All change

Article Abstract:

The Islington area of London, UK, is running a pilot scheme for the testing of reforms which will take place in April 1993 under the terms of the Community Care Act. There are sentiments of increasing panic amongst local nurses and managers. Social services and health services have to be brought together, and changes in attitudes and working habits have to be made. The relationship between GP fundholding and the reforms and trusts and the reforms, and government and senior managers' delays, and the effect on Project 2000 are only some of the other issues to be considered. In Islington specialist training has taken place and draft record-keeping is being trialled, and efforts are being made to develop a system whereby the requirements of the area will be satisfied. A district nurse's caseload is examined to demonstrate the system being developed.

Laws, regulations and rules, Welfare, Public assistance

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Perestroika for the children

Article Abstract:

Reformers have planned changes to improve the care of Russian orphans traditionally considered mentally handicapped. Orphanages are attempting to enhance the prospects of children who have been socially disadvantaged by institutional life with appropriate care. Many have been misdiagnosed. Developing children' independence is a main concern of orphanage directors. Appropriate therapy has been introduced for children with real disabilities. Child care laws are under review. However, change is hindered by lack of resources and inqadequate staff.

Social aspects, Care and treatment, Russia, Orphans, Orphanages

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What price Prep?: numerous organisations are touting courses 'approved for PREP'. But some of their claims are overstated, and may be confusing practitioners

Article Abstract:

The UKCC, Unison and the RCN are concerned that nurses being sold courses that are touted as approved for PREP, are being misled by publicity that implies that a particular activity has been approved for PREP. Ann Lowis, a UKCC member and professor of nursing believes that some private companies are giving a false impression of their courses.

Nurses, Training

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