Hearts and flowers

Article Abstract:

Central Middlesex Hospital National Health Service (NHS) Trust and Parkside Health Community NHS Trust, in the United Kingdom, have set up a Collaborative Care Team of nurses who care for frail patients when they are discharged from hospital. The nurses care for the patients at home until community nurses can come in. The Collaborative Care Team looked after 93 patients in July 1997 and only five of them had to go back to hospital. This service has meant that patients can be safely discharged from hospital at an earlier stage and the cost savings have been about 250,000 pounds sterling.

Care and treatment, Patients, Patient care, Home care services

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Puppets on a purse string?

Article Abstract:

Power, in the UK National Health Service, rests with budget controllers, but the transfer of budgets to the primary-care sector seems to be leaving nurses out of the sphere of influence, despite them being the chief primary care deliverers. There are some areas in which nurses have some power, for example, all trust boards must include a nurse executive, but some trusts actively try to stop nurses commissioning directly. It seems that nurses are only able to have influence if general practitioners allow it to them, but, in the few cases where they do, the results are positive.

Influence, Nurses

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Who are you calling paranoid?: the battle for mental health service users' civil rights faces fierce and sometimes inexplicable opposition

Article Abstract:

Community mental health services sometimes receive a hostile reception when planning projects such as hostels for those with mental health problems, coming up against 'not in my back yard' attitudes. Mind has recently launched a campaign against such attitudes, as many projects have had to be abandoned and facilities closed. However hostility often evaporates once a project is underway, and acceptance can be further encouraged if the community are drawn to a centre through initiatives such as coffee mornings, and relaxation or stress relief class.

Social aspects, Psychiatric services, Mental health services

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