School's out?

Article Abstract:

There are now 3,050 nurses in UK schools, down 20% from 1979, and the trend towards their work being taken over by general practitioners is expected to continue growing by the Department of Health. An early day motion, which requests that a particular school nurse be assigned to every child, has been signed by over 80 MPs. It criticises health service cuts and emphasises that such nurses are needed for the implementation of the Health of the Nation strategy of the government. There are concerns about certain children not being immunised against rubella, tetanus and polio, and the loss of opportunity to bring to light problems like anexoria and bullying through informal discussion. In isolated areas of the UK school nursing is progressing, with nurses replacing school doctors and performing immunisations alone.

School nursing

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Flexible but focused

Article Abstract:

The radical reforms in the U.K. National Health Service (NHS) in recent years has obliged health care providers to deliver efficient services with fewer resources. Such pressures have had an impact on all working within the NHS, but nurses have experienced the most drastic changes to their working practices. The nursing profession must consider three major factors that influence their response to delivering a complete service, namely recruitment, changing demography and economic demands. Nurses must develop flexible skills that can be transferred across the whole healthcare spectrum and can no longer expect to focus on one speciality.

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A fund of changes

Article Abstract:

In recent years the U.K. government has begun to recognize the importance of primary health care within the National Health Service (NHS). The introduction of general practitioner (GP) fund holding is aimed at making the NHS a primary-care led institution, but has also led to a decrease in GP's morale and an increase in administrative tasks. If GP's are to assume responsibility for work traditionally carried out by the secondary care sector, more funding will be required so that nurses can take on some of the GP's functions.

Health aspects, Medical care

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