Commissioning of products: medical ethics. Yvette Perston Colorectal CNS QEHB
|
|
- Alaina Beasley
- 8 years ago
- Views:
Transcription
1 Commissioning of products: medical ethics Yvette Perston Colorectal CNS QEHB
2 Scottish Government NHS UK structure Pop 5.3M 13B 14 local NHS Boards Plan commission & deliver services Welsh Assembly Pop 3.2M 6.5B 7 Local Health Boards Responsible for all health services in area Northern Ireland Pop 1.8M 4.3B 5 local commissioning groups Fully integrated Health & Social Care Service
3 Pop 50M 100B NHS England Health & Social Care Act (2012) Clinically led commissioning 211 CCGs 65M Average pop 250,000 Healthcare market competition Increase pt choice Services from many providers Includes voluntary & private sector
4 Right to treatment? Human Rights Act (1998) Right to life (Article 2) State must act reasonably in allocating resources Right to respect for private life (Article 8) Breaches Balance must be between interests of community & individual Discrimination due to age (Article 2) Discrimination due to gender (Article 14)
5 Patient Choice (Choice Framework, 2014) Legal rights GP Acute care consultant led team Changing hospitals Who carries out specialist tests Treatment in another European countrysw
6 Other Choices not legal right Services provided in community Depends on CCG decisions Choosing to have a personal health budget Legal right to ask Take part in health research
7 When not offered choice Complain to GP Complain to CCG Complain to Monitor Complain to Parliamentary and Health Service Ombudsman NHS complaints advocacy service
8 Quality, Innovation, Productivity & Prevention Programme (QIPP)(2013) Efficiency savings of 20bn by 2015 To tackle rising costs Increased elderly Long-term conditions Economic down turn Improving quality Use of new technology New ways of working
9 QIPP Aims Productivity reduce variation in spend, all in line with most efficient Quality improve outcomes, reduce variation in outcomes Innovation cost effective techniques, pathways, procedures Prevention self management, health education
10 Monitor Sector regulator for health services England Issues licenses to NHS-funded providers Responsibility for national pricing & tariff Aids commissioners to ensure services continue Procurement choice & competition operate
11 Commissioners Role Cheap effective patient pathways Rationalise services Offering care in cheaper location Improving prevention Improving outcomes Efficiency savings Quality gains Resource allocation
12 Medicines Management Service Provide CCGs with advice Cost effective Improve outcomes Reduce wastage Encourage self management long term conditions
13 Commissioning Clinicians input Commissioners need to be aware of clinical problem Essential elements required for quality service Cost effective cheaper is not always better! Awareness of local health demographics Require service level agreements from all providers Defined deliverables Standards of care Audit outcomes Quality measures
14 Cost Why is Commissioning Important? Birmingham 2.25M stoma products (2013) Midlands 62.8M Initiation prescriptions multiple sources GPs unsure of Type Quantities Frequency Retrospective prescriptions Additions following sampling Inappropriate products
15 Case Study Joan, 72yrs APR & permanent colostomy for Ca 2009 Closed one piece appliance x2 daily Adhesive remover & deodorant Died 2014 relatives returned unused stock 12 boxes (unopened) closed pouches 20 deodorants & 25 adhesive removers Total cost approx. 1265
16 National Sources of Guidance Patients, Industry & Professionals Forum (PIPS) National group for Stoma & Continence Care Stoma prescribing guidelines Expected usage pouches ASCN Stoma Care Nursing Standards Useful guide for commissioners Same format as NICE Evidence based Audit templates
17 NHS PrescQIPP NHS programme working with CCGs Prescribing advice Medicines Optimisation Projects to deliver QIPP Stoma & continence tool kit Appliances only 67% total spend Accessories Categorised by usage
18 Solutions Local formulary Local policy Local guidelines Expected average quantities Responsibilities of all involved Tool kit What accessories are for Expected quantities Most cost effective available Review of ostomate by SCN if outside guidance
19 Solutions?Annual review by SCN Clinical review when usage outside normal AURs provided by supplier Nurse prescribing by CNS Scotland Rotherham?budget Resources
20 Stoma Care Scotland (2006 onwards) Abolition of company nurses incl sponsorship Unitary funding regime for all contractors Service standards for all contractors Optional national hospital formulary Other products available pt need Procurement of samples in acute care Specific procedure before adding items to prescription Regular care review by CNS pt choice Aim CNS = prescriber of products
21 Case Study - John 57 yr old care worker Urge & passive FI Daily accidents (Vaisey 24) Rectal washouts x3 weekly No accidents GP refused permission to prescribe Monthly cost irrigation 100
22 Case Study - John No longer works Cost to wider society Alternative colostomy Cost of surgery Monthly cost approx. 170 Psychological cost Patient choice??
23 The four principles of biomedical ethics Respect for autonomy Enabling individuals to make informed choices Beneficence Risks vs benefits Non maleficence Avoiding harm Justice fairness
24 Biomedical Ethics Maximum advantage to maximum no of patients Decisions to fund treatment should be made on Clinical effectiveness Cost effectiveness
25 Ethical Frameworks the four Quadrant approach (Jonsen et al, 1992) Indications for medical intervention Diagnosis, options for treatment Preferences of patient Quality of life Contextual features Religion, culture, legal factors
26 NMC Code (2015) Prescribing and Medicines Management Prescribe, dispense & administer within competence Prescribe medicine or treatment with knowledge of pts needs Check treatment is compatible with other care (including over the counter) Comply with appropriate guidance
27 NMC code 2015 Revalidation against code (Dec 15) Personalised & person-centred care Evidence based care Implement equality Manage resources effectively Act as patient s advocate Ensure patient choice Be impartial
28 Thank you for listening
Including Shropshire Community Health NHS Trust
The Local NHS Including Shropshire Community Health NHS Trust An overview of health and care organisations in Shropshire, Telford & Wrekin and mid Wales The way the NHS is England is planned, commissioned
More informationGuide to making a complaint about an NHS service
Guide to making a complaint about an NHS service February 2014 Healthwatch Coventry www.healthwatchcoventry.org.uk Contents 1. About this guide page 3 2. The NHS complaints procedure page 3 3. About the
More informationOverview of the UK Health Sector: the NHS. Frances Pennell-Buck
Overview of the UK Health Sector: the NHS Frances Pennell-Buck AGENDA Healthcare Sector in the UK Overview of the National Health Service (NHS) Recent transition where are we now? NHS England Five Year
More informationHEALTHWATCH AND NHS COMPLAINTS ADVOCACY AN UPDATE ON THE IMPLEMENTATION OF SERVICES IN BEXLEY
HEALTH OVERVIEW AND SCRUTINY COMMITTEE 7 APRIL 2014 HEALTHWATCH AND NHS COMPLAINTS ADVOCACY AN UPDATE ON THE IMPLEMENTATION OF SERVICES IN BEXLEY 1. INTRODUCTION The Health & Social Care Act 2012 transferred
More informationPRESCRIBING OF NHS MEDICATION RECOMMENDED DURING OR AFTER A PRIVATE EPISODE OF CARE
East Surrey CCG Guildford & Waverley CCG North West Surrey CCG Surrey Downs CCG Surrey Heath CCG PRESCRIBING OF NHS MEDICATION RECOMMENDED DURING OR AFTER A PRIVATE EPISODE OF CARE Version: 2.2 Name of
More informationHow does the NHS buy HIV Drugs?
The April 2011 announcement of changes to HIV drugs purchasing arrangements in London highlighted the direct impact of National Health Service (NHS) drugs procurement budgets and processes on individual
More informationhttp://www.gmc-uk.org/concerns/making_a_complaint/who_to_complain_to_en.asp
Who to complain to information for patients in England http://www.gmc-uk.org/concerns/making_a_complaint/who_to_complain_to_en.asp The process of making a complaint will be easier and less stressful if
More informationA step by step guide to making a complaint about the NHS
A step by step guide to making a complaint about the NHS Please read this first Are you worried or unhappy about your current healthcare or treatment of that of a loved one? If you are then it may be more
More informationEquity and excellence: liberating the NHS. Coalition government s health white paper - published 12 July 2010
Equity and excellence: liberating the NHS Coalition government s health white paper - published 12 July 2010 VSS policy briefing: July 2010 CONTENTS INTRODUCTION... 3 THE GOVERNMENT S VISION FOR THE NHS
More informationFinancial Strategy 5 year strategy 2015/16 2019/20
Item 4.3 Paper 15 Financial Strategy 5 year strategy 2015/16 2019/20 NHS Guildford and Waverley Clinical Commissioning Group Medium Term Financial Strategy / Finance and Performance Committee May 2015
More informationDefining the boundaries between NHS and Private Healthcare
West Midlands Strategic Commissioning Group Commissioning Policy (WM/13) Defining the boundaries between NHS and Private Healthcare Version 1 April 2010 1. Definitions Private patients are patients who
More informationTo start with, who you contact to make a formal complaint will depend on:
The Complaints Process For many, the thought of complaining can be daunting. This guide takes you through the process of making your complaint and where you can obtain further information. To start with,
More informationHow To Know What The Nhs Is Funding In Care Homes
FACTSHEET 4 Advice for older people NHS funding in care homes About this factsheet and who it is for The NHS have two streams of funding that may be available to care home residents; NHS funded nursing
More informationThe Code: Standards of conduct, performance and ethics for nurses and midwives
The Code: Standards of conduct, performance and ethics for nurses and midwives We are the nursing and midwifery regulator for England, Wales, Scotland, Northern Ireland and the Islands. We exist to safeguard
More informationST LAWRENCE ROAD SURGERY. Complaints Procedure General Practice
ST LAWRENCE ROAD SURGERY Complaints Procedure General Practice Index 1. Introduction 2. Practice Complaints Administrator 3. What Constitutes a Complaint 4. Matters Excluded from the Complaints Process
More informationThe role of the stoma nurse, and the importance of
clinical focus A proven pathway for stoma care: the value of stoma care services Rebecca Davenport The role of the stoma nurse, and the importance of the service provided for patients, have been regularly
More informationComplaining about a health service
Stroke Helpline: 0303 3033 100 Website: stroke.org.uk Complaining about a health service Most people receive excellent care and treatment after having a stroke. However, sometimes things don t go as well
More informationHow to complain about a doctor
How to complain about a doctor England This booklet is for patients in England. Our procedures are the same throughout the UK, but healthcare and support organisations do vary. We have therefore also produced
More informationBudget 300-360 per day negotiable for the right candidate 6 month contract 5 days per week for 1 st month - negotiable 3 days per week for 5 months
Job Title Pay Band Hours Contract Type Base Employing organisation Directorate Responsible to Accountable to Benefits Manager Budget 300-360 per day negotiable for the right candidate 6 month contract
More informationNHS Complaints Advocacy
NHS Complaints Advocacy Raising Concerns or Complaints About the NHS Advocacy in Surrey is provided by Surrey Disabled People s Partnership (SDPP) In partnership with SDPP is a registered Charity: 1156963
More informationThe code: Standards of conduct, performance and ethics for nurses and midwives
The code: Standards of conduct, performance and ethics for nurses and midwives We are the nursing and midwifery regulator for England, Wales, Scotland, Northern Ireland and the Islands. We exist to safeguard
More informationStoma Care Clinical Nursing Standards
Stoma Care Clinical Nursing Standards Introduction A standard is a level of quality against which performance can be measured. It can be described as essential - the absolute minimum to ensure safe and
More informationHarness Care Cooperative Ltd Quality primary care services provided through local cooperation Company registration: 06584450
Harness Care Cooperative Ltd Quality primary care services provided through local cooperation Company registration: 06584450 Job Description Job title: Nurse Practitioner /Lead Nurse ACCOUNTIBILITY The
More informationDefining the Boundaries between NHS and Private Healthcare
Defining the Boundaries between NHS and Private Healthcare June 2015 Author: Jacqueline Clayton, Senior Pharmaceutical Adviser JPC and Commissioning Dr Zoe Aslanpour, Consultant in Public Health Fiona
More informationCLINICAL GOVERNANCE POLICY
Clinical governance is defined as: CLINICAL GOVERNANCE POLICY A framework through which NHS organisations are accountable for continually improving the quality of their services and safeguarding high standards
More informationInsurance, indemnity and medico-legal support
Insurance, indemnity and medico-legal support Statutory requirement for doctors to have insurance or indemnity We know doctors work hard to deliver good quality healthcare. But sometimes, things go wrong.
More informationPatient Choice Strategy
Patient Choice Strategy Page 1 of 14 Contents Page 1 Background 4 2 Putting Patients and the Public at the Heart of Health and 5 Healthcare in West Lancashire 3 Where are we now and where do we need to
More informationCoventry and Warwickshire Repatriation Programme
NHS Arden Commissioning Support Unit Coventry and Warwickshire Repatriation Programme Large-scale service redesign and innovation to benefit patients Arden Commissioning Support Unit worked with Coventry
More informationHow to complain about a doctor. England
How to complain about a doctor England This booklet is for patients in England. Our procedures are the same throughout the UK, but healthcare and support organisations do vary. We have therefore also produced
More informationFaversham Network Meeting your community s health and social care needs
Faversham Network Meeting your community s health and social care needs Your CCG The CCG is the practices and the practices are the CCG. There is no separate CCG to the member practices. - Dame Barbara
More informationNHS Kernow Disclosure Log Freedom of Information Requests November 2014
NHS Kernow Disclosure Log Freedom of Information Requests November 2014 Contents FOI 45160 - Information governance - OOH Complaints / Serious Incident Reports. 3 FOI 45150 Contracts - OOH services...
More informationNHS continuing healthcare and NHS-funded nursing care
Factsheet 20 July 2015 NHS continuing healthcare and NHS-funded nursing care About this factsheet This factsheet explains what NHS continuing healthcare (NHS CHC) is, the process for deciding whether you
More informationThe interface between the NHS and private treatment: a practical guide for doctors in Scotland
The interface between the NHS and private treatment: a practical guide for doctors in Scotland Guidance from the BMA Medical Ethics Department September 2009 Introduction General principles Issues for
More informationNHS Islington Clinical Commissioning Group Conflict of Interest Template
Appendix: 3.2a NHS Islington Clinical Commissioning Group Conflict of Interest Template Service: Clinical Commissioning Locally Commissioned Service 2013-14 Question Comment/Evidence Questions for all
More informationThe Care Quality Commission and the Healthwatch network: working together
The Care Quality Commission and the Healthwatch network: working together September 2014 Introduction This briefing describes how the Care Quality Commission (CQC) will work with local Healthwatch and
More informationNHS continuing healthcare and NHS-funded nursing care
Factsheet 20 May 2013 NHS continuing healthcare and NHS-funded nursing care About this factsheet This factsheet explains what NHS continuing healthcare (NHS CHC) is, the process for deciding whether you
More informationDelivering in a challenging environment
Trust Development Authority Delivering in a challenging environment Refreshed plans for 2015/16 Planning Guidance for NHS Trust Boards December 2014 Delivering in a challenging environment: refreshed plans
More informationGuidance for registered pharmacies providing pharmacy services at a distance, including on the internet
Guidance for registered pharmacies providing pharmacy services at a distance, including on the internet April 2015 The General Pharmaceutical Council is the regulator for pharmacists, pharmacy technicians
More informationREPORT ON STOMA SERVICE AND PRACTICE. MM / YY to MM / YY. Name: Title: Centre:
REPORT ON STOMA SERVICE AND PRACTICE MM / YY to MM / YY Name: Title: Centre: 1 Contents 1.0 Introduction 2.0 Aims of the Stoma Care Service 3.0 Clinical Activity 4.0 Cost Saving Measures 5.0 Education
More informationContinuing Healthcare - should the NHS be paying for your care?
Guide Guide 27 Continuing Healthcare - should the NHS be paying for your care? This guide explains when it is the duty of the NHS to assess your health needs for NHS continuing healthcare. It covers what
More informationDraft guidance for registered pharmacies providing internet and distance sale, supply or service provision
Draft guidance for registered pharmacies providing internet and distance sale, supply or service provision September 2014 1 The General Pharmaceutical Council is the regulator for pharmacists, pharmacy
More informationWSIC Integrated Care Record FAQs
WSIC Integrated Care Record FAQs How your information is shared now Today, all the places where you receive care keep records about you. They can usually only share information from your records by letter,
More informationComplaints Annual Report 2011/2012
Complaints Annual Report 2011/2012 This report incorporates complaints handling for Basingstoke and North Hampshire NHS Foundation Trust and Winchester and Eastleigh Healthcare Trust for the period 1 April
More informationChanging health and care in West Cheshire The West Cheshire Way
Changing health and care in West Cheshire The West Cheshire Way Why does the NHS need to change? The NHS is a hugely important service to patients and is highly regarded by the public. It does however
More informationGuidance for NHS commissioners on equality and health inequalities legal duties
Guidance for NHS commissioners on equality and health inequalities legal duties NHS England INFORMATION READER BOX Directorate Medical Commissioning Operations Patients and Information Nursing Trans. &
More information112 billion. Current NHS spending in England. by Sarah Lafond. January 2015 FUNDING OVERVIEW
FUNDING OVERVIEW January 2015 Current NHS spending in England by Sarah Lafond SEE BRIEFING: NHS Finances The challenge all political parties need to face www.health.org.uk/ fundingbriefing Spending on
More informationInterface between NHS and private treatment Guidance from the Ethics Department February 2004
Interface between NHS and private treatment Guidance from the Ethics Department February 2004 Summary General principles Issues for consultants Issues for general practitioners Advertising Summary Although
More informationFast Track Pathway Tool for NHS Continuing Healthcare
Fast Track Pathway Tool for NHS Continuing Healthcare DH INFORMATION READER BOX Policy Clinical Estates HR / Workforce Commissioner Development IM & T Management Provider Development Finance Planning /
More informationNHS-funded Nursing Care. Practice Guide July 2013 (Revised)
Practice Guide July 2013 (Revised) August 2013 You may re-use the text of this document (not including logos) free of charge in any format or medium, under the terms of the Open Government Licence. To
More informationComplaints Policy & Procedure 1
Introduction Complaints about the surgery or member of staff are always taken seriously at Eyam Surgery. We always try to provide the best service possible, but there may be times when a patient may feel
More information2013/14 Choice Framework
2013/14 Choice Framework April 2013 2013/14 Choice Framework Prepared by the Department of Health April 2013 Contents My NHS care: what choices do I have?... 2 Choosing your care and treatment... 3 Choosing
More informationThe Code. Professional standards of practice and behaviour for nurses and midwives
The Code Professional standards of practice and behaviour for nurses and midwives Introduction The Code contains the professional standards that registered nurses and midwives must uphold. UK nurses and
More informationCommissioning Policy (EMSCGP005V2) Defining the boundaries between NHS and Private Healthcare
Commissioning Policy (EMSCGP005V2) Defining the boundaries between NHS and Private Healthcare Although Primary Care Trusts (PCTs) and East Midlands Specialised Commissioning Group (EMSCG) were abolished
More informationPatient Rights (Scotland) Bill. Roche Products Ltd
Patient Rights (Scotland) Bill Roche Products Ltd Roche is a leading manufacturer of innovative medicines, including in oncology, rheumatology and virology. We have expertise in a wide range of medical
More informationAVOIDING UNPLANNED ADMISSIONS ENHANCED SERVICE: PROACTIVE CASE FINDING AND CARE REVIEW FOR VULNERABLE PEOPLE GUIDANCE AND AUDIT REQUIREMENTS
April 2014 AVOIDING UNPLANNED ADMISSIONS ENHANCED SERVICE: PROACTIVE CASE FINDING AND CARE REVIEW FOR VULNERABLE PEOPLE GUIDANCE AND AUDIT REQUIREMENTS A programme of action for general practice and clinical
More informationHEALTH SYSTEM. Introduction. The. jurisdictions and we. Health Protection. Health Improvement. Health Services. Academic Public
FUNCTIONS OF THE LOCAL PUBLIC HEALTH SYSTEM Introduction This document sets out the local PH function in England. It was originally drafted by a working group led by Maggie Rae, FPH Local Board Member
More informationNHS Continuing Healthcare and NHS-funded Nursing Care
NHS Continuing Healthcare and NHS-funded Nursing Care Public Information Leaflet You may re-use the text of this document (not including logos) free of charge in any format or medium, under the terms
More informationDraft Special Educational Needs (SEN) Code of Practice: for 0 to 25 years
Draft Special Educational Needs (SEN) Code of Practice: for 0 to 25 years Statutory guidance for organisations who work with and support children and young people with SEN October 2013 Contents 1 Introduction
More informationPatient Group Directions. Guidance and information for nurses
Patient Group Directions Guidance and information for nurses Patient Group Directions Guidance and information for nurses Contents Introduction 4 What is a patient group direction (PGD)? 4 When can PGDs
More informationCommissioning Policy: Implementation and funding of NICE guidance. April 2013. Reference : NHSCB/CP/05
Commissioning Policy: Implementation and funding of NICE guidance April 2013 Reference : NHSCB/CP/05 NHS Commissioning Board Commissioning Policy: Implementation and funding of guidance produced by the
More informationNational Framework for NHS Continuing Healthcare and NHS-funded Nursing Care
National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care November 2012 (Revised) Incorporating: NHS Continuing Healthcare Practice Guidance NHS Continuing Healthcare Frequently Asked
More informationThe UK National Health Service in evolution. Sir Jonathan Michael Chief Executive Oxford Radcliffe Hospitals NHS Trust
The UK National Health Service in evolution Sir Jonathan Michael Chief Executive Oxford Radcliffe Hospitals NHS Trust Background of the NHS Established on 5 th July 1948 by post-war Labour government.
More informationGetting Help With a Complaint About Health and Social Care
Getting help with making a complaint England General Medical Council 02 All patients should receive the best care possible. When you feel this has not happened, it can be confusing to know who to talk
More informationConsultancy spending approval process: Initial guidance to NHS foundation trusts
Annex One Consultancy spending approval process: Initial guidance to NHS foundation trusts Summary 1. Monitor, the NHS Trust Development Authority (TDA) and NHS England are jointly implementing an approval
More informationCommissioning End of Life Care. to avoid. initial actions for new commissioners. June 2011
Commissioning End of Life Care to avoid June 2011 initial actions for new commissioners Contents 4 Introduction Who, What, Why? a c t & 6 Assessment & Measurement 7 7 8 Communication & Co-ordination Transitions
More informationHow To Complain About A Health And Social Care Service
How to complain about a health or social care service February 2014 About this leaflet Although most people have no problems when using health or social care services, sometimes things can go wrong. This
More informationPharmacists improving care in care homes
The Royal Pharmaceutical Society believes that better utilisation of pharmacists skills in care homes will bring significant benefits to care home residents, care homes providers and the NHS. Introduction
More informationMaking a complaint about the NHS in England
Making a complaint about the NHS in England The Health Service Ombudsman can carry out independent investigations into complaints made about poor treatment or service provided through the NHS. We are the
More informationNHS continuing healthcare. Detailing what NHS organisations need to know and do. Background
briefing November 2012 Issue 256 NHS continuing healthcare Detailing what NHS organisations need to know and do Key points From April 2013, CCGs will be legally responsible for commissioning and assessing
More informationAdult Neuromuscular pathway (Dec 2014) (18 years onwards)
Key DGH Not Specialised Commissioning CCG Funded, Neurosciences Centre activity Specialised Commissioning route funded by NHS England (NHSE) Consultant to Consultant Yorkshire and the Humber Strategic
More informationLessons for the NHS from the literature on procurement and supply chain management
Lessons for the NHS from the literature on procurement and supply chain management Joe Sanderson 1, Chris Lonsdale 1, Russell Mannion 2 and Tatum Matharu 1 1 Birmingham Business School 2 Health Services
More informationLead Provider Framework Draft Scope. NHS England / 13/12/13 Gateway Ref: 00897
Lead Provider Framework Draft Scope NHS England / 13/12/13 Gateway Ref: 00897 1 Introduction The commissioning support lead provider framework is being developed in response to requests from CCGs for a
More informationReport by the Health Service Ombudsman for England of an investigation into a complaint made by Ms B
Report by the Health Service Ombudsman for England of an investigation into a complaint made by Ms B Report by the Health Service Ombudsman for England of an investigation into a complaint made by Ms
More informationResolving problems and making a complaint about NHS care
Factsheet 66 November 2014 Resolving problems and making a complaint about NHS care About this factsheet The factsheet explains how NHS organisations should handle complaints about National Health Service
More informationNMC Standards of Competence required by all Nurses to work in the UK
NMC Standards of Competence required by all Nurses to work in the UK NMC Standards of Competence Required by all Nurses to work in the UK The Nursing and Midwifery Council (NMC) is the nursing and midwifery
More informationThe interface between NHS and private treatment: a practical guide for doctors in England, Wales and Northern Ireland
The interface between NHS and private treatment: a practical guide for doctors in England, Wales and Northern Ireland Guidance from the BMA Medical Ethics Department May 2009 Introduction General principles
More informationFit for Work. Guidance for employers
Fit for Work Guidance for employers For details on when referrals to the Fit for Work assessment can be made in your area please visit: www.gov.uk/government/collections/fit-for-work-guidance Fit for
More informationGENERAL PRACTICE BASED PHARMACIST
GENERAL PRACTICE BASED PHARMACIST JOB PURPOSE Provide expertise in clinical medicines review 1 and address public health and social needs of patients in GP practices Reduce inappropriate poly-pharmacy
More informationKeeping patients safe when they transfer between care providers getting the medicines right
PART 1 Keeping patients safe when they transfer between care providers getting the medicines right Good practice guidance for healthcare professions July 2011 Endorsed by: Foreword Taking a medicine is
More information4. Proposed changes to Mental Health Nursing Pre-Registration Nursing
Developments in nurse education in England Summary BSMHFT employs 1319 registered nurses and 641 health care assistants 53% of the total workforce. BSMHFT works in partnership with Birmingham City University
More informationNHS Constitution Patient & Public Quarter 4 report 2011/12
NHS Constitution Patient & Public Quarter 4 report 2011/12 1 Executive Summary The NHS Constitution was first published on 21 st January 2009. One of the primary aims of the Constitution is to set out
More informationHow to complain about a doctor
How to complain about a doctor Scotland This booklet is for patients in Scotland. Our procedures are the same throughout the UK, but healthcare and support organisations do vary. We have therefore also
More informationUK Vision Strategy 2013
Appendix C of the Contents UK Vision Strategy 2013 Preface 3 Adult UK sight loss pathway Introduction 3 Guidance notes 4 The Adult UK sight loss pathway 6 Framework of the Adult UK sight loss pathway for
More informationHELP WITH MAKING YOUR NHS COMPLAINT
HELP WITH MAKING YOUR NHS COMPLAINT Contents Introduction 03 What is covered by the NHS Complaints Process? 04 Who can complain? 04 What can I get from my complaint? 05 Accessing health records 05 The
More informationMaking it work. RCN Policy and International Department RCN Nursing Department Policy briefing 41/12 May 2013
RCN Policy and International Department RCN Nursing Department Policy briefing 41/12 May 2013 Making it work Shared decision-making and people with learning disabilities RCN Policy and International Department
More informationThe importance of nurse leadership in securing quality, safety and patient experience in CCGs
Briefing note: July 2012 The importance of nurse leadership in securing quality, safety and patient experience in CCGs Introduction For the NHS to meet the challenges ahead, decisions about health services
More informationnationalcarestandards
nationalcarestandards for independent medical consultant and general practitioner services dignity privacy choice safety realising potential equality and diversity nationalcarestandards for independent
More informationCode of Conduct. Property of UKAPA 20/11/2009 1
Code of Conduct A Physician Assistant (now associate) (PA) is defined as someone who is: a new healthcare professional who, while not a doctor, works to the medical model, with the attitudes, skills and
More informationDeveloping the workforce to support children and adults with learning disabilities described as challenging
Developing the workforce to support children and adults with learning disabilities described as challenging Professor Lisa Bayliss- Pratt Director of Nursing- Health Education England Health Education
More informationPatient Access Policy
Patient Access Policy NON-CLINICAL POLICY ACE 522 Version Number: 2 Policy Owner: Lead Director: Assistant Director of Operations Director of Operations Date Approved: Approved By: Management Executive
More informationfor Medicines Procurement Services
To review how medicines procurement services are currently managed by hospitals in the UK and to comment on potential strategic implications with regards to expertise required to fulfil these roles in
More informationElectronic Prescription. Service. Services offered by HSCIC to support EPS
Electronic Prescription Service Services offered by HSCIC to support EPS NHS England through its Area Teams (ATs) is responsible for the planning and implementation of EPS. The purpose of this document
More informationALCOHOL CARE PROVISION 2013
. In 2013 NHS Health Scotland on behalf of the Scottish Government commissioned research by Iconic Consultants. The aim of the research was to assess the availability, demand, utilization and capacity
More informationYour legal rights. A short guide for parents and carers of young people with complex needs and disabilities.
Your legal rights A short guide for parents and carers of young people with complex needs and disabilities. About Young Epilepsy Young Epilepsy is the national charity working exclusively on behalf of
More informationNHS Complaints Advocacy. A step by step guide to making a complaint about the NHS. www.pohwer.net
NHS Complaints Advocacy A step by step guide to making a complaint about the NHS NHS Complaints Advocacy Important Information Please read this section before the rest of this guide to ensure you take
More informationLocal Enhanced Service Specification for the Supply of Pharmaceutical Services to Care Homes through Community Pharmacy
Local Enhanced Service Specification for the Supply of Pharmaceutical Services to Care Homes through Community Pharmacy Contents: 1. Introduction and purpose 2. Period of Service 3. Aim of the Service
More informationWe are the nursing and midwifery regulator for England, Wales, Scotland, Northern Ireland and the Islands.
The Prep handbook We are the nursing and midwifery regulator for England, Wales, Scotland, Northern Ireland and the Islands. We exist to safeguard the health and wellbeing of the public. We set standards
More informationEastern Cheshire Clinical Commissioning Group
Eastern Cheshire Clinical Commissioning Group Healthcare Procurement Policy and Strategy Responsible Person: Neil Evans, Head of Business Management Date Approved: TBC Committee: Governance and Audit Committee
More informationLesley MacLeod, Interim Chief Finance Officer. Commercially Sensitive For the Public or Private Agenda To be publically available via the CCG Website
Subject: Financial Planning 2015-16 Meeting: NHS Milton Keynes CCG Board Date of Meeting: 27 th January 2015 Report of: Lesley MacLeod, Interim Chief Finance Officer Is this document: Commercially Sensitive
More informationExecutive Summary and Recommendations: National Audit of Learning Disabilities Feasibility Study
Executive Summary and Recommendations: National Audit of Learning Disabilities Feasibility Study Contents page Executive Summary 1 Rationale and potential impact of a future audit 2 Recommendations Standards
More information