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General Medical Services
General medical services (GMS) is the range of healthcare that is provided by general practitioners (GPs or family doctors) as part of the National Health Service in the United Kingdom. The NHS specifies what GPs, as independent contractors, are expected to do and provides funding for this work through arrangements known as the General Medical Services Contract. Today, the GMS contract is a UK-wide arrangement with minor differences negotiated by each of the four UK health departments. In 2013 60% of practices had a GMS contract as their principle contract. The contract has sub-sections and not all are compulsory. The other forms of contract are the Personal Medical Services or Alternative Provider Medical Services contracts. They are designed to encourage practices to offer services over and above the standard contract. Alternative Provider Medical Services contracts, unlike the other contracts, can be awarded to anyone, not just GPs, don't specify standard essential services, an ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Socialist Medical Association
The Socialist Health Association (SHA, called the Socialist Medical Association before May 1981) is a socialist medical association based in the United Kingdom. It is affiliated to the Labour Party as a socialist society. History The Socialist Medical Association was founded in 1930 to campaign from within the Labour Party for a National Health Service in the United Kingdom and absorbed many of those who had been active in the State Medical Service Association, which collapsed as a result. The inaugural meeting was convened by Charles Wortham Brook, a doctor with links to the Labour Party who was a member of the London County Council (LCC) during the period when the LCC developed its municipal hospitals. Brook was the first Secretary of the Association, remaining in office until 1938. Many of those involved in the Association volunteered for the Spanish Medical Aid Committee in the Spanish Civil War. Somerville Hastings was founder President of the Socialist Medical Ass ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Patient Participation
Patient participation is a trend that arose in answer to medical paternalism. Informed consent is a process where patients make decisions informed by the advice of medical professionals. In recent years, the term "patient participation" has been used in many different contexts. These include, for example: shared decision making, participatory medicine, health consumerism, and patient-centered care. For the latter context, i.e. patient-centered care, a more nuanced definition was proposed in 2009 by the president of the Institute for Healthcare Improvement Donald Berwick: "The experience (to the extent the informed, individual patient desires it) of transparency, individualization, recognition, respect, dignity, and choice in all matters, without exception, related to one's person, circumstances, and relationships in health care" are concepts closely related to patient participation. In the UK over the course of 2016 two new relevant terms have expanded in usage: Patient and Publi ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Take Care Now
Take Care Now was an independent provider of Out-of-hours services in England. The company had contracts in Cambridgeshire, Suffolk, Great Yarmouth and Waveney, and Worcester. Civil action against the company In May 2009, civil legal action was begun against Take Care Now after a locum doctor, Daniel Ubani recruited by TCN, through a locum agency, was convicted of manslaughter for giving a patient an overdose of morphine. He had flown into the UK the day before his 12-hour Cambridgeshire shift for Take Care Now and had only had a few hours' sleep. A spokeswoman for the Care Quality Commission said: ""We are aware of a number of concerns in relation to out-of-hours care provided by Take Care Now to the NHS."{{Cite news, url=http://news.bbc.co.uk/2/hi/uk_news/england/cambridgeshire/8032124.stm, title=Watchdog to probe patient death, date=4 May 2009 Demise Take Care Now has been taken over by Harmoni Harmoni was a provider of outsourced healthcare services including Out-of-hours s ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Out-of-hours Service
Out-of-hours services are the arrangements to provide access to healthcare at times when General Practitioner surgeries are closed; in the United Kingdom this is normally between 6.30pm and 8am, at weekends, at Bank Holidays and sometimes if the practice is closed for educational sessions. Most Out-of-hours services in Scotland and Wales are provided directly by Health Boards. In Northern Ireland they are provided by the Health and Social Care Trusts. In England they are commissioned by Clinical Commissioning Groups, usually working together, as the contracts often cover large areas. Out-of-hours providers in England must be registered with, and are regulated by, the Care Quality Commission. The contract for General medical services which most GPs work to requires practices to be responsible for their patients between 8 am and 6.30 pm from Monday to Friday. In some cities commercial deputising services were set up employing doctors to cover the out of hour’s period, paid by the ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Working In Partnership Programme
Working in Partnership Programme (WiPP) was launched in England in 2004 under the new general medical services (nGMS) contract to support doctors in general practice by providing them with innovative ideas on how to improve services for the public. Initiatives The GMS contract provided the funds, while the initiatives are being implemented by a number of different agencies including primary care trusts as well as non-government organisations in England. The WiPP website provides several resources for this program. The programme has several initiatives. # Self Care Support for people and professionals # Self Care Support in Schools—Making Sense of Health project # Database of Good Practice—identifies, reviews and signposts existing good examples in general practice in England # Sickness Absence Management # Workload Analysis Tool to help analyse workload data in general practices and other primary care organisations # Improving the Management of Repeat Medicines in Primary Car ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Quality And Outcomes Framework
The Quality and Outcomes Framework (QOF) is a system for the performance management and payment of general practitioners (GPs) in the National Health Service (NHS) in England, Wales, Scotland and Northern Ireland. It was introduced as part of a new general medical services (GMS) contract in April 2004, replacing various other fee arrangements. Aims and mechanisms The QOF was part of a revised contract for GPs. It was intended to improve the quality of general practice and was part of an effort to solve a shortage of GPs. The QOF rewards GPs for implementing "good practice" in their surgeries. Participation in the QOF is voluntary for each partnership, but for most GPs, under the present contract, the QOF is almost the only area where they can make a difference to their income. Almost all participated. Most practices got, and still get, a significant proportion of their income through the QOF. In the 2004 contract the practice could accumulate up to 1050 'QOF points', depending o ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Morbidity
A disease is a particular abnormal condition that negatively affects the structure or function of all or part of an organism, and that is not immediately due to any external injury. Diseases are often known to be medical conditions that are associated with specific signs and symptoms. A disease may be caused by external factors such as pathogens or by internal dysfunctions. For example, internal dysfunctions of the immune system can produce a variety of different diseases, including various forms of immunodeficiency, hypersensitivity, allergies and autoimmune disorders. In humans, ''disease'' is often used more broadly to refer to any condition that causes pain, dysfunction, distress, social problems, or death to the person affected, or similar problems for those in contact with the person. In this broader sense, it sometimes includes injuries, disabilities, disorders, syndromes, infections, isolated symptoms, deviant behaviors, and atypical variations of ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Rurality
Rurality is used as an expression of different rural areas as not being homogeneously defined. Many authors involved in mental health research in rural areas stress the importance of steering clear of inflexible blanket definitions of rurality , and to instead "select definitions of rurality that are appropriate to the study being conducted". One of the simplest, but clearest definition of rurality is that one that expresses rurality as "a condition of place-based homeliness shared by people with common ancestry or heritage and who inhabit traditional, culturally defined areas or places statutorily recognized to be rural".. There is no single definition or measurement of rurality. It is often based on population size, population density, or geographical proximity to urban areas. Measurements of rural vary, ranging from populations of 2,500 to 50,000. The index developed by categorises all areas of England and Wales into four criteria: extreme rural, intermediate rural, interm ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
GP Fundholding
GP Fundholding was created in 1991 as part of the quasi-market created in the National Health Service The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the " ... by the Thatcher Government's National Health Service and Community Care Act 1990. Individual general practices were given control over some of the budgets for hospital care for their patients. This enabled them to change hospital practices by, in some cases, getting hospital consultants to run sessions outside hospital. The Audit Commission claimed in 1993 that the pendulum had swung too far in favour of GPs who wished to pursue their own interests as there was no mechanism to get them to support national objectives. Some of the first wave of fundholders ended the year with surpluses in excess of £100,000. Five had surpluses of ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Family Health Services Authority
Family practitioner committees were established by the National Health Service Re-organisation Act 1973. They replaced local executive councils which had been established in 1948 to manage primary care. Executive councils were direct descendants of the insurance committees established by section 59 of the National Insurance Act 1911 but with additional responsibility for NHS dentistry and NHS optician services. Their role was essentially neutral and routine. They played little part in developing the services they administered. There were 138 executive councils in England and Wales and 25 in Scotland. The role of the council was to maintain GPs’ lists of patients and to receive practitioners’ claims for payment. It was headed by an administrator with managerial control only over the staff, not the practitioners. Each family practitioner committee had thirty members, eleven of which were appointed by the area health authority with which it was coterminous. Eight were appointe ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Premiership Of Margaret Thatcher
Margaret Thatcher's term as the prime minister of the United Kingdom began on 4 May 1979 when she accepted an invitation of Queen Elizabeth II to form a government, and ended on 28 November 1990 upon her resignation. She was elected to the position in 1979, having led the Conservative Party since 1975, and won landslide re-elections in 1983 and 1987. She gained intense media attention as Britain's first female prime minister, and was the longest-serving British prime minister of the 20th century. Her premiership ended when she withdrew from the 1990 Conservative leadership election. In domestic policy, Thatcher implemented sweeping reforms concerning the affairs of the economy, eventually including the privatisation of most nationalised industries, as well as weakening of trade unions. She emphasised reducing the government's role and letting the marketplace decide in terms of the neoliberal ideas pioneered by Milton Friedman and Friedrich Hayek, promoted by her mentor Ke ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
