scholarly journals The responsibilities of Health Authorities for medical education--an open letter to deans and clinical tutors in light of impending changes to the National Health Service.

1990 ◽  
Vol 66 (780) ◽  
pp. 844-846
Author(s):  
M. O'Brien
1989 ◽  
Vol 13 (9) ◽  
pp. 499-500 ◽  
Author(s):  
Brian Ferguson

A previous article in the Bulletin describes the ‘BTC’ (Been to Canada) scheme sponsored by the Nova Scotia Department of Health to bring psychiatric trainees to Canada in order to undertake a year's clinical work in addition to ongoing medical education under the auspices of the Department of Psychiatry at Dalhousie University. Over the years the scheme has attracted a number of graduates, some of whom have been prompted to stay on and develop rewarding careers. The original article by Munro and colleagues (1987) describes the programme from the sponsor's perspective and might well be complemented by this account from a BTC graduate who has now returned to the National Health Service.


1980 ◽  
Vol 12 (2) ◽  
pp. 201-210 ◽  
Author(s):  
John R. Ashton

SummaryOut of 197 Wessex women undergoing a legal abortion at the British Pregnancy Advisory Service (BPAS) clinic at Brighton, 31 (15·7%) had already been refused a termination of pregnancy by at least one National Health Service doctor in Wessex. Almost all of these pregnancies were terminated for reasons covered by the social clause of the 1967 Abortion Act.The principal reasons given for refusal of termination were that the women had insufficient grounds for termination under the Abortion Act, or that they were too late. Some were given misleading information. Refusal of an operation may have led to one woman having a second trimester rather a first trimester procedure when she went to BPAS. Some of these patients reported medical consultations which they had found to be upsetting or hurtful. It is suggested that the interests both of women seeking abortion and of doctors opposed to abortion would be best served if the Health Authorities were to provide alternative referral pathways to special abortion facilities.


2013 ◽  
Vol 4 (2) ◽  
pp. 88-93 ◽  
Author(s):  
Tara Renton

The relatively new specialty of oral surgery really has the opportunity to blossom and expand with new developments and innovations evolving in the National Health Service (NHS). This paper aims to address how we may implement the forward-facing Medical Education England (MEE) review of oral surgery services,1 highlighting both opportunities and challenges.


1988 ◽  
Vol 51 (4) ◽  
pp. 127-128
Author(s):  
A K Clarke

Successive official reports on rehabilitation and helping disabled people have been welcomed and then ignored. The Royal College of Physicians Report, however, appears to have been published at a time when public and professional opinion is in favour of developing services of this sort. A number of health authorities have already started to use the report as the basis for their own services and other changes, including the integration of the Artificial Limb and Appliance Centres (Disablement Service Centres) into the National Health Service, give hope for the future. An important part of the report is the demand for audit and a timetable, which for the first time will enable the monitoring of implementation of the recommendations.


2020 ◽  
pp. 1-5
Author(s):  
Flora Greig

Summary Since the start of the COVID-19 pandemic the UK's National Health Service (NHS) has been transformed to meet the acute healthcare needs of infected patients. This has significantly affected medical education, both undergraduate and postgraduate, with potential long-term implications for psychiatric recruitment. This article discusses these ramifications, and the opportunities available to mitigate them as well as to enhance the profile of psychiatry.


1997 ◽  
Vol 23 (2-3) ◽  
pp. 291-318
Author(s):  
Christopher Newdick

In the United Kingdom, how does the National Health Service (NHS or the Service) respond to the pressures imposed on it by patients, doctors and the government? What techniques for distributing resources have been adopted for managing these pressures? Part I of this Article explains the administrative evolution of the NHS. Part II discusses the legal framework surrounding the allocation of resources throughout the different tiers of the NHS: (1) from the Secretary of State for Health to health authorities, (2) from health authorities to hospitals and general practitioners (GPs), and (3) from doctors to patients. Part III comments on the case for a standing committee to advise the government on matters of resource allocation within the NHS. It also considers the legal, political, and managerial contributions to the debate and, in particular, comments on the future of the traditional notion of clinical freedom.Section A describes the culture that developed within the NHS, Section B discusses the pressure for reform that developed during the 1980s, and Section C reviews the system of the “internal market” for health that was introduced in 1990.


1993 ◽  
Vol 17 (12) ◽  
pp. 755-756
Author(s):  
Sally A. Foster ◽  
Philip S. Davison

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.


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