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.3-2-99
Sarah L Cowan, Jonathon Aa Holland, Ian Frost, Andrew D Kane
There is growing evidence that outcomes in sepsis are improved by early recognition and treatment. In this study, we assessed junior doctors' ability to recognise and manage sepsis. We also explored junior doctors' perceptions regarding barriers to delivering timely sepsis care. From 46 respondents, only 4% were able to list the systemic inflammatory response syndrome (SIRS) criteria, 50% could define sepsis and 46% could list the Sepsis Six. Following further teaching on sepsis, 35% could list the SIRS criteria, 87% correctly defined sepsis, and 91% could state the Sepsis Six. Junior doctors perceived time pressure when on call to be the greatest barrier in treating sepsis, and their own knowledge to be the least important barrier. Our data suggest that knowledge of sepsis among junior doctors is poor and that there is a lack of insight into this competency gap.
{"title":"Recognition and management of sepsis by junior doctors.","authors":"Sarah L Cowan, Jonathon Aa Holland, Ian Frost, Andrew D Kane","doi":"10.7861/futurehosp.3-2-99","DOIUrl":"https://doi.org/10.7861/futurehosp.3-2-99","url":null,"abstract":"<p><p>There is growing evidence that outcomes in sepsis are improved by early recognition and treatment. In this study, we assessed junior doctors' ability to recognise and manage sepsis. We also explored junior doctors' perceptions regarding barriers to delivering timely sepsis care. From 46 respondents, only 4% were able to list the systemic inflammatory response syndrome (SIRS) criteria, 50% could define sepsis and 46% could list the Sepsis Six. Following further teaching on sepsis, 35% could list the SIRS criteria, 87% correctly defined sepsis, and 91% could state the Sepsis Six. Junior doctors perceived time pressure when on call to be the greatest barrier in treating sepsis, and their own knowledge to be the least important barrier. Our data suggest that knowledge of sepsis among junior doctors is poor and that there is a lack of insight into this competency gap.</p>","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"3 2","pages":"99-102"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6465838/pdf/futurehosp-3-2-99.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37250657","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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