Pub Date : 2016-06-01DOI: 10.7861/futurehosp.3-2-136
Suzie Shepherd
The NHS has been on a journey of major structural change since its first significant reorganisation in 1974. In recent times, the emphasis has been on developing the market philosophy first introduced by Margaret Thatcher in 1989. As service commissioning develops, and more providers join the market, many patients find the system difficult to navigate and complain of fragmentation in the delivery of care and of new services failing to provide the high quality of care they expect. This article examines the impact on patients of a fragmented system of care, drawing on some practical examples. If person-centred care is to become a reality across the NHS then collaborative approaches to commissioning and delivering care must be developed.
{"title":"Coordinated care: a patient perspective on the impact of a fragmented system of care on experiences and outcomes, drawing on practical examples.","authors":"Suzie Shepherd","doi":"10.7861/futurehosp.3-2-136","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2-136","url":null,"abstract":"<p><p>The NHS has been on a journey of major structural change since its first significant reorganisation in 1974. In recent times, the emphasis has been on developing the market philosophy first introduced by Margaret Thatcher in 1989. As service commissioning develops, and more providers join the market, many patients find the system difficult to navigate and complain of fragmentation in the delivery of care and of new services failing to provide the high quality of care they expect. This article examines the impact on patients of a fragmented system of care, drawing on some practical examples. If person-centred care is to become a reality across the NHS then collaborative approaches to commissioning and delivering care must be developed.</p>","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 2","pages":"136-138"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465825/pdf/futurehosp-3-2-136.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37246547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.7861/futurehosp.3-2-152
Malcolm Stodell
{"title":"Letters to the editor.","authors":"Malcolm Stodell","doi":"10.7861/futurehosp.3-2-152","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2-152","url":null,"abstract":"","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 2","pages":"152"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465834/pdf/futurehosp-3-2-152.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37246551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.7861/futurehosp.3-2-83
Edward Nicol
{"title":"Terminology, time and tension: the challenges of delivering person-centred care.","authors":"Edward Nicol","doi":"10.7861/futurehosp.3-2-83","DOIUrl":"10.7861/futurehosp.3-2-83","url":null,"abstract":"","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 2","pages":"83-84"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465823/pdf/futurehosp-3-2-83.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37250650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.7861/futurehosp.3-2s-s24
Georgi Abraham, Tarun K George
{"title":"Rethinking postgraduate medical education in today's India - a comparison with western systems.","authors":"Georgi Abraham, Tarun K George","doi":"10.7861/futurehosp.3-2s-s24","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2s-s24","url":null,"abstract":"","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 Suppl 2","pages":"s24"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465901/pdf/futurehosp-3-2s-s24.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37250670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.7861/futurehosp.3-2s-s31
Alison Cracknell, Alison Lovatt, Anna Winfield, Sofia Arkhipkina, Eileen McDonagh, Angela Green, Michael Rooney
{"title":"Huddle up for safer healthcare: how frontline teams can work together to improve patient safety.","authors":"Alison Cracknell, Alison Lovatt, Anna Winfield, Sofia Arkhipkina, Eileen McDonagh, Angela Green, Michael Rooney","doi":"10.7861/futurehosp.3-2s-s31","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2s-s31","url":null,"abstract":"","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 Suppl 2","pages":"s31"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465903/pdf/futurehosp-3-2s-s31.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37250677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.7861/futurehosp.3-2s-s7
Laura Davis, Alison Berner, Nicholas Deakin, Julian Emmanuel
{"title":"A quality improvement project to improve the timeliness of blood cultures for patients on an acute medical unit.","authors":"Laura Davis, Alison Berner, Nicholas Deakin, Julian Emmanuel","doi":"10.7861/futurehosp.3-2s-s7","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2s-s7","url":null,"abstract":"","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 Suppl 2","pages":"s7"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465927/pdf/futurehosp-3-2s-s7.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37422201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.7861/futurehosp.3-2s-s10
Khoon-Sheng Kok, Timothy Gilbert
{"title":"Lessons learned from an audit of the use of atorvastatin 80 mg for secondary prevention of cardiovascular disease in a tertiary hospital.","authors":"Khoon-Sheng Kok, Timothy Gilbert","doi":"10.7861/futurehosp.3-2s-s10","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2s-s10","url":null,"abstract":"","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 Suppl 2","pages":"s10"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465899/pdf/futurehosp-3-2s-s10.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37422205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.7861/futurehosp.3-2s-s14
Tamer Shalaby, Andrew Ghabbour, Michelle Gallagher
{"title":"Learning from mistakes: a review of clinical incidents occurring at Royal Surrey County Hospital and how we can learn from these to improve patient outcomes.","authors":"Tamer Shalaby, Andrew Ghabbour, Michelle Gallagher","doi":"10.7861/futurehosp.3-2s-s14","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2s-s14","url":null,"abstract":"","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 Suppl 2","pages":"s14"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465893/pdf/futurehosp-3-2s-s14.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37422208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-06-01DOI: 10.7861/futurehosp.3-2-128
Simon Eaton
The components of supporting people with long-term conditions, and the incumbent skills and resources required, are increasingly well understood. However, more coherent and systematic approaches to delivery across care pathways are -required. In the setting of intermittent, discrete decisions about healthcare, the concept of shared decision making will apply. Support for self-management describes efforts to help people in living day to day with their condition(s). Care planning is relevant to proactively planning cycles of care and increasing involvement in care. The underpinning principles require a different mindset for clinicians and support for people to develop the knowledge, skills and confidence to engage and participate in their health more effectively. Achieving this could provide the holy grail of delivering high-quality care at a population level, which is consistently centred around what is important to each individual person and what they want to achieve.
{"title":"Delivering person-centred care in long-term conditions.","authors":"Simon Eaton","doi":"10.7861/futurehosp.3-2-128","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2-128","url":null,"abstract":"<p><p>The components of supporting people with long-term conditions, and the incumbent skills and resources required, are increasingly well understood. However, more coherent and systematic approaches to delivery across care pathways are -required. In the setting of intermittent, discrete decisions about healthcare, the concept of shared decision making will apply. Support for self-management describes efforts to help people in living day to day with their condition(s). Care planning is relevant to proactively planning cycles of care and increasing involvement in care. The underpinning principles require a different mindset for clinicians and support for people to develop the knowledge, skills and confidence to engage and participate in their health more effectively. Achieving this could provide the holy grail of delivering high-quality care at a population level, which is consistently centred around what is important to each individual person and what they want to achieve.</p>","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 2","pages":"128-131"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465836/pdf/futurehosp-3-2-128.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37246545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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