Nurses for sale

Article Abstract:

The Dept of Health is discussing plans to allow community nursing services to be bought by general practitioner fundholders rather than by district health authorities. The money for buying the services would be provided by the district health authorities. Concern that the public health element of community services could be damaged if such arrangements were introduced has been expressed by nurses with experience of pilot schemes. There is also a feeling amongst nurses that general practitioners have an insufficient understanding of the work of community nurses.

Standards, Economic aspects, Community health nursing, Nursing services

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Warned in the USA: US nurses are fighting against 'multiskilling', whereby support workerstake over many of their jobs. Yet the NHS looks set to follow the sameroute

Article Abstract:

Nurses in the US are concerned about'multiskilling' in US hospitals, whereby support workers take over many of their jobs and reducethe numbers of registered nurses. Hospitals claim the changes are in the name of patient focusedcare. The American Nurses' Association (ANA) argues that nurses help people to stay alive, andpatient safety is reduced if nurse numbers are cut back. In London there have also been protestsby ancillary workers at the University College Hospital at moves to make themmultiskilled.

Services, Nurses

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Open all hours: in Glasgow, a new GP emergency service uses nurses' skills to assess patients who attend out of surgery hours

Article Abstract:

A new General Practitioners Emergency Service has been set up in Glasgow, giving patients access to GPs and nurses when surgeries are closed. The service operates at six hospital sites throughout the city. It has been set up in response to calls from health secretary Stephen Dorrell to encourage GPs to take on ore emergency work, and the Audit Commission's calls for a reconfiguration of emergency services.

Hospitals, Hospital emergency services

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