Five papers on aspects of fund-holding practice management were entered into the Practice Managers' Forum at the joint IHSM/Radcliffe Medical Press First National Practice Managers' Conference, of which this contribution was judged the best. Its author, Miranda Lonsdale, received the Radcliffe Award for the presentation.
The IHSM's day conference threw a wide spotlight on 'alternative settings for acute care'. The occasion provided a powerful and unifying commentary on a number of trends discernible in most of the specialties examined in the Medicine for Managers series.
Sue Beaumont is GP Fund Holding Development Manager for Manchester FHSA, covering a population of over 505,000 and over 100 practices in an inner-city area. Newly appointed after a seven-year absence from the NHS, she has an interesting perspective on the reforms.
As practices take on fund-holding status, GPs are thrown into a new management role/ According to Ross Hamilton and Fiona Shepherd, there is some doubt whether current medical training provides the skills for this.
A successful information technology (IT) strategy will not be a cure-all. It can, however, be a major facilitator to bringing about management and cultural change. Neil Spencer-Jones outlines how this was achieved at Ashworth Special Hospital.
Arthritis disables more people than all other diseases and injuries put together. Given the high cost of some of the techniques used for rheumatoid arthritis, the long-term nature of the disease and the growth in demand, it is increasingly important to pose and answer questions of cost effectiveness and priority-important to clinician and manager alike.
Managers need new skills to plan their own careers and health services organisations will benefit from attending to the career opportunities available to their staff, according to Dr Alison Baker and Dr David Perkins.
The Management Executive (ME) in Scotland has recently announced that between 3000 and 7000 acute sector beds are to be lost in Scotland by the year 2001, for many of the same reasons that the Tomlinson report recommended beds be cut in London. Health boards are developing plans to restructure hospital services but issues of public and professional support for the plans they produce, and questions of funding, will determine the final outcome.
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