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Human Resources
Monday 1 January 2007
Age discrimination legislation came into effect on 1 October 2006, although its full impact may not be immediately clear to a lot of managers. Considered to be the most significant and far-reaching piece of employment legislation since the Disability Discrimination Act of 1995, it affects virtually everyone in the workplace, as Patricia Gray explains …
AMSPAR
Monday 1 January 2007
The year ahead will see the introduction of several government initiatives focusing on the education and training of young people. There are campaigns directly aimed at improving the health of young people and, perhaps more significantly, the introduction of a new diploma for 14–19-year-olds seems likely to open up increased educational opportunities in the healthcare sector
Patient & Services
Monday 1 January 2007
Recent initiatives from the Department of Health have called for patients on oral anticoagulation therapy to be monitored in primary care, rather than hospital settings where this has traditionally taken place. This Management in Practice report looks at the implications of this move for practices in terms of staff training and costs, as well as its potential benefits
Practice Profile
Monday 1 January 2007
Catherine Barton is a practice manager at a busy medical centre on the Isle of Wight. She shares her insights into a typical day at her practice during the hectic festive season last year …
Education & Training
Monday 1 January 2007
Glynis Buckle is a former practice manager who now works as an associate postgraduate dean. Here, she discusses her role and responsibilities, and reveals how skills gained and developed in practice management can be transferred to a medical educational environment. She also looks at the opportunities available in this field for practice managers seeking fresh challenges
Legal & Finance
Monday 1 January 2007
Unplanned GP absence, through illness or accident, could perilously puncture the practice purse. Adequate insurance may be necessary in such circumstances to cover the costs of employing a locum, since the primary care trust (PCT) may not be in a position to provide this. Lynda Cox looks at the options available for keeping practices covered …
Practice diary
Monday 1 January 2007
Edward Picot has worked as a practice manager for several years and is all too familiar with the typical mishaps, pitfalls and problems that can occur in general practice, and with the lighthearted events that add colour to a busy surgery. In the first of his new, regular diary feature, Edward reflects on the strange case of the booking of the absent-minded locum GP …
Comment
Monday 1 January 2007
Patient & Services
Monday 1 January 2007
The threat of an influenza pandemic – whether or not a strain of the H5N1 avian flu virus – still looms large, with many experts believing that such an event is inevitable. What is certain is the strain this would put on primary care resources. This Management in Practice special report looks at the implications of a flu pandemic and asks: are practices adequately prepared?
Systems & Information
Monday 1 January 2007
England is preparing for the introduction of the NHS Care Records Service. The information management and technology (IM&T) direct enhanced service (DES) for general practice is part of this preparation. Primary care consultant Kathie Applebee explains the structure of this new DES and the steps practices must take to ensure quality data administration
Legal & Finance
Monday 1 January 2007
The introduction of practice-based commissioning (PbC) has meant a new set of challenges – and responsibilities – for the practice manager. The need to oversee clinical delivery demands a new relationship with the community and with local hospitals. Christine Ranson, a practice manager in the West Midlands, relates how PbC has impacted on both her surgery and her job
Patients & Services
Monday 1 January 2007
England’s national director of pandemic influenza preparedness, Professor Lindsey Davies, considers the potential impact of a pandemic and discusses the critical role that primary care would be expected to play. She also suggests that increasing the level of general practice involvement in planning is critical to the development of integrated and effective response arrangements
The RCGP
Monday 1 January 2007
Legal & Finance
Monday 1 January 2007
With the NHS facing huge deficits, there is an ever-greater pressure to keep an eye on budgets and look to alternative sources of funding, such as private–public sector initiatives. But, Alison Wall asks, do such schemes come with hidden costs? Primary care is changing, and so new approaches may be needed, but could profit motives put added strain on the health service?
Premises & Facilities
Monday 1 January 2007
Last year, a fire at practice manager Ruth Wood’s surgery in Leeds destroyed the building, along with invaluable data and documentation. Here, she describes how she and her practice team coped with this disaster, the steps they took to continue services for thousands of patients, and what precautions can be taken to ensure that all is not lost in the event of such catastrophes