Home unrest

Article Abstract:

Owners of nursing homes claim that the government's new community care policies are biased against nursing homes, and that this threatens residents and also nursing jobs. The policies took effect on April 01, 1993, and owners of nursing homes say that since then social services have not been referring the elderly to the nursing homes. Inform, the RCN forum of independent nurse managers, says that people's choice is being limited by social services, who either put people in the cheapest nursing home, or put them into residential homes instead, which are cheaper but cannot offer skilled nursing care.

Nursing homes, Hospital admission and discharge

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Regional cuts

Article Abstract:

Regional health authority (RHA) staff reductions have caused concern for nursing input into organisational decisions. RHAs have responded to Health Secretary Virginia Bottomley's instruction for scaling down with large-scale redundancies. Norhtern RHA has cut eight nursing posts. WEst Midlands RHA must cut hundreds of jobs to meet the target of 200. Bottomley's failure to establish RHA core functions underlies the problem. Nurses consider their contribution to policy monitoring vital.

Management, Health, Administrative agencies, Government agencies

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Poor reward: a long-serving health visitor is saving for a private hip operation because her non-fundholding GP cannot refer her to a hospital than can provide the treatment she needs

Article Abstract:

A health visitor describes the inability of the NHS to provide her with a necessary hip replacement operation. She does not have a fundholding GP and the purchasing authority area does not have a contract with a hospital able to provide the operation. She may have to fund the operation herself at a cost of 10,000 pounds sterling privately, and although she remains committed to the NHS, she does not feel it can look after her.

Health aspects, Services, Visiting nurses, Socialized medicine

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