Opportunities for the Dental Team Arising Out of the New Arrangements for Primary Dental Care

2005 ◽  
Vol os12 (1) ◽  
pp. 15-19 ◽  
Author(s):  
Stephen Lambert-Humble
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Dental Care ◽  
Evidence Base ◽  
Training And Development ◽  
Employment Training ◽  
Innovative Solutions ◽  
The Way ◽  
Outside The Box

Many changes are occurring in the delivery of dental care to patients as a result of the implementation of a series of Government initiatives to improve the services to patients throughout the National Health Service (NHS). Dentistry is no exception, and the whole dental team should benefit from new opportunities that have opened up as a result of these changes. This paper outlines a number of these initiatives, and describes some of the potential opportunities that may develop for each group within the dental team. Many of these changes are already in the pipeline, many depend on funding, and many depend on a change in the mindset of established organisations and institutions to think ‘outside the box’. The author believes that none of the changes outlined or discussed in this paper challenge the position or status of any group; however, they do require all members of the dental team to examine the way in which they work, to look at the evidence base for these ways of working, and then perhaps look for innovative solutions to the employment, training and development of all members of the team.

scholarly journals Outpatient CBT for Underweight Patients with Eating Disorders: Effectiveness Within a National Health Service (NHS) Eating Disorders Service

2018 ◽  
Vol 47 (2) ◽  
pp. 217-229
Author(s):  
Paul E. Jenkins ◽  
Ceri Morgan ◽  
Catherine Houlihan
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Real World ◽  
Evidence Base ◽  
Behaviour Therapy ◽  
Psychosocial Impairment ◽  
Cognitive Behaviour

Background: Underweight eating disorders (EDs) are notoriously difficult to treat, although a growing evidence base suggests that outpatient cognitive behaviour therapy for EDs (CBT-ED) can be effective for a large proportion of individuals. Aims: To investigate the effectiveness of CBT-ED for underweight EDs in a ‘real-world’ settings. Method: Sixty-three adults with underweight EDs (anorexia nervosa or atypical anorexia nervosa) began outpatient CBT-ED in a National Health Service setting. Results: Fifty-four per cent completed treatment, for whom significant changes were observed on measures of ED symptoms, psychological distress and psychosocial impairment. There was also a large effect on body weight at end-of-treatment. Conclusions: The results suggest that good outcomes can be achieved by the majority of those who complete treatment, although treatment non-completion remains a significant barrier to recovery. Future studies should focus on improving treatment retention, as evidence suggests that CBT-ED in ‘real-world’ settings is effective.

Adolescent Psychiatry Services

1995 ◽  
Vol 166 (3) ◽  
pp. 306-310 ◽  
Author(s):  
Tony Jaffa
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Adolescent Psychiatry ◽  
Clinical Care ◽  
Psychiatric Services ◽  
High Quality ◽  
History Of ◽  
The Uk ◽  
The Way

BackgroundThe way in which psychiatric services for adolescents in the UK are developing will be affected by recent changes in the organisation of the National Health Service.MethodThe history of these services, and the different opportunities for development are reviewed.ResultsWays in which high-quality clinical care can still be provided are indicated.ConclusionAdolescent psychiatric services should be judged on their ability to provide such care, not merely on their ability to survive.

scholarly journals The whirligig of time

1998 ◽  
Vol 22 (4) ◽  
pp. 263-267
Author(s):  
Anthony Ryle
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Social Medicine ◽  
General Paralysis ◽  
Causes Of Disease ◽  
The Way

Had I been invited to write a professional ‘Prospect’ when I qualified almost half a century ago, rather than this retrospect, it would have contained no reference to psychiatry or psychotherapy. Glimpses from the long stone corridor of Frien Barnet into vast bare wards inhabited by patients in striped hospital clothing (or has memory conflated this with images of Belsen?) and demonstrations of cases of, rather than of people with, echolalia or mania or ‘general paralysis of the insane’ (dementia paralytica), which were my student introduction to psychiatry, were aversive rather than attractive. But many of the values and attitudes which have shaped my later attitudes to psychiatry were already evident, rooted in the belief that the most destructive war in history should prepare the way for a juster world, and influenced by my father's enthusiastic advocacy of the National Health Service (NHS) and by his move from clinical to social medicine, a move through which he sought ‘to study the ultimate as well as the intimate causes of disease∗.

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