scholarly journals NHS Direct – a telephone helpline for England and Wales

2002 ◽  
Vol 26 (2) ◽  
pp. 42-44 ◽  
Author(s):  
Jed Boardman ◽  
Carolyn Steele
Keyword(s):  
Emergency Services ◽  
Care Service ◽  
Health Care Service ◽  
White Paper ◽  
Similar System ◽  
England And Wales ◽  
Department Of Health ◽  
Telephone Helpline ◽  
Set Up ◽  
Nhs Direct

NHS Direct is a nurse-led telephone helpline covering England and Wales. The intention to develop this helpline was announced in December 1997 in a White Paper, The New NHS, Modern and Dependable (Department of Health, 1997), following recommendations in the Chief Medical Officers' report, Developing Emergency Services in the Community (Caiman, 1997). Three initial pilot sites were set up in Lancashire, Milton Keynes and Northumbria and began taking calls in March 1998. The project was extended in April 1999 to cover 40% of the population of England and by November 2000 was available throughout the whole of England and Wales. NHS Direct provides 24-hour advice and information via 22 call centres and is the largest telephone health care service in the world. A similar system is planned in Scotland, NHS 24.

The supra-regional assay service

1974 ◽  
Vol 12 (23) ◽  
pp. 89-90
Keyword(s):  
Financial Aid ◽  
England And Wales ◽  
Department Of Health ◽  
Laboratory Services ◽  
Set Up

Advances in biochemistry have made possible new clinically useful assays of hormones, proteins, drugs and vitamins. However, many of these are often outside the scope of routine hospital laboratories because they are infrequently used, technically complex or expensive. In 1971 the Department of Health (DHSS) set up working parties to advise how these analyses could best be provided and as a result of their recommendations a number of Supra-Regional Assay Centres has been established in England and Wales. These are based on existing laboratories with expertise in the appropriate techniques and they receive financial aid from the DHSS to help them provide the expanded service. They are a ‘third tier’ in the laboratory services, complementing the assay services already available at local and regional laboratories.

scholarly journals Beyond Modernisation? Social Care and the Transformation of Welfare Governance

2008 ◽  
Vol 37 (4) ◽  
pp. 531-557 ◽  
Author(s):  
JANET NEWMAN ◽  
CAROLINE GLENDINNING ◽  
MICHAEL HUGHES
Keyword(s):  
Social Care ◽  
Care Service ◽  
Research Programme ◽  
Service Users ◽  
Social Care Service ◽  
England And Wales ◽  
Distinctive Features ◽  
Care Services ◽  
Department Of Health ◽  
The Future

AbstractThis article reflects on the process and outcomes of modernisation in adult social care in England and Wales, drawing particularly on the recently completed Modernising Adult Social Care (MASC) research programme commissioned by the Department of Health. We begin by exploring the contested status of ‘modernisation’ as a descriptor of reform. We then outline some of the distinctive features of adult social care services and suggest that these features introduce dynamics likely to shape both the experiences and outcomes of policy ambitions for modernisation. We then reflect on the evidence emerging from the MASC studies and develop a model for illuminating some of the dynamics of welfare governance. Finally, we highlight the emerging focus on individualisation and on user-directed and controlled services. We argue that the current focus of modernisation involves a reduced emphasis on structural and institutional approaches to change and an increased emphasis on changes in the behaviours and roles of adult social care service users. This focus has implications for both the future dynamics of welfare governance and for conceptions of citizenship.

scholarly journals A Model of Midwifery Care as an Integral Component of a Multidisciplnary Primary Health Care Service

2021 ◽  
Author(s):  
◽  
Siobhan Mary Connor
Keyword(s):  
New Zealand ◽  
Low Income ◽  
Multidisciplinary Team ◽  
Care Service ◽  
Health Care Service ◽  
Case Study Research ◽  
Midwifery Care ◽  
Unsuccessful Attempt ◽  
Team Members ◽  
Set Up

<p>This research describes the model of midwifery care embedded in Newtown Union Health Service (NUHS). This model of care is different from the way most midwifery services in New Zealand are organised. The main New Zealand midwifery services are provided by self-employed midwives and hospital midwives. NUHS was set up to provide accessible health services to a low income population. Pivotal to the service is the employment of a multidisciplinary team which aims to meet most of the health needs of its registered population. As the NUHS midwifery service was set within the larger organisation the case study research method was chosen as it is a method which stresses the importance of understanding the context of a case. It permits the use of several sets of data to capture the complexity of a case. Data collection included interviews with five midwives and seven multidisciplinary team members including managers working at NUHS. An unsuccessful attempt was made to gain access to and interview pregnant women who had used this service. Other data came from several documents about the Newtown community and the service. Data analysis revealed that the NUHS model of midwifery care was made up of five interrelated and interacting components: the community, NUHS, the midwives as integral to the multidisciplinary team, the midwives and the women in the care of the midwives. A discussion of the model includes what was extrapolated as three distinctive features of the model: their philosophy, the union influence and the midwives in the multi disciplinary team. The NUHS model of midwifery care is then related to other national and international models where its distinctiveness is supported.</p>

scholarly journals A Model of Midwifery Care as an Integral Component of a Multidisciplnary Primary Health Care Service

2021 ◽  
Author(s):  
◽  
Siobhan Mary Connor
Keyword(s):  
New Zealand ◽  
Low Income ◽  
Multidisciplinary Team ◽  
Care Service ◽  
Health Care Service ◽  
Case Study Research ◽  
Midwifery Care ◽  
Unsuccessful Attempt ◽  
Team Members ◽  
Set Up

<p>This research describes the model of midwifery care embedded in Newtown Union Health Service (NUHS). This model of care is different from the way most midwifery services in New Zealand are organised. The main New Zealand midwifery services are provided by self-employed midwives and hospital midwives. NUHS was set up to provide accessible health services to a low income population. Pivotal to the service is the employment of a multidisciplinary team which aims to meet most of the health needs of its registered population. As the NUHS midwifery service was set within the larger organisation the case study research method was chosen as it is a method which stresses the importance of understanding the context of a case. It permits the use of several sets of data to capture the complexity of a case. Data collection included interviews with five midwives and seven multidisciplinary team members including managers working at NUHS. An unsuccessful attempt was made to gain access to and interview pregnant women who had used this service. Other data came from several documents about the Newtown community and the service. Data analysis revealed that the NUHS model of midwifery care was made up of five interrelated and interacting components: the community, NUHS, the midwives as integral to the multidisciplinary team, the midwives and the women in the care of the midwives. A discussion of the model includes what was extrapolated as three distinctive features of the model: their philosophy, the union influence and the midwives in the multi disciplinary team. The NUHS model of midwifery care is then related to other national and international models where its distinctiveness is supported.</p>

scholarly journals Inappropriate use of emergency services: a systematic review of prevalence and associated factors

2009 ◽  
Vol 25 (1) ◽  
pp. 7-28 ◽  
Author(s):  
Maria Laura Vidal Carret ◽  
Ana Claudia Gastal Fassa ◽  
Marlos Rodrigues Domingues
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Primary Health Care ◽  
Associated Factors ◽  
Emergency Services ◽  
Care Service ◽  
Health Care Service ◽  
Inappropriate Use ◽  
Primary Health ◽  
Regular Source

This systematic review aimed to measure the prevalence of inappropriate emergency department (ED) use by adults and associated factors. The review included 31 articles published in the last 12 years. Prevalence of inappropriate ED use varied from 20 to 40% and was associated with age and income. Female patients, those without co-morbidities, without a regular physician, without a regular source of care, and those not referred to the ED by a physician also showed more inappropriate ED use, with the relative risk varying from 1.12 to 2.42. Difficulties in accessing primary health care (difficulties in setting appointments, longer waiting periods, and short business hours at the primary health care service) were also associated with inappropriate ED use. Thus, primary care requires fully qualified patient reception and efficient triage to promptly attend cases that cannot wait. It is also necessary to orient the population on situations in which they should go to the ED and on the disadvantages of consulting the ED when the case is not really urgent.

Diagnosis Prevalence and Comorbidity in a Population of Mobile Integrated Community Health Care Patients

2018 ◽  
Vol 34 (1) ◽  
pp. 46-55
Author(s):  
Becca M. Scharf ◽  
Rick A. Bissell ◽  
Jamie L. Trevitt ◽  
J. Lee Jenkins
Keyword(s):  
Health Care ◽  
Community Health ◽  
Emergency Services ◽  
Census Data ◽  
Community Intervention ◽  
Care Service ◽  
Health Care Service ◽  
The United States ◽  
Community Health Care ◽  
Medical Conditions

AbstractIntroductionFrequent calls to 911 and requests for emergency services by individuals place a costly burden on emergency response systems and emergency departments (EDs) in the United States. Many of the calls by these individuals are non-emergent exacerbations of chronic conditions and could be treated more effectively and cost efficiently through another health care service. Mobile integrated community health (MICH) programs present a possible partial solution to the over-utilization of emergency services by addressing factors which contribute to a patient’s likelihood of frequent Emergency Medical Services (EMS) use. To provide effective care to eligible individuals, MICH providers must have a working understanding of the common conditions they will encounter.ObjectiveThe purpose of this descriptive study was to evaluate the diagnosis prevalence and comorbidity among participants in the Queen Anne’s County (Maryland USA) MICH Program. This fundamental knowledge of the most common medical conditions within the MICH Program will inform future mobile integrated health programs and providers.MethodsThis study examined preliminary data from the MICH Program, as well as 2017 Maryland census data. It involved secondary analysis of de-identified patient records and descriptive statistical analysis of the disease prevalence, degree of comorbidity, insurance coverage, and demographic characteristics among 97 program participants. Diagnoses were grouped by their ICD-9 classification codes to determine the most common categories of medical conditions. Multiple linear regression models and chi-squared tests were used to assess the association between age, sex, race, ICD-9 diagnosis groups, and comorbidity among program enrollees.ResultsResults indicated the most prevalent diagnoses included hypertension, high cholesterol, esophageal reflux, and diabetes mellitus. Additionally, 94.85% of MICH patients were comorbid; the number of comorbidities per patient ranged from one to 13 conditions, with a mean of 5.88 diagnoses per patient (SD=2.74).ConclusionOverall, patients in the MICH Program are decidedly medically complex and may be well-suited to additional community intervention to better manage their many conditions. The potential for MICH programs to simultaneously improve patient outcomes and reduce health care costs by expanding into larger public health and addressing the needs of the most vulnerable citizens warrants further study.ScharfBM, BissellRA, TrevittJL, JenkinsJL.Diagnosis prevalence and comorbidity in a population of mobile integrated community health care patients.Prehosp Disaster Med. 2019;34(1):46–55.

Politics and Ideology: Lord Moyne, Palestine and Zionism 1939–1944

2017 ◽  
Vol 10 (2) ◽  
pp. 155-169
Author(s):  
Ronen Yitzhak
Keyword(s):  
Prime Minister ◽  
White Paper ◽  
Second World War ◽  
Political Orientation ◽  
Jewish State ◽  
World War ◽  
Pragmatic Approach ◽  
Jewish Immigration ◽  
Set Up ◽  
Second World

This article deals with Lord Moyne's policy towards the Zionists. It refutes the claim that Lord Moyne was anti-Zionist in his political orientation and in his activities and shows that his positions did not differ from those of other British senior officials at the time. His attitude toward Jewish immigration to Palestine and toward the establishment of a Jewish Brigade during the Second World War was indeed negative. This was not due to anti-Zionist policy, however, but to British strategy that supported the White Paper of 1939 and moved closer to the Arabs during the War. While serving in the British Cabinet, Lord Moyne displayed apolitically pragmatic approach and remained loyal to Prime Minister Churchill. He therefore supported the establishment of a Jewish Brigade and the establishment of a Jewish state in Palestine in the secret committee that Churchill set up in 1944. Unaware of his new positions, the Zionists assassinated him in November 1944. The murder of Lord Moyne affected Churchill, leading him to reject the establishment of a Jewish state in Palestine.

Sign in / Sign up

Export Citation Format

Share Document