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Monday 26 August 2019
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Amspar
Thursday 1 June 2006
Politicians have recently been falling over themselves to gain political capital from the NHS, whether telling us we’ve never had it so good or decrying the state of the healthcare system. The shadow health secretary has even suggested cutting the number of NHS management staff. But such staff are more important now than ever – managers are essential to the very functioning of the NHS
The RCGP
Thursday 1 June 2006
Systems & Information
Thursday 1 June 2006
With new NHS IT initiatives and the increase of paperless surgeries, computers are more essential than ever to today’s practices. So it’s vital that IT staff are on hand to remedy any computer problems that may arise. But as Simon Wright illustrates, efforts should be made to ensure data security is not compromised by the accessibility of computer records
Systems & Information
Thursday 1 June 2006
The advent of digital technology has meant that typing up dictated referral letters from GPs no longer need involve searching for lost cassettes and grappling with tape. Dr Peter Crouch assesses the value of dictation devices for practice managers who may be considering adopting a digital transcription system for their surgery
Legal & Finance
Thursday 1 June 2006
From litigation to drug wastage, the amount of money that is “wasted” each year in the NHS is astonishing. Dr Lee Rotherham warns of a future in which this situation can only worsen. However, this doesn’t have to be. Waste may be inevitable, but there are ways we can reduce the bills and get patients and employees to take more responsibility for themselves
Legal & Finance
Thursday 1 June 2006
The General Medical Services (GMS) contract has recently been revised. More is to come – the review is a two-part process – but stage one is now complete and was implemented from 1 April 2006. Stage two will be completed later this year for implementation in 2007. In this article, Chantal Simon summarises the changes detailed in stage one of the review process
Legal & Finance
Thursday 1 June 2006
As primary care continues to change, new opportunities arise to use managerial and business skills in different ways. In a more competitive future, practices will have to consider how to market their expertise and services, and one way of doing so is through astute business cases and effective presentations
Premises & Facilities
Thursday 1 June 2006
The government’s recent Health Bill, currently passing through the House of Lords, intends to tighten up the regulation of controlled drugs in the possession of GPs. This decision has – perhaps predictably – produced a response from some quarters over patient confidentiality. Alan Moore, a former police chief inspector, looks at the implications of the proposed changes
Premises & Facilities
Thursday 1 June 2006
The last issue of Management in Practice looked at the recently upgraded Hall Green Health practice in Birmingham, a multi-purpose “supersurgery” incorporating five practices from the local area. Here, Chris Jenkins, one of the practice managers involved, gives her account of the challenges and experiences she faced after the decision was taken to upsize
Patients & Services
Thursday 1 June 2006
A crucial shake-up of the out-of-hours system has occurred over the last two years, after the vast majority of GPs opted out of the service and primary care trusts took over. But a recent report from the National Audit Office found serious shortcomings with the way some services were provided, and questions have been raised over quality of care. So is it working?
Human Resources
Thursday 1 June 2006
A new breed of healthcare professional, called a medical care practitioner, is likely to feature in the multidisciplinary general practice of the future. This Management in Practice report looks at this new role, currently being developed in the UK, which is modelled on the North American physician assistant, who is trained to diagnose, manage and treat illnesses under the supervision of a doctor
Quality Matters
Thursday 1 June 2006
With the raised profile of primary care providers in the modernisation plan for the NHS, the role that general practice plays is more significant than ever. It will be expected to take an active part in commissioning services across the board for the population it serves. That means producing meaningful strategic plans. It is also undergoing detailed performance monitoring by PCTs, measuring services, and clinical and organisational effectiveness. Strategic planning influences all of these things – in particular, a practice’s ability to assess and manage risk
Quality Matters
Thursday 1 June 2006
When looking to appoint a new practice manager, some GP partners’ rather unrealistic expectations might be unnerving for candidates. However, certain managerial qualities can help bring harmony to a practice with its own longstanding customs. Judith Harvey, herself a practice partner for several years, reveals the ideal strengths and abilities that are much sought after by GPs
Education & Training
Thursday 1 June 2006
Agenda for Change (AfC) and the Knowledge and Skills Framework (KSF) are set to shake up the NHS significantly. Although implementation of AfC in primary care is on a voluntary basis only, its adoption – and that of the KSF – can provide key benefits to practices, argues Paul Edwards, by establishing clearly defined sets of responsibilities and means of improving skills
Practice Profile
Thursday 1 June 2006
Jude Bedderson, practice manager at the Lavender Hill Group Practice in Battersea, South London, explains how group thinking has enabled positive changes to develop there …
Education & Training
Thursday 1 June 2006
“Firm 1” is the name given to a training scheme in which medical students are given the opportunity to learn more about primary care by spending part of their time in a surgery. Such a scheme requires organised management to facilitate its success. Dr Kate Thomas introduces the scheme and its objectives, and manager Melanie Price reflects on her early experiences of setting it up