Ethical dilemmas in business and health have become a familiar topic over recent times. Doubts remain, however, as to whether a code should be produced and the recently issued IHSM consultation paper argues the case for "a statement of primary values" rather than a code of ethics. In a second article on the subject, Paul Bayliss examines the importance of having a code, looks at some of the contextual issues and suggests an approach to producing one.
Physiotherapy needs to change to be relevant and appropriate to the delivery of health care in the future: departments in acute units will become smaller as therapists' expertise is required in the community. Sue Jackson, Physiotherapy Manager, North Staffordshire Hospital, describes the first steps in this culture change--and other professional and human resource issues.
The fourth Rubber Windmill simulation exercise highlighted some interesting issues--among them that managers will be under more pressure and CHCs should have more power. Margaret Martin, Head of Public Information Services at East Anglian RHA, reports.
The publication of Caring for People, The NHS and Community Care Act 1990, and The Patient's Charter, placed involving users at the forefront of discussions concerning the future organisation and management of health and social care services. Ray Higgins describes the evaluation of an advocacy project and the challenges for managers it presented.
Growing interest in shared health care schemes over the last decade has received additional impetus with the introduction of GP fund holding and the internal market in health care provision. Ken Buckingham and colleagues report on the relative costs of such a scheme for asthma in comparison with the costs of conventional outpatient care. Data was collected during a randomised controlled trial of shared or integrated care for patients with chronic asthma, who had been referred to a hospital outpatient clinic.
The challenge for the year ahead is to implement a largely decentralised pharmacy service, seeing an improved service and benefits to patients. Bob Wilson, Pharmacy Services Manager, Leicester General Hospital describes how the team will go about it.
In the light of changes in the NHS requiring medical staff to take on managerial roles, the North Western RHA carried out a survey of clinical directors' need for management training. Dr David Allen and Sue Brimelow outline the results.
Much attention is currently being given to values and ethics in the NHS. Issues of accountability are being explored as a consequence of the Cadbury report. The Institute of Health Services Management (IHSM) is considering whether managers should have a code of ethics. Central to this issue is what managers themselves think; the application of such a code may well stand or fall by whether managers are prepared to have ownership of it, and are prepared to make it work. Paul Bayliss reports on a survey of managers' views.
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：