Developing service provision for patients in primary care

Martin, Jeannett; Black, Gillian F.; Cleverdon, Stephen; Kelly, Denise; Shanahan, Hilary; Kinnair, Donna; Southon, Sue; Webb, Sue

doi:10.7748/ns2007.02.21.23.43.c4519

Cited by 3 publications

(1 citation statement)

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“…Moreover, in many Western countries, a central medical services planning system is a statutory requirement in medicine and long-term care (e.g., Austria, Australia, the Netherlands, etc. ); the institutions at the individual levels of care are coordinated with each other and the responsibilities of each are defined in terms of content and services as well as the geographical area covered (Battersby, 2005;Martin et al, 2007;Perkins, 1999). Thus, in the ideal case, the conclusion might be drawn that in many sectors, especially in nursing services, a network has been defined and planned by law and that the problems of costs and complexity have been solved, at least according to the theory of health system planning (Fülöp, 1999;Rüschmann et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

The policy, structure and evaluation of long-term care networks: the differentiated requirements referred to the example of integrated long-term care in Austria

Ostermann¹,

Staudinger²,

Staudinger³

et al. 2009

IJNVO

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Long-term care facilities are currently exposed to powerful forces demanding organisational change based on synergy and cooperation. The adoption of network structures is frequently regarded as an appropriate solution to this challenge by health politics.Focusing on the concrete example of the integrated long-term care network for the elderly in the Austrian land of Tyrol, the article aims (1) to explore which criteria the lawgiver formulated for the nursing cooperation structures, (2) to examine which targets and functional requirements the managers of the nursing institutions involved theoretically demand from a network structure in long-term care and (3) to investigate the functionality of the network by means of an empirical study focusing on the processes at interorganisational interfaces.Merging the major findings of the legal, theoretical and empirical enquiry, structural and functional efficiency criteria are derived, which are suggested as a framework for the evaluation of integrative nursing networks.

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Section: Introductionmentioning

confidence: 99%

The policy, structure and evaluation of long-term care networks: the differentiated requirements referred to the example of integrated long-term care in Austria

Ostermann¹,

Staudinger²,

Staudinger³

et al. 2009

IJNVO

View full text Add to dashboard Cite

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Contemporary Issues in District Nursing

Boran

2009

Community Health Care Nursing

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PCT Commissioning: how community nurse involvement can be encouraged

Norman

Old²

2007

Br J Community Nurs

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Commissioning is the process by which PCTs identify the health needs of their population and make prioritized decisions to secure care to meet those needs within available resources. It includes longer term strategic planning, medium term planning (three year Local delivery Plans) and the shorter term agreement and performance management of service level agreements. The process should involve the public, engage clinicians, and be conducted on a whole system basis, informed by health equity audits, and carried through with the full participation of other stakeholders including NHS Trusts, local authority(s) and the voluntary sector (NHS Modernization Agency 2004). KEY WOrDsPractice based commissioning w Health Policy w Nurse involvement C ommissioning services is a key element within NHS reforms which is still in it's infancy, with the initial changes to Primary Care Trusts (PCT) proposed in 2005. This included merging of PCTs to create larger, more powerful commissioning PCT organizations (Department of Health (DH), 2005).Since this reorganization, PCTs have received a wealth of guidance from the Department of Health, much of it aimed at improving the commissioning of secondary care services (DH 2006a, DH 2006b, DH 2006c. However more recently, guidance has been issued for better commissioning of health improvement and wider preventative services in the local community, or in partnership with local government (DH, 2007). Practice based commissioningAs with any organizational system, the visioning and shaping of the service is fundamental to its success, and therefore it is imperative that community nurses have an appreciation of the concept of commissioning, and actively engage in the process in order to improve services for their patients.This government aim of providing services that are designed, planned and developed around the needs of patients is outlined in the white paper 'Our Health, Our care, Our Say: A New Direction for Community Services (DH, 2006). Following this, the commissioning framework for health and well-being (DH, 2007) identifies eight steps to more effective commissioning: Putting the people at the centre of commissioningThis involves giving people greater choice and control over services and treatments (including self-care), and access to good information and advice to support these choices. Mechanisms will be developed to help the public get involved in shaping these services, with advocacy to support groups who find it hard to express views. Understanding the needs of populations and individualsJoint strategic needs assessment by councils, PCTs and practice based commissioners will help them better understand the needs of individuals, by using recognized assessment and care planning processes appropriately, and mitigating risks to the health and well being of individuals. sharing and using information more effectivelyIn order to make effective decisions for individuals and groups, we need to use and share information in an effective way. This includes clarifying what information...

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Developing service provision for patients in primary care

Abstract: This article outlines the government's changes to the way that primary and community health services will be commissioned and provided. It also discusses the opportunities that exist for nurses to lead and develop services for the benefit of patients in the implementation of changes.

Cited by 3 publications

References 0 publications

The policy, structure and evaluation of long-term care networks: the differentiated requirements referred to the example of integrated long-term care in Austria

The policy, structure and evaluation of long-term care networks: the differentiated requirements referred to the example of integrated long-term care in Austria

Contemporary Issues in District Nursing

PCT Commissioning: how community nurse involvement can be encouraged

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