Governance Commissioning And Public Health

Author: Linda Marks
Publisher: Policy Press
ISBN: 1447313739
Size: 46.69 MB
Format: PDF, Docs
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Drawing on in-depth case studies across England, this book argues that governance and population health are inextricably linked. Using original research, it shows how these links can be illustrated at a local level through commissioning practice related to health and wellbeing. Exploring the impact of governance on decision- making, Governance, commissioning and public health analyses how principles, such as social justice, and governance arrangements, including standards and targets, influence local strategies and priorities for public health investment. In developing ‘public health governance’ as a critical concept, the study demonstrates the complexity of the governance landscape for public health and the leadership qualities required to negotiate it. This book is essential reading for students, academics, practitioners and policy-makers with an interest in governance and decision-making for public health.

Child Public Health

Author: Mitch Blair
Publisher: Oxford University Press
ISBN: 0199547505
Size: 66.13 MB
Format: PDF, Mobi
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This text focuses on a public health approach to the health and sickness of children and young people - comprising about a quarter of the population. It explores the state of health of our children, the historical roots of the specialty and the relation between early health and later adult health.

Community Health Care Nursing

Author: David Sines
Publisher: John Wiley & Sons
ISBN: 1118713230
Size: 26.12 MB
Format: PDF, ePub
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Review of previous edition: "An extremely popular and valuable resource to students, practitioners and managers in community health care nursing." Journal of Advanced Nursing Community Health Care Nursing has become established as an essential source of reference for all those working in the primary care and community health care domain. The Fourth Edition of this successful text focuses on new emergent agendas which affect primary care and public health education and service delivery/improvement. Comprehensive and accessible, this well established text draws on a wide range of subject experts all aiming for excellence in service delivery, to produce a resource that addresses the key aspects of community health delivery reflecting the reality of the new community/primary care agenda in the United Kingdom. Integrated throughout the book are themes relevant to contemporary community healthcare nursing, including Self Managed Care/Managed Care Pathways, Long Term Conditions, Palliative care and End of Life Care, Urgent and Unscheduled Care, Offender Care, and Continuing/Intermediate Care. The result is a book which focuses on new opportunities for contemporary practice, service delivery/improvement and education response within the context of the modernised primary and public healthcare service Key features: New edition of a well-established and successful text Written by experts in the field Examines competencies in practice Includes evidence-based guidelines and integrates national service framework requirements Includes new chapters on Advanced Nursing Practice and competence assessment, modernised primary healthcare workforce and workforce change, Commissioning, and user and public engagement

Improving Quality And Safety Progress In Implementing Clinical Governance In Primary Care

Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Publisher: The Stationery Office
ISBN: 9780215036063
Size: 54.88 MB
Format: PDF, Kindle
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Following serious concerns about clinical and organisational failures in the NHS during the 1990s (such as Alder Hey, the Bristol Royal Infirmary and Shipman), the Government identified the need for a more systematic approach to improving quality and safety in healthcare. The Department of Health introduced clinical governance, a framework through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care. Primary Care Trusts (PCTs) are responsible for providing primary care services and commissioning services on behalf of their local health economy. This report examines the Department's progress in implementing clinical governance in primary care; the lessons learned; and the risks that will need to be managed if quality and safety are to be embedded in the new PCTs. that clinical governance is not as well established in primary care as in secondary care, largely because of the complexity of PCTs role in both commissioning and providing care; and the independence of contractors delivering healthcare, particularly General Practitioners (GPs). Primary care has also been slower in adopting a structured approach to quality and safety, evident for example in the lack of compliance with national systems reporting of clinical incidents. There is a lack of clarity between PCTs and their contractors as regards accountability for ensuring quality and safety, and scope for greater involvement of patients and the public in ensuring that primary care services are safe and of high quality.

Making Sense Of The Nhs White Papers

Author: Mark R. Baker
Publisher: Radcliffe Publishing
ISBN: 9781857754605
Size: 55.64 MB
Format: PDF, Docs
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The NHS is heralding a complex and radical change in the way it works and the behaviour expected of clinicians. This new edition describes all the major changes to key policy developments, their importance politically and professionally, and the impact they will have on healthcare and patients. It includes major new sections on health improvement programmes, quality, public health, clinical governance and the development of primary care organisations and NHS trusts. The book provides a unique, clear and comprehensive summary of the changes and developments in the NHS. It gives challenging insights on the future of policy issues for students and those responsible for strategy and management of the modern NHS.


Author: Great Britain: Parliament: House of Commons: Health Committee
Publisher: The Stationery Office
ISBN: 9780215559104
Size: 27.84 MB
Format: PDF, ePub, Mobi
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The Health Committee reports that the Government's plans to reform NHS commissioning need to be significantly changed. Representatives of nurses, hospital doctors, public health experts and local communities should all be involved as decision makers alongside GPs in NHS commissioning. They believe it is vital to make these changes to enable the NHS to meet the unprecedented challenge it faces of finding 4% annual efficiency savings over the next four years. The Committee proposes that Local Commissioning Boards, where GPs will form a majority of membership, should have places should be reserved for representatives from: professional social care; local authority; nursing; hospital medicine; public health, nominated by the Director of Public Health. The Committee believes that local authority scrutiny of health services should continue and welcomes the extension of local authorities' health scrutiny powers. Boards of NHS Commissioners should be required to meet in public and publish their papers, and be held to account by the new NHS National Commissioning Board through a clear system of authorisation and assurance. Local commissioning bodies should be referred to as "NHS Commissioning Authorities" rather than GP consortia. The Committee believes that its own proposals would mean that there is no need to proceed with the establishment of Health and Wellbeing Boards, nor to separate the commissioning of primary and secondary care - as currently proposed in the bill. The Committee proposes that NHS Commissioning Authorities should be responsible for commissioning primary, secondary and community healthcare, as well as for creating robust links with social care.

Partnership Working In Public Health

Author: David J. Hunter
Publisher: Policy Press
ISBN: 1447301315
Size: 40.91 MB
Format: PDF
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The United Kingdom’s reforms of the National Health Service and public health system now require a strong focus on partnerships, a move that has largely been met with praise. But a growing body of evidence shows that such partnerships are in fact very difficult to achieve and make effective. This book draws on a detailed study of recent public health partnerships in England—most of which have been made under the new Health and Wellbeing Boards—to assess their effectiveness. Ultimately, the authors argue that the current forms of partnership must be drastically rethought if they are going to succeed.

Clinical Governance In Primary Care

Author: T. D. Van Zwanenberg
Publisher: Radcliffe Publishing
ISBN: 9781857758610
Size: 12.68 MB
Format: PDF, ePub, Mobi
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Patient-Centered Care Series Series Editors: Moira Stewart Judith Belle Brown and Thomas R Freeman Primary care clinicians are often unfamiliar with new and effective methods for detecting substance abuse problems in their earliest stages and the majority of patients with substance abuse problems remain undiagnosed. Substance Abuse is written by primary care clinicians and focused to meet the needs of primary care providers demonstrating how the patient-centered clinical method can assist clinicians in learning how to diagnose this complex psychosocial disorder. This book describes how to use state-of-the-art screening techniques and how to understand and motivate patients to decrease or eliminate harmful use of alcohol and drugs. It presents the latest scientific findings and gives examples of using a patient-centered approach as well as describing specific communication skills with samples of dialogue illustrating their use in helping substance-abusing patients. This is essential reading for all family doctors paediatricians gynaecologists psychiatrists nurses social workers psychologists and all clinicians whose practices include substance abusing patients. It will also appeal to counsellors education personnel and all professionals working with substance abusing individuals. For more information on other titles in this series please click here

Healthy Lives Healthy People

Author: Great Britain: Department of Health
Publisher: The Stationery Office
ISBN: 9780101813426
Size: 45.51 MB
Format: PDF, ePub, Mobi
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The Government's vision for a future Public Health service is set out in this publication. Communities will play a key role in the new system, which will have a clear focus on prevention and reducing inequalities and will work across Government to address the wider social determinants of health. Part of developing this new system will entail clarifying the new leadership role for local authorities and their directors of public health, across health improvement, health protection and population health advice to the NHS. Also establishing a new integrated public health service, Public Health England, to drive improvements in health and protect against health threats. Public Health England will be an executive agency of the Department of Health, providing greater operational independence within a structure that is accountable to the Health Secretary; and clear principles for emergency preparedness, resilience and response. The new system will integrate the three pillars of public health; health protection; health improvement and health services