scholarly journals Review of twenty-four-hour nursed care

1999 ◽  
Vol 5 (2) ◽  
pp. 146-153 ◽  
Author(s):  
Rob Macpherson ◽  
Bill Jerrom
Keyword(s):  
Nursing Home ◽  
National Health Service ◽  
Health Service ◽  
Residential Care ◽  
Psychiatric Care ◽  
Group Home ◽  
Psychiatric Nursing ◽  
Unit Size ◽  
Model Of Care ◽  
Direct Management

Twenty-four-hour nursed care refers to a model of psychiatric care which in fact varies quite significantly from unit to another. This sort of residential care unit has also been called the “hospital hostel” (Goldberg et al, 1985), “ward in a house” (Wykes & Wing, 1982), “psychiatric nursing home” and in some cases “staffed group home”. Although the unit size, staffing structures and ratios, and the degree of direct management within the National Health Service (NHS) vary, this model of care has some quite specific characteristics, which have been summarised by Shepherd et al (1994) as follows:

scholarly journals Who is the right person to look after the mentally retarded?

Curationis ◽  
1980 ◽  
Vol 3 (3) ◽  
Author(s):  
V. Ehlers
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Residential Care ◽  
National Health ◽  
Mentally Retarded ◽  
Nursing Profession ◽  
Financial Resources ◽  
Mentally Handicapped ◽  
Set Up ◽  
The Right

A committee was set up in Britain in 1975 under the Chairmanship of Mrs Peggy Jay to look into the staffing of mental handicapped residential care in the National Health Service. Part of the task was to consider the Briggs Committee’s recommendation that “… a new caring profession for the mentally handicapped should emerge gradually”. The findings and recommendations of the committee were however radical and far-reaching, involving an enormous shift in financial resources and causing much concern and outcry from the nursing profession which considered the new category of care given as a threat to their existence.

Psychiatric Out-Patients in Plymouth—An Area Service Analysed

1965 ◽  
Vol 111 (470) ◽  
pp. 10-17 ◽  
Author(s):  
Neil Kessel ◽  
Christine Hassall ◽  
Robert Blair ◽  
John M. Gilroy ◽  
Francis Pilkington ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Mental Hospital ◽  
Psychiatric Care ◽  
Community Care ◽  
Psychiatric Patients ◽  
Patient Department

Out-patient services in Britain for psychiatric patients have expanded enormously under the National Health Service. Well over half a million patients are seen at clinics annually. Concomitant with this increase the out-patient department has changed in function. No longer is it principally concerned with providing follow up and support for discharged mental hospital in-patients; instead, because of the greatly increased demand for psychiatric care for less severe disorders and under the influence of the movement for community care it now should play a part not at all subservient to the in-patient department. The clinic, properly run, should be an arena of treatment in its own right.

The future of services for the chronically mentally ill: a priority case?

1993 ◽  
Vol 17 (10) ◽  
pp. 582-585 ◽  
Author(s):  
Som D. Soni ◽  
Rafeek F. Mahmood ◽  
Anant Shah
Keyword(s):  
Mental Illness ◽  
National Health Service ◽  
Health Service ◽  
Royal College ◽  
Mentally Ill ◽  
Psychiatric Care ◽  
Economic Cost ◽  
High Quality ◽  
High Prevalence

Research into delivery of psychiatric care has shown that the chronic mentally ill (CMI) patients continue to pose major difficulties not only in terms of economic cost to patients, their families and the state but also in the ability of authorities to provide adequate facilities in the community. The latter is especially important now because of rapid discharge of patients into the community from long-stay wards of mental hospitals, often with little rehabilitative preparation and even less consideration of the effects of the environment into which they are relocated. Although follow-up in some cases has been of exceptionally high quality, a majority have filtered through the network into inadequate residence; this surely is unacceptable. The high prevalence of mental illness among the homeless and the difficulties of providing care for them by an inflexible health service have been highlighted by a recent report of the Royal College of Psychiatrists (Bhugra et al, 1991). This paper attempts to define the possible adverse consequences of the recent reorganisation of National Health Service (NHS) on the care of the chronic mentally ill.

Disputes in the NHS Internal Market: Regulation and Relationships

1996 ◽  
Vol 2 (3) ◽  
pp. 215-227 ◽  
Author(s):  
J.V. McHale ◽  
D. Hughes ◽  
L. Griffiths
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Dispute Resolution ◽  
Empirical Research ◽  
National Health ◽  
Community Care ◽  
Internal Market ◽  
Market Regulation ◽  
Direct Management

An important element in the NHS internal market, introduced by the national health Service and Community Care Act 1990, was the “NHS” contract — an agreement between purchasers and providers who were within the NHS but who were not in a direct management relationship to each other. The framers of the legislation intended that such contracts should be excluded from judicial enforcement and instead be subject to a special statutory dispute resolution procedure. This paper examines those factors which have impacted upon the resolution of NHS contractual disputes in practice drawing upon empirical research undertaken as part of an ERSC funded study.

scholarly journals Who uses a day hospital and for how long?

1989 ◽  
Vol 13 (2) ◽  
pp. 62-65
Author(s):  
M. Conway ◽  
I. A. Davidson ◽  
M. E. Dewey
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Mentally Ill ◽  
Day Care ◽  
Regional Variation ◽  
Psychiatric Care ◽  
Essential Element ◽  
Day Hospital ◽  
Mentally Disordered ◽  
Care Facilities

The dichotomy caused by the National Health Service Act, Section 28, which split the responsibility for the mentally disordered between the Minister of Health and local authorities has remained with us. Along with a separate GP service this dichotomy has caused inconsistencies, confusion and overlap in day care facilities. Although psychiatric day care has now become accepted as an essential element in the comprehensive psychiatric care of the mentally ill, its development has been unplanned and there is a great regional variation (Vaughan, 1983).

The Psychiatric Patient: a Voice to be Heard

1979 ◽  
Vol 135 (2) ◽  
pp. 115-121 ◽  
Author(s):  
D. Gordon ◽  
D. A. Alexander ◽  
J. Dietzan
Keyword(s):  
Patient Satisfaction ◽  
National Health Service ◽  
Health Service ◽  
Health Services ◽  
National Health ◽  
Psychiatric Care ◽  
Major Goal ◽  
Per Se ◽  
Structural Aspects ◽  
Patient Opinion

SummaryPatients' view of psychiatric care and its implications is a neglected area of inquiry, partly due to ideological factors as well as structural aspects of the National Health Service. It is acknowledged that patient satisfaction per se cannot be the major goal of the Health Services, but the path to improved welfare and treatment may be facilitated by patient satisfaction or at least by an awareness of patient opinion. Further exploration of this area is recommended.

scholarly journals Silvio Benaim: Formerly Consultant Psychiatrist at the Royal Free Hospital, London

2008 ◽  
Vol 32 (8) ◽  
pp. 318-319 ◽  
Author(s):  
Gerald Russell
Keyword(s):  
Nursing Home ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Private Practice ◽  
Royal Free Hospital ◽  
Consultant Psychiatrist ◽  
Senior Consultant

Silvio Benaim died on 10 January 2008 at Highgate Nursing Home, London, after a long illness. He was a senior consultant psychiatrist at the Royal Free Hospital since 1968, having been a consultant at Halliwick Hospital from 1959. He retired from the National Health Service (NHS) in 1983 but continued his private practice at the Charter Nightingale Clinic until 2004.

Advanced Nursing Practice in Großbritannien – eine persönliche Schilderung

Pflege ◽  
2010 ◽  
Vol 23 (6) ◽  
pp. 417-423
Author(s):  
Elke Keinath
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Nurse Practitioner ◽  
Nursing Practice ◽  
Advanced Nursing Practice

Im Artikel werden persönliche Erfahrungen als Advanced Nurse Practitioner (ANP) in der Thoraxchirurgie im National Health Service (NHS) in Großbritannien geschildert. Die tägliche Routine wurde von sieben Kompetenzdomänen bestimmt, nämlich: Management des Gesundheits- und Krankheitszustandes des Patienten, Beziehungen zwischen Pflegeperson und Patient, Lehren und Unterrichten, professionelle Rolle, Leitung und Führung innerhalb der Patientenversorgung, Qualitätsmanagement sowie kulturelle und spirituelle Kompetenzen. Diese Elemente wurden durch die Zusatzqualifikation, selbstständig Medikamente verschreiben und verordnen zu dürfen, erweitert, was dazu beitrug, eine nahtlose Erbringung von Pflege- und Serviceleistungen zu gewähren. Die Position wurde zur zentralen Anlaufstelle im multi-professionellen Team und stellte eine kontinuierliche Weiterführung der Pflege von Patienten und ihren Familien sicher – auch über Krankenhausgrenzen hinweg.

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