scholarly journals Barriers and opportunities to developing research capacity in primary care trusts: the views of staff attached to a primary care trust

2005 ◽  
Vol 6 (3) ◽  
pp. 185-189 ◽  
Author(s):  
Roger A Harrison
Keyword(s):  
Primary Care ◽  
Primary Care Trust ◽  
Research Capacity ◽  
Barriers And Opportunities

Improving Access to Oral Surgery Services in Primary Care

2009 ◽  
Vol os16 (4) ◽  
pp. 137-142 ◽  
Author(s):  
Nick Kendall
Keyword(s):  
Primary Care ◽  
Oral Surgery ◽  
Waiting Times ◽  
Primary Care Trust ◽  
Hospital Setting ◽  
Substantial Improvement ◽  
Dental Services ◽  
Collaborative Working ◽  
World Class ◽  
Further Development

This paper describes the innovative use of National Health Service (NHS) dental commissioning powers to develop specialist primary care based oral surgery services. The outcomes, after one full year of the scheme, have been substantial improvement in access and reduced waiting times for patients, further development of NHS primary care dental services through commissioning processes, increased use and engagement of oral surgery specialists outside of a hospital setting, and considerable ongoing savings to the NHS. Collaborative working between hospital consultants and managers, Primary Care Trust dental commissioners, general dental practice providers, specialist oral surgeons and a dental public health consultant has resulted in sustainable benefits to patients and the NHS within the World Class Commissioning framework.

Introducing the use of sterile maggots into a primary care trust: overcoming barriers

2003 ◽  
Vol 8 (Sup4) ◽  
pp. S24-S30 ◽  
Author(s):  
Mair Fear ◽  
Richard Warrell ◽  
Lynn Allum
Keyword(s):  
Primary Care ◽  
Primary Care Trust

scholarly journals Understanding variation in unplanned admissions of people aged 85 and over: a systems-based approach

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e026405 ◽  
Author(s):  
Andrew Wilson ◽  
Richard Baker ◽  
John Bankart ◽  
Jay Banerjee ◽  
Ran Bhamra ◽  
...  
Keyword(s):  
Primary Care ◽  
Social Care ◽  
Primary Care Trust ◽  
Community Health Services ◽  
Shared Vision ◽  
Admission Rates ◽  
Care Services ◽  
Health And Social Care ◽  
Study Sites ◽  
Unplanned Admissions

AimTo examine system characteristics associated with variations in unplanned admission rates in those aged 85+.DesignMixed methods.SettingPrimary care trusts in England were ranked according to changes in admission rates for people aged 85+ between 2007 and 2009, and study sites selected from each end of the distribution: three ‘improving’ sites where rates had declined by more than 4% and three ‘deteriorating’ sites where rates had increased by more than 20%. Each site comprised an acute hospital trust, its linked primary care trust/clinical commissioning group, the provider of community health services and adult social care.ParticipantsA total of 142 representatives from these organisations were interviewed to understand how policies had been developed and implemented. McKinsey’s 7S framework was used as a structure for investigation and analysis.ResultsIn general, improving sites provided more evidence of comprehensive system focused strategies backed by strong leadership, enabling the development and implementation of policies and procedures to avoid unnecessary admissions of older people. In these sites, primary and intermediate care services appeared more comprehensive and better integrated with other parts of the system, and policies in emergency departments were more focused on providing alternatives to admission.ConclusionsHealth and social care communities which have attenuated admissions of people aged 85+ prioritised developing a shared vision and strategy, with sustained implementation of a suite of interventions.

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