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NHS News - December 2005
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National Health Service (NHS)
England - Local PCT News
Buckinghamshire Mental Health NHS Trust
- Proposed Changes to Services
Proposals for changes in the
delivery of mental health services in Buckinghamshire aim to improve hospital
services for the most vulnerable, while increasing the proportion of care which
is given outside hospital. The proposals will be rolled out over the next three
years, and include:
- seven-day acute hospital services in Aylesbury and
High Wycombe - an expanded home treatment capacity and in-patient units for
people over and under 65 - more community support for non-hospital
accommodation for people with long-term needs - delivering day care for older
people with dementia in the Buckingham area with the help of voluntary
organisations
The proposals will also see the management of south
Buckinghamshire's mental health services transferred from Berkshire Healthcare
NHS Trust to Buckinghamshire Mental Health NHS Trust.
Derby Hospitals
NHS Foundation Trust - Stroke Unit
A 6-bed Specialist Stroke Unit is
to be set up in Derby City General Hospital in addition to the 13-bed unit
which opened at the Royal Infirmary last year. About 1,100 people in southern
Derbyshire have strokes each year and about 330 of them will
die.
Heart of England Foundation Trust / Good Hope Hospital Trust -
Organisational Changes
An arrangement has been agreed whereby the
Good Hope Hospital Trust will be run by the Heart of England Foundation Trust
until March 2006. It is hoped that this will help the Good Hope achieve
financial balance - Dr Mark Golding will be CE for both trusts
North
Eastern Derbyshire PCT - Nurse-led Clinic
The PCT has terminated its
contract with Cresswell Primary Care Centre over "failure to deal with patient
complaints". The centre was the first nurse-led unit in north Derbyshire. It
was opened September 2003 and will close in three months' time.
One of
the Centre's GPs has highlighted the progress made by the practice in improving
clinical care locally. He believes that there was some local resistance to a
clinic which was run by a nurse and a woman, and that the PCT could have been
more supportive.
However, he also suggested that this has raised
questions about the feasibility of nurse-led practices. The Secretary of the
Local Medical Committee secretary for Derbyshire has commented that he had
supported the practice and was fully aware of the challenges to providing
medical services in the area. All the GPs are leaving the practice, which will
be run by the PCT while the contract is put out to tender.
Nottingham
- Obesity
Nottingham City PCT has assessed, for the first time, the
proportion of local children who are obese by measuring and weighing children
in their first year at school. Results show that one quarter of Nottingham's
5-year olds are overweight, and whereas nationally 8% of 5-year olds are obese,
in Nottingham the figure is 11%.
The PCT has now developed "Go For It",
a successful project which is aimed at helping obese children tackle their
weight problem.
"Fatmanslim" is a lifestyle change programme designed
specifically for men by Dr Ian Campbell, a Nottingham GP and President of the
National Obesity Forum. The programme has become so successful that he has
decided to make it free and available to everyone over the internet. As the
risk of CHD increases with waist size, one of the aims of the programme is
"waist loss".
Preston PCT / Chorley & South Ribble PCT - Diabetic
Retinopathy
A new, enhanced Diabetic Retinopathy Screening Service
has been launched as part of the PCTs' joint action programme for diabetes.
Annual checks will be carried out both by accredited optometrists and at the
two hospital sites using digital photography.
Wales - Local Health Board News
Caerphilly LHB - Cancer
The
LHB has launched an outreach service which allows cancer patients to receive
chemotherapy at the local Day Hospice. Specialist nursing staff from Velindre
NHS Trust provide the service once a week, and patients find it reduces fatigue
and side effects
Scotland - Local NHS News
NHS Argyll and Clyde - Dissolution March
2006
NHS Argyll & Clyde, which had incurred a financial deficit
of £80m, is to be dissolved and split between NHS Highland and NHS
Greater Glasgow in March 2006.
Health Minister Andy Kerr has now
announced that the former NHS Board area will be divided according to local
council boundaries, in recognition of the increasing co-operation between
health boards and local authorities in delivering services, such as free care
for the elderly.
NHS Highland will, therefore, absorb the parts of the
health board area which fall within the Argyll and Bute Council area, and the
remainder will be transferred to NHS Greater Glasgow.
There are some
concerns regarding this change, with some people in Helensburgh and Dumbarton
wishing to be part of the NHS Greater Glasgow area.
NHS Greater
Glasgow- Mental Health
An innovative new Mother and Baby Community
Mental Health Team has been introduced in Glasgow to help women suffering from
post-natal mental health problems. It is the first dedicated team of its kind
in Scotland, and the only specialist team in the UK where staff work across
both inpatient and community based services.
The community team includes
specially-trained Community Psychiatric Nurses, a Health Visitor and a Social
Worker, and is able to assess patients and provide a wide range of treatments
(medication or therapy) to help overcome problems such as depression and
anxiety.
A full-time Community Nursery Nurse has also been appointed to
work with the team to offer extra support with baby care, and to help mothers
bond with their babies.
Northern Ireland - Local NHS News
Northern LHSCG - COPD
The
North-West has the second highest level of COPD in Northern Ireland, and
practitioners in Altnagelvin Hospital, Foyle HSS Trust, GPs and voluntary
organisations have joined together to launch the Respiratory Shared Care
Group.
The group will come together over the next few months to look at
how best the needs of patients with chronic respiratory conditions can be met,
building on the recent LHSCG "Review of Respiratory Services", and supporting
service developments, such as the establishment of local Respiratory Support
Groups.
Paul Cavanagh, Manager of the Northern LHSCG, believes that the
key to patient care is to keep the condition manageable through regular review
and access to community servces, such as physiotherapy. "Also we need to ensure
that the most appropriate staff assess and treat patients. This is quite often
their GP with support from district nursing, pharmacy and hospital
clinicians.
Reform of Health Service
Structure
Minister of Health, Shaun Woodward, has now outlined in
detail the proposed reforms to the structure of Northern Ireland's health
service which he first signalled in July.
The plans include:
- a
considerably smaller Government Department - a Strategic Health and Social
Services Authority to replace the four Health and Social Services Boards
(HSSBs) and take on some functions currently with the Department - 18
Trusts will be reduced to 5 by April 2007 - the Ambulance Service will
remain as a separate Trust - 7 Local Commissioning Bodies, demand-led by
patients and driven by GPs and primary care professionals, which will take on
some roles from the 4 HSSBs and some roles from the 15 Local Health and Social
Care Groups (LHSCGs), which will be abolished - 1 Patient and Client
Council (PCC) replacing the existing 4 Health and Social Services Councils
- no presumpton that central or main organisations will be situated in
Belfast
The 18 Trusts will be reorganised as follows:
The Western
Area covering Sperrin Lakeland, Foyle, and Altnagelvin HSS
Trusts
The Southern Area covering Craigavon Area Hospital Group,
Craigavon and Banbridge Community, Newry and Mourne and Armagh and
Dungannon
The Belfast Area which will amalgamate the Belfast City
Hospital, Royal Group of Hospitals, Mater Infirmorum and Greenpark Trusts, and
North and West Belfast Trust, part of South and East Belfast Trust and part of
Down Lisburn HSS Trust
The South Eastern Area covering the Ulster
Community and Hospitals Trust, part of South and East Belfast Trust and part of
Down Lisburn Trust
Southern HSSB - Mental Health
A pilot
which trains people to recognise the symptoms of mental health problems and
provide initial help has begun in Enniskillen. The project, based on an
Australian scheme, is similar to the Mental Health First Aider pilot launched
in Scotland in June.
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