Learning Clinical Psychiatry in a Provincial Mental Hospital

1974 ◽  
Vol 125 (586) ◽  
pp. 303-309 ◽  
Author(s):  
Brian Barraclough ◽  
Godfrey Wace
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Clinical Psychiatry ◽  
National Health ◽  
Mental Hospital ◽  
Clinical Skills ◽  
Educational Experience ◽  
Postgraduate Teaching ◽  
The Past ◽  
Mental Hospitals

Postgraduate teaching in psychiatry has always been a function of the provincial mental hospitals, but nothing before has equalled the expansion of theoretical teaching which has taken place over the past ten years. At the heart of the training of a psychiatrist, however, there is the National Health Service job with its own demands, where the practical clinical skills are acquired. The job has not changed much, even though the arrangements for theoretical instruction have improved. Yet changes may be possible which will make the registrar's job more efficient as an educational experience by removing the unsystematic and random elements.

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.

Optimal Peritoneal Dialysis for Patients from Hong Kong

1999 ◽  
Vol 19 (3_suppl) ◽  
pp. 26-31 ◽  
Author(s):  
Kar Neng Lai ◽  
Wai Kei Lo
Keyword(s):  
Hong Kong ◽  
Peritoneal Dialysis ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Small Volume ◽  
Developed Countries ◽  
Financial Resources ◽  
The Past ◽  
The Government

The socioeconomic statuses of Asian countries are diverse and government reimbursement policies for renal replacement programs vary greatly from one country to another. Both factors affect not only the availability of treatment but also the choice of dialysis modality. Despite the economic growth of Hong Kong over the past three decades, the resources spent by our government on health services are less than other developed countries. The National Health Service, which is run on a tight budget, supports almost 95% of the patients on renal replacement programs. Due to the cost-effectiveness and reimbursement from the government, 79% of patients with end-stage renal failure in Hong Kong are treated with continuous ambulatory peritoneal dialysis (CAPD). All new patients entering the renal replacement program run by the National Health Service are offered CAPD as the first-line dialytic treatment. Due to budgetary constraint, over the past 10 years dialysis centers in Hong Kong have adopted a small-volume regime of 3 x 2-L daily exchanges as the initial dialysis prescription. This dialysis prescription will be considered to be suboptimal by Western standards, but the survival of these patients was comparable to, or even better than, other areas despite a lower Kt/V. These preliminary studies suggest small-volume dialysis may be an acceptable compromise in Asian populations with their smaller body size, given the financial constraints. These issues are especially important in Asia, where financial resources for renal replacement therapy are still limited in most countries and many patients have to continue working to pay for their renal replacement treatment. Using this small-volume dialytic regime, more patients may be treated with the limited financial resources. Furthermore, our experience raises the question of the importance of nutritional status in patient survival.

scholarly journals A state of insubordination and mutiny

1990 ◽  
Vol 14 (5) ◽  
pp. 302-305
Author(s):  
A. D. M. Douglas ◽  
E. G. Oram
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Nursing Staff ◽  
National Health ◽  
Mental Hospital

A strike involving nursing staff prior to the 1948 National Health Service Act was almost an unheard of event. In 1922 nurses at Saxondale, an 800 bedded mental hospital at Radcliffe-on-Trent near Nottingham, staged what was termed a “sit in strike” lasting four days for refusing to work a 66 hour week and accept a wage reduction as ordered by the employing authority.

scholarly journals Being a College tutor for psychiatry trainees

2016 ◽  
Vol 22 (3) ◽  
pp. 201-202
Author(s):  
Prakash Hosalli
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Postgraduate Education ◽  
Learning Opportunities ◽  
Roles And Responsibilities ◽  
Postgraduate Teaching ◽  
The Core ◽  
Training Schemes ◽  
And Training

SummaryCollege tutors for psychiatry trainees are National Health Service (NHS) consultants who have responsibility for organisation and delivery of postgraduate education and learning opportunities for the core trainees in NHS trusts. College tutors are responsible for monitoring the progress of trainees through the core training schemes. Tutors have various roles and responsibilities in teaching and training. Being a tutor can be a rewarding experience and any consultant interested in postgraduate teaching should consider becoming one.

Computers and the NHS: An Analysis of their Contribution to the Past, Present and Future Delivery of the National Health Service

1998 ◽  
Vol 13 (3) ◽  
pp. 219-229 ◽  
Author(s):  
Alan Gillies
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
First Generation ◽  
White Paper ◽  
The Past ◽  
Department Of Health ◽  
Major Reform ◽  
The Impact

This paper looks at the contribution that computers have made to the delivery of the National Health Service through a period of major reform that began in 1986, and is still ongoing. The paper starts with a retrospective analysis of the first generation of NHS Reforms and the role played by computer systems. The major empirical component is a case study looking at the impact of computers on health promotion activities among over 1 million patients in Lancashire. Finally, the paper looks forward to the latest NHS reforms, as outlined in the 1997 White Paper The New DHS (Department of Health, 1997, HMSO, London) and outlines the information implications and a strategic framework to deliver changes required if the reforms are to succeed.

Regional Variations in the Provision of Orthodontic Treatment in England and Wales

1973 ◽  
Vol 1 (1) ◽  
pp. 13-17 ◽  
Author(s):  
C. D. Stephens ◽  
T. P. Bass
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Orthodontic Treatment ◽  
England And Wales ◽  
Regional Variations ◽  
Notable Feature ◽  
The Past ◽  
North And South ◽  
Made In

A notable feature of British Orthodontics in recent years has been the enormous increase in the number of cases taken on for treatment by practitioners in the National Health Service. Whilst references have been made in the past to possible regional variations in demand, no effort has been made to relate this to the local child population. The present study attempts this. The familiar North and South difference is found with some discrepancies and an explanation is offered.

Annual Appraisal and Liege Homage: Why the British NHS is Fundamentally a Feudal Organisation

2003 ◽  
Vol 8 (1) ◽  
pp. 57-59
Author(s):  
Len Tyler ◽  
Ann Evans
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Middle Ages ◽  
National Health ◽  
Central Control ◽  
Early Middle Ages ◽  
Limited Mobility ◽  
The Past ◽  
Feudal Society ◽  
Team Working

A study of the past can help us understand present-day management structures. Strong parallels can be seen between the present-day British National Health Service (NHS) and English feudal society in the early Middle Ages. Both systems are hierarchical, both show limited mobility between layers in the hierarchies and in both there is a strong element of central control coexisting with significant day-to-day delegation of responsibility. Ceremony plays a key role in relationships, such as through the swearing of liege homage in feudal society and through formal assessment and appraisal in the modern NHS. Although the NHS clearly does not show parallels for every element of feudal society, it is possible to draw practical lessons from the comparison, particularly relating to the ownership of problems, team-working and appraisal.

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