Issue : March 2005
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Over the past 10 years, a number of professional and legislative documents have provided the impetus for the expansion of nurse-led services. This began with the ‘New Deal’ for junior medical staff (NHSME, 1991), which resulted in a reduction in junior doctors’ hours, and the subsequent re-allocation of some routine medical duties to nursing staff. This was facilitated by the UKCC document, The Scope of Professional Practice (UKCC, 1992), which allowed nurses to expand their roles within ...
The new National Service Framework for Long-term Conditions (NSF) has been launched (2005a). It aims to improve the care provided to people with long-term neurological conditions, but the principles are relevant to other long-term conditions.
VOL: 101, ISSUE: 13, PAGE NO: 28Sharon Kirby, MSc Sports Science, BSc Psychology, is a freelance writerDepression is a widespread problem, and is one of the top three leading causes of disability, with the average GP seeing one depressed patient during each surgery. The number of new prescriptions for antidepressant medication more than doubled between 1990 and 1995 (Clinical Standards Advisory Group, 2000).
The policy of patient-centred care has become a mainstay of efforts to reform health care in the UK and improve standards (DoH, 1997; 1999; 2000; 2004a). Government policy is now built around this core concept, a major aspect of which is enabling patients to participate in decision-making about health care at every level of the NHS.
VOL: 101, ISSUE: 13, PAGE NO: 27What is it?
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New and innovative ways of recruiting and retaining staff are needed in the present employment climate in order to meet the changing needs of clients and service provision (Newman et al, 2002). Planning and developing a vision for health and social care requires a strategy that supports individual development as well as the rapid development of the skills, knowledge and experience required to function in today’s demanding clinical environment (Forbes et al, 2001).
VOL: 101, ISSUE: 12, PAGE NO: 31What is it?
The National Patient Safety Agency (NPSA) has published recommendations promoting correct-site surgery (NPSA, 2005a). These establish a consistent method of marking patients prior to surgery and provide a checklist of steps to be taken to avoid errors. Nurses have welcomed the guidance as an important tool to ensure patient safety and a team approach to accountability (Kenny, 2005).
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