ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Questionnaire Survey ◽  
Clinical Implications ◽  
Written Information ◽  
Patient Groups ◽  
Service Plan

Aims and MethodThe National Health Service Plan stated that all correspondence between clinicians would be copied to patients by April 2004. We wanted to find out whether this practice reflected the true desires of their patients. A questionnaire survey was therefore performed in older adults and their carers attending a psychiatric out-patient clinic.ResultsA total of 88 participants were recruited; 50 patients and 38 carers. The majority of patients and carers wanted a letter about their care but most preferred a separate, simple letter rather than a copy of the letter sent to their general practitioner.Clinical ImplicationsAlthough this study supports the existing evidence that patients would like written information about their care, it indicates that certain patient groups might not want this in the form of copies of their medical correspondence. Further research into patient and carer preference is needed before the implementation of this policy.

Continuing Education for the Orthodontist

1976 ◽  
Vol 3 (1) ◽  
pp. 35-38 ◽  
Author(s):  
J. R. E. Mills
Keyword(s):  
General Practitioner ◽  
National Health Service ◽  
Health Service ◽  
Continuing Education ◽  
National Health ◽  
New Ideas

The need for continuing education is not confined to the general practitioner of dentistry. The specialist orthodontist generally welcomes new ideas but his isolation is even greater than that of the general practitioner. Facilities for refresher courses exist within the National Health Service and it is suggested that these should be of three types. Short symposia give an opportunity for the interchange of ideas between a large number of specialists. Courses of about one week's duration would involve limited numbers and might be either of a non-technical nature, concentrating on advances in orthodontic thought, or of a technical nature, teaching a new appliance.

scholarly journals The psychiatric secretary: a key player in the ‘new’ health service

1993 ◽  
Vol 17 (12) ◽  
pp. 755-756
Author(s):  
Sally A. Foster ◽  
Philip S. Davison
Keyword(s):  
General Practitioner ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Potential Role ◽  
District Health ◽  
Health Authorities

Over recent years the National Health Service has undergone many changes, one of the most important being the development of purchaser/provider roles. From April 1993 district health authorities (DHAs) and general practitioner fund holders (GPFHs) have been able to choose from which provider to purchase their adult psychiatric out-patient services. While discussions on how to attract and keep the contracts from DHAs and GPFHs have been underway at a managerial and consultant level, we believe that the potential role of a key player for hospitals, the psychiatric medical secretary, has been overlooked. This paper examines the secretarial role in the context of the ‘new’ health service.

General Practitioner Commissioning in the English National Health Service: Continuity, Change, and Future Challenges

2008 ◽  
Vol 38 (4) ◽  
pp. 717-730 ◽  
Author(s):  
Russell Mannion
Keyword(s):  
General Practitioner ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Policy Implications ◽  
Future Challenges ◽  
Policy Objectives ◽  
The Impact ◽  
English National Health ◽  
English National Health Service

General practitioner fundholding (GPFH) in the English National Health Service was abolished by the Blair administration in 1999 amid concerns that it was inequitable, helped to foster a “two-tier” health service, and incurred high transaction costs. In April 2005 in an apparent volte face, the Blair government reintroduced delegated budgets to individual GP practices under the banner of Practice Based Commissioning (PBC). As PBC bears many similarities to GPFH it is timely to take stock of evidence-based policy lessons from the earlier initiative in the NHS. Based on a review of the latest empirical evidence, the aim of this article is to help inform the development and implementation of PBC by identifying the policy lessons of GPFH. To do this the discussion focuses on three main areas: it (1) reviews key ideas and conceptual frameworks for understanding stability and change in health systems; (2) summarizes the origins and evolution of primary care commissioning in the NHS; and (3) examines the latest literature and empirical analysis on the impact of GPFH and assesses the success of GPFH in meeting a range of health policy objectives. The article concludes with an examination of the policy implications of the present review and a look forward at the emerging research agenda.

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