scholarly journals Catchment areas: A model for the future or a relic of the past?

1995 ◽  
Vol 19 (6) ◽  
pp. 340-342
Author(s):  
John M. Kellett
Keyword(s):  
Primary Care ◽  
Catchment Area ◽  
Geriatric Medicine ◽  
The Past ◽  
Restrictive Practice ◽  
Primary Care Teams ◽  
Specialist Services ◽  
Catchment Areas ◽  
The Future

The shift of power from specialist services to the primary care teams has forced the former to examine the value of their hallowed traditions. In psychiatry, and geriatric medicine, the catchment area is a favoured restrictive practice, enabling demand to be regulated to suit the resources of each team. It is time to decide whether this is a practice to be defended and retained or whether, like many other restrictive practices, it is harmful to the consumer.

Educating Primary Care Teams for the Future: Family Medicine and Physician Assistant Interprofessional Education

2012 ◽  
Vol 23 (3) ◽  
pp. 33-41 ◽  
Author(s):  
David Keahey ◽  
Perry Dickinson ◽  
Karen Hills ◽  
Victoria Kaprielian ◽  
Kevin Lohenry ◽  
...  
Keyword(s):  
Primary Care ◽  
Family Medicine ◽  
Interprofessional Education ◽  
Physician Assistant ◽  
Primary Care Teams ◽  
The Future

Multidisciplinary review to identify patients who could be managed in primary care

2011 ◽  
Vol 28 (3) ◽  
pp. 138-140 ◽  
Author(s):  
Vincent IO Agyapong ◽  
Olorunfemi Ahmodu ◽  
Allys Guerandel
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Service ◽  
Health Service ◽  
Multidisciplinary Team ◽  
Psychiatric Clinic ◽  
Community Mental Health Service ◽  
Primary Care Teams ◽  
Specialist Services ◽  
Clinical Records

AbstractObjectives: Primary care teams have the potential to deliver much of the care currently provided by specialist services. The aim of this review was to determine from patients' clinical records and multidisciplinary team discussions, those that may be suitable for discharge back into primary care.Methods: A retrospective review of the clinical notes of all patients attending a psychiatric outpatient clinic was carried out by all members of the multidisciplinary team to determine the appropriateness of continuing to provide psychiatric services in a specialised psychiatric clinic rather than in a primary care setting, taking into account the patients demographic and clinical variables.Results: It was recommended that 60% of all the patients needed to continue attending the local mental health service, 35.2% could be discharged back into primary care for continuing management whilst the remaining 4.8% could be managed jointly between primary care and the community mental health service. The bulk of the patients recommended for discharge into primary care had a diagnosis of anxiety disorder or depression and all of them had been stable on their treatment for more than six months.Conclusion: Regular multidisciplinary team review has a potential to identify patients who could be discharged back into primary care.

The Benzodiazepine and Opiate Withdrawal Service: an overview and case studies

2020 ◽  
Vol 9 (2) ◽  
pp. 1-4
Author(s):  
Jeff Fernandez
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Drug Use ◽  
Case Studies ◽  
Opiate Withdrawal ◽  
The Past ◽  
Problematic Drug ◽  
Specialist Services ◽  
Long Time

Patients who have a dependency on benzodiazepines and nonbenzodiazepines have always been able to access drug services in the past in primary care. This has now been expanded to include other problematic drug use on mainly prescribed medications, such as tramadol, gabapentin and pregablin, with the development of the Benzodiazepine and Opiate Withdrawal Service across Camden and Islington. This article looks at the population in general practice in Islington who have been on codeine-based medications for a long time. It examines how treatment can be changed and made more beneficial for them with engaging in specialist services supporting GPs in primary care.

Mouth Cancer – Risk Factors and Potentially Malignant Disorders

Dental Update ◽  
2020 ◽  
Vol 47 (10) ◽  
pp. 793-799
Author(s):  
Michael Lewis
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Cancer Risk Factors ◽  
The Past ◽  
Specialist Services ◽  
Potentially Malignant Disorders ◽  
Potentially Malignant ◽  
Mucosal Changes ◽  
The Uk ◽  
Dental Professionals

The incidence of mouth cancer in the UK has increased more than 30% during the past decade and the overall 5-year survival remains poor, at approximately 55%. A number of risk factors for mouth cancer has been identified, and all dental professionals should be aware of these, and, where possible, provide intervention. Some cases of mouth cancer arise in a pre-existing mucosal condition, known as an oral potentially malignant disorder (OPMD). Awareness of the presence of an OPMD, or any mucosal changes that fulfil the criteria for urgent suspected cancer (USC) in primary care, should lead to an appropriate referral to specialist services. CPD/Clinical Relevance: This paper provides a review of the risk factors for mouth cancer and potentially malignant disorders.

When to Suspect Dementia?

2012 ◽  
Vol 5 (10) ◽  
pp. 620-624
Author(s):  
Frances Cundill
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Early Recognition ◽  
The Past ◽  
Specialist Services ◽  
Diagnosis Of Dementia ◽  
The Government ◽  
The Uk

Approximately 800 000 people have dementia in the UK and this number is expected to double over the next 30 years. Only 40% of those with dementia receive a formal diagnosis but if dementia is diagnosed early enough, there are lots of things that can be done to help people overcome the problems and to improve their quality of life. The Government has recognised this, and in the past 3 years it has produced a National Dementia Strategy and Prime Minister's Challenge on Dementia with an emphasis on early recognition and diagnosis of dementia. This article aims to highlight when to suspect dementia in primary care and what assessments should be carried out before referral to specialist services.

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