scholarly journals Clinical governance in mental health services

1999 ◽  
Vol 23 (12) ◽  
pp. 711-714 ◽  
Author(s):  
Peter Kennedy
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Health Service ◽  
Research And Development ◽  
Chief Executive ◽  
Clinical Effectiveness ◽  
White Paper ◽  
Clinical Governance ◽  
The Third ◽  
Department Of Health

This is one of three articles describing how one National Health Service (NHS) trust is tackling clinical governance. The first is by the trust chief executive, the ‘accountable officer’ in the White Paper The New NHS (Department of Health, 1997). The second is by the trust's director of research and development whose responsibilities include assisting clinical directorates to carry out an annual programme of improvements in clinical effectiveness. The third paper is by the mental health lead clinician’ for clinical governance.

scholarly journals Local initiatives in clinical effectiveness

2000 ◽  
Vol 6 (5) ◽  
pp. 373-379 ◽  
Author(s):  
Robert Kehoe
Keyword(s):  
Professional Development ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Secondary Care ◽  
Continuing Professional Development ◽  
Clinical Effectiveness ◽  
Clinical Governance ◽  
Local Initiatives

With the arrival of clinical governance, psychiatrists working for the National Health Service (NHS) can no longer work in isolation, and commitment to both clinical effectiveness and continuing professional development (CPD) is expected and likely to become mandatory. Clinical governance gives clinical effectiveness a high priority within NHS organisations, both at primary and secondary care levels, together with clearer lines of accountability.

scholarly journals Specialist personality disorder services in England: a case for managed clinical networks?

2005 ◽  
Vol 29 (10) ◽  
pp. 365-368 ◽  
Author(s):  
Kingsley Norton ◽  
Julian Lousada ◽  
Kevin Healy
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Personality Disorder ◽  
Health Service ◽  
Personality Disorders ◽  
National Health ◽  
Clinical Networks ◽  
Department Of Health ◽  
Specialist Services

Following the publication by the National Institute for Mental Health in England (NIMHE) of Personality Disorder: No Longer A Diagnosis of Exclusion (National Institute for Mental Health in England, 2003), it is perhaps surprising that so soon after there have been threats to the survival of some of the small number of existing specialist personality disorder services to which it refers. Indeed, one of the few in-patient units specialising in such disorders (Webb House in Crewe) closed in July 2004. Such closures or threats argue for closer collaboration in planning between the relevant secondary and tertiary services and also between the Department of Health, the NIMHE and local National Health Service commissioners. Not safeguarding existing tertiary specialist services, at a time of increasing awareness of the needs of patients with personality disorders, may be short-sighted.

Psychiatric In-Patients and Out-Patients: A Reply to Mezey and Evans

1972 ◽  
Vol 120 (557) ◽  
pp. 433-436 ◽  
Author(s):  
D. G. Morgan ◽  
R. M. Compton
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Health Service ◽  
Social Security ◽  
Patient Care ◽  
National Health ◽  
Recent Article ◽  
Psychiatric Services ◽  
Outpatient Services ◽  
Department Of Health

Department of Health and Social Security statistics show a steady rise in the use of outpatient services from the inception of the National Health Service; since the Mental Health Act of 1959, the numbers of new outpatient and clinic attendances have increased by one-third and one-fifth respectively (D.H.S.S., 1971). However, as our knowledge of the actual functions of out-patient services and their relationship to in-patient care is at best only rudimentary, the recent article by Mezey and Evans (Journal, June 1971, 118, p. 609) is a much needed contribution towards evaluating these different facilities of the psychiatric services.

scholarly journals No dogs. Guide dogs by prior permission

2006 ◽  
Vol 30 (12) ◽  
pp. 463-463
Author(s):  
James Pease ◽  
Anthony Brown
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Health Service ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Clinical Governance ◽  
Knowledge And Skills ◽  
Guide Dogs ◽  
Rural Locality ◽  
Prior Permission

Esther Rantzen created the Jobsworth Award before the National Health Service (NHS) invented clinical governance. One wonders sometimes if the NHS would have scooped all their awards had the programme continued. Television presenters also caution against involvement with children or animals, or worst of all both simultaneously. Clearly child and adolescent mental health professionals planning to involve animals in therapy should be cautious even in a semi-rural locality. Animals and children are, however, within our knowledge and skills framework, but not so the finer points of clinical governance.

scholarly journals Invited commentary on The mental health of prisoners

2003 ◽  
Vol 9 (3) ◽  
pp. 200-201
Author(s):  
Tony Maden
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
National Health Service ◽  
Health Service ◽  
Task Force ◽  
Mentally Disordered Offenders ◽  
Home Office ◽  
Mentally Disordered ◽  
Department Of Health ◽  
The Government

Psychiatrists have always been concerned about the mental health of prisoners. If they did not devote much energy to their treatment, it was only because they had more-pressing problems, including how to squeeze ten patients into nine beds. In any case, it was someone else's job to look after prisoners. Luke Birmingham's article (Birmingham, 2003, this issue) could not be more timely, as this situation has now changed. With the publication of The Future Organisation of Prison Healthcare (Prison Service & NHS Executive Working Group, 1999), and the creation of a joint Department of Health and Home Office task force, the Government has made it clear that the problem of mentally disordered offenders belongs to the National Health Service (NHS). There is a plan, there is a partnership and there are targets. Can those of us who have been worrying about prisoners with mental illness sit back and relax, as the solution unfolds?

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.

scholarly journals Clinical governance in practice

1999 ◽  
Vol 5 (6) ◽  
pp. 399-404 ◽  
Author(s):  
Femi Oyebode ◽  
Nick Brown ◽  
Elizabeth Parry
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Clinical Care ◽  
Clinical Governance ◽  
Standards Of Care ◽  
Department Of Health ◽  
The Government ◽  
High Standards

Clinical governance is defined by the government as:“a framework through which [National Health Service (NHS)] organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish'’ (emphasis not in original) (Department of Health (DOH), 1998).

scholarly journals The ground is in great shape, but can we field a kitted-out team? Commentary on … Mental health research system in England

2005 ◽  
Vol 29 (12) ◽  
pp. 447-448 ◽  
Author(s):  
George Szmukler
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Health Service ◽  
Research And Development ◽  
National Health ◽  
Health Research ◽  
Mental Health Research ◽  
Research System ◽  
Health Research System ◽  
Use Of Resources

Chilvers & Clark make it clear that research and development (R&D) in the National Health Service (NHS) is now a managed process. There is a coherent strategy and much thought has been given to the use of resources. I welcome this development and the ‘Health Research System’ that forms its framework.

scholarly journals Is psychiatry losing touch with the rest of medicine?

2000 ◽  
Vol 6 (1) ◽  
pp. 16-21 ◽  
Author(s):  
Peter Kennedy
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
National Health Service ◽  
Health Service ◽  
Social Services ◽  
White Paper ◽  
Psychiatric Services ◽  
Best Interests ◽  
Professional Relationships ◽  
General Hospitals

What is happening in and around psychiatric services that raises fears of a harmful separation between psychiatrists and the rest of the medical fraternity? The last National Health Service (NHS) reforms at the beginning of the 1990s split some mental health services into separate organisations from their local acute services. Paragraph 5.14 in the Government's White Paper The New NHS (NHS Executive, 1997a) seems to favour specialist mental health trusts. Combined whole district trusts are under threat. Shotguns are loaded to ‘encourage’ the marriage with social services. All this may seem to conspire against psychiatrists maintaining close professional relationships with physicians and surgeons in general hospitals. Instead it puts the emphasis on aligning psychiatric work much more closely with social services and primary care. Much restructuring is already afoot. It is a time for sober reflection on what is in the best interests of patients now and in the future (see Box 1).

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