Effective GP Commissioning - Essential Knowledge, Skills and Attitudes


Book Description

The proposed abolition of Primary Care Trusts and transfer of their commissioning functions to GP consortia have been greeted with intense excitement by some GPs, and with extreme trepidation by others. This book explains what commissioning is and how to do it, enabling clinicians to flourish as commissioners in the new NHS. Some topics that will be familiar to readers, such as long term conditions management, patient safety and the wider determinants of health, are explored here from a commissioning perspective. Others which may be less familiar, such as how to delegate, how to improve productivity, management theories and the content of financial accounts, are explored in detail. Additional skills needed by commissioning GPs - fostering innovation, assertiveness and emotional competence as well as negotiation, presentation and even media management skills - are outlined in a clear and straightforward fashion, while the necessary attitudes involved are described with reference to the Nolan Principles of Public Life. A straightforward yet comprehensive guide, Effective GP Commissioning - Essential Knowledge, Skills and Attitudes will be essential for GPs, prospective GPs, and those with an interest in effective commissioning. 'A useful resource for all GPs whatever their level of engagement and indeed for non-clinicians also. Sunil Gupta is clearly a GP and business magpie who has an incredible ability to gather, organise and present useful information. The content of this book is well-researched linking considerable volumes of information in a very useful, constructive manner.' - From the Foreword by Simon Gregory







The New GP's Handbook


Book Description

General Practice has never been an easy occupation. In the past there were some clear structures and routes for new GPs to take. You could expect to join a practice and progress through the ranks, growing in seniority and confidence. You might have been informally mentored by one of the older colleagues; learning management and business skills gradually. It is no longer like this. The market has changed, the range of options is wider, and the way through the labyrinth is far from clear. You might find yourself confused and overwhelmed by all the new opportunities, possibilities and prospects. This book helps to clarify uncertainties and guide you towards the right path. It offers ways to formulate strategies when planning your career and maps out the landscape of general practice, enabling you to make, confident and informed decisions about your professional future. Supporting the initiative of First5(R), The New GP's Handbook is highly recommended for newly qualified GPs who will find it answers so many of their questions and helps make the first five years (and beyond) in general practice more understandable, productive and enjoyable. Experienced GPs too, will find the guide invaluable as a current, general overview. General practice is an exciting and rewarding career which provides a host of opportunities for new GPs entering the profession today. Finding the right job, achieving a good work-life balance and developing a culture of lifelong learning are vital not only for the fulfilment of new GPs themselves but for the future of the profession. This book will help you achieve these objectives. Clare J Taylor, in the Foreword




ABC of Domestic and Sexual Violence


Book Description

ABC of Domestic and Sexual Violence is a practical guide for all health care professionals who are looking after abused individuals (whether knowingly or not) and who wish to learn more in order to help their patients. It employs a positive and hands on approach, emphasising simple history taking skills and clinical ‘tips’ and pitfalls to help demystify what is often considered a sensitive or difficult subject area. This new ABC title covers background and epidemiology, including: international and cultural perspectives, common presentations, how to identify abuse, and guidance on subsequent acute and longer-term medical and psychosocial interventions. It provides guidance on legal perspectives including documentation and sources of help and advice. While focusing mainly on women, it will also cover aspects relating to children and men. It also incorporates victim testimonies and case scenarios throughout. From a multidisciplinary team of contributors ABC of Domestic and Sexual Violence is ideal for all general practitioners, accident and emergency, practice nurses, health visitors, midwives, social workers, and other primary and secondary care health care professionals.




Fair Resource Allocation and Rationing at the Bedside


Book Description

Health systems need to set priorities fairly. In one way or another, part of this important task will fall to physicians. How do they make judgments about resource stewardship, and how should they do so? How can they make such decisions in a manner that is compatible with their clinical duties to patients? In this book, philosophers, bioethicists, physicians, lawyers and health policy experts make the case that priority setting and rationing contribute significantly to the possibility of affordable and fair healthcare and that clinicians play an indispensable role in that process. The book depicts the results of a survey of European physicians about their experiences with rationing and other cost containment strategies, and their perception of scarcity and fairness in their health care systems. Responding to and complementing these findings, commentators discuss why resource allocation and bedside rationing is necessary and justifiable. The book explores how bedside rationing relates to clinical judgments about medical necessity and medical indications, marginal benefits, weak evidence based medicine, off-label use. The book highlights how comparative studies of health care systems can advance more effective and fair bedside rationing through learning from one another. From a practical standpoint, the book offers a number of strategies for health care systems and clinicians to work in tandem to allocate and ration resources as fairly as possible: how to foster more attention to fairness when rationing at the bedside, how to avoid exacerbating health disparities when allocating resources, how to teach about bedside rationing to students, how to discuss rationing more explicitly in the public arena and in the doctor's office.




Addressing Epistemic Injustice in Mental Health


Book Description

Epistemic injustice was conceptualized by Fricker as a form of social injustice, which occurs when people’s authority ‘as a knower’ is ignored, dismissed, or marginalized. It is attracting increasing interest in the mental health field because of the asymmetries of power between people using mental health services and mental health professionals. People experiencing mental health distress are particularly vulnerable to epistemic injustice as a consequence of deeply embedded social stigma, negative stereotyping, and assumed irrationality. This is amplified by other forms of stereotyping or structural discrimination, including racism, misogyny, and homophobia. Consequently, individual testimonies may be discounted as both irrational and unreliable. Epistemic injustice also operates systemically reflecting social and demographic characteristics, such a race, gender, sexuality or disability, or age.




Nursing Practice


Book Description

Nursing Practice is the essential, textbook to support you throughout your entire nursing degree, from your first year onwards. It explores all the clinical and professional issues that you need to know in one complete volume. Written in the context of the latest Nursing and Midwifery Council Standards for Pre-Registration Nursing Education and the Essential Skills Clusters, this book covers all fields of nursing: Adult, Child, Mental Health, Learning Disabilities and also Maternity care, in both acute and community settings. With full colour illustrations, and plenty of activities and user-friendly features throughout, this evidence-based text encompasses essential nursing theory and practice, providing students with information to support their success. Learning features in the book include: Hear it from the experts- tips and advice from real life nurses, patients and their carers, and student nurses Red Flags- alerting the student to potential dangers Primary Care Considerations- informs students about care issues in the community setting Fields boxes- giving further insight into other fields of nursing, making the book relevant to all fields of nursing practice Medicines Management boxes provide key information about medicines Self-assessment and activities throughout A companion website to this title is available at www.wileynursingpractice.com Here you’ll find a range of resources for both the student and the lecturer, including: Over 350 interactive multiple choice questions Flashcards Glossary Links to references and further reading Illustrations from the book Worksheets




Seminars in Consultation-Liaison Psychiatry


Book Description

A comprehensive and practically oriented review of consultation-liaison psychiatry, covering clinical practice and service development.




Practical Management of Dementia


Book Description

Practical Management of Dementia, Second Edition remains a comprehensive guide to identifying the challenges faced in caring for patients with dementia. Integrating new research into the diagnosis, detection and management of dementia, this book brings together a wealth of extensive practical experience and knowledge. It answers questions on medical, psychological and social management in an informative, evidence-based manner. Emphasising the need for a variety of pharmacological, psychological and social approaches that can be adapted for individual patients, it also encourages an understanding of the patients' spiritual needs. Reviews of the First Edition: 'This is a highly readable and useful resource.' NURSING STANDARD 'Comprehensive and valuable. Of merit to all healthcare team members from all care setting perspectives.' GERIATRICS TODAY 'Consistent and clear, well written and edited.' THE JOURNAL OF DEMENTIA CARE




Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies


Book Description

This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.