...Formulation of a PICO question and online defence of that question. Is the NHS Otoacoustic emission hearing screening (I) for newborn babies (p), more accurate in diagnosing hearing loss(o), compared with the Health visitor distraction test(c). The assignment aim is to formulate a PICO question, discuss and demonstrate the skills, in formulating evidence based practice (EBP) questions, using the PICO framework and defence of that question. The question above was formulated by the student utilising the PICO framework by (Sackett et al. 1997), which focused my enquiries, PICO is a mnemonic used to describe the four elements of a good clinical foreground question P for population, I for Intervention C for comparison, and O for outcome, as devised by (Sackett et al. 1997). According to Sackett et al. (1997) the process of enquiry occurring within practice, stimulates questioning and these enquiries can be posed as (EBP) questions. The inspiration for the (EBP) question was, based on practice experience, when clients asked how effective the Otoacoustic emissions test (OAE) method recommended by (United Kingdom. National Screening Committee, 2006) (UK NSC 2006), and how it compared with the, Health visitors distraction test (HVDT) (Great Britain. National Health Service patient choices, 2011). I became aware of a gap in my knowledge (Lai, 2009) proposes the ability to recognise issues in practice settings and translate into explicit questions to fill knowledge gaps, is crucial...
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...Health matters in a globalising world Transnational corporations A transnational corporation (TNC) is a company that operates in at least two countries. It is common for TNCs to have a hierarchical structure, with the headquarters and R&D department in the country of origin, and manufacturing plants overseas. As the organisation becomes more global, regional headquarters and R&D departments may develop in the manufacturing areas. TNCs take on many different forms and cover a wide range of companies involved in the following primary, secondary (manufacturing) and tertiary (service) activities: * Resource extraction, particularly in the mining sector, for materials such as oil and gas * Manufacturing in three main sectors: 1. High-tech industries such as computers, scientific instruments, microelectronics, pharmaceuticals 2. Large-volume consumer goods such as motor vehicles, tyres, televisions and other electrical goods 3. Mass-produced consumer goods such as cigarettes, drinks, breakfast cereals, cosmetics, branded goods * Services such as banking/finance, advertising, freight transport, hotels and fast-food operations TNCs are the driving force behind economic globalisation. As the rules regulating the movement of goods and investment have been relaxed and the sources and destinations of investment have become more diverse, such companies have extended their reach. There are now few parts of the world where the influence of TNCs is not...
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...financial and care. This is essential when a manager determine priorities for services, with the contribution of professionals’ duties to remain with the best interests of service user. There have a duty to be present ethically among manager and practitioner. Uncertainty, this means a lack of understanding of the purpose of the service by the manager or a failure to reflect of the interests of the patients through management. Considering by reviewing the priorities the reality that changes the balance of the money spent...
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...people whose mental capacity is in doubt and people who do not have mental capacity. It provides a framework for making decisions on behalf of the individual. It tells us what to do if we are involved in the care, treatment, support of people aged 16 and over who lack mental capacity to make decisions. The Act states that everyone is assumed to make decisions for themselves unless shown otherwise. If it is not clear whether someone has the capacity to make a decision concerning a specific issue and assessment of their capacity should be carried out. The Mental Health Act 1983: The court of protection exists to safeguard the interests of anyone who is incapable by reason of mental disorder of managing and administrating their property and affair. Anyone found on medical evidence to meet these criteria is known as a patient. The courts duties are normally carried out by appointing a receiver for a patient. The Mental Health Act 1983 gives the court power to authorise virtually any transaction on behalf of a patient and to do whatever is necessary or expedient for the maintenance or benefit of a patient, their family and dependants. The Equality Act 2010: The Act covers nine protected characteristics, which cannot be used as a reason to treat...
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...'Health Informatics' (HI) is the term used to describe the science of information management in health care and its application to support clinical research, decision-making and practice, Pearson C,and Severs M (1999). McCormick, Saba, (2001) state nursing informatics and information technology to be an integral part of the nursing information system and the nursing profession. Improving IT is an essential part of delivering patient centred care in the NHS. Ball M, Hannah K, Newbold S, (2005) state that the extent to which nurses use computers to assist them in performing complex and increasingly challenging duties is rapidly increasing. Within this assignment I will be discussing the introduction of the National Programme for Information Technology, its aim, along with the introduction of Picture Archiving and Communication Systems (PACS) which is one service which the programme aimed to deliver. The National Programme for Information Technology (NPfIT) is a national 6 billion pound programme implemented by the NHS to improve IT infrastructure and services. It began in 2000 and aimed for completion by 2010, aiming to introduce a set of new services to support the continued modernisation of the NHS (Anon,NHS, 2004). It is about supporting major improvements in care, by using technology to improve patients experiences, with information being available at the right time, in the right place, for the right person. Dr S Eccles (2006) stated the aim of the programme is to create...
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...of the Priory Group of services. Farmfield specialises in providing a forensic mental health service on behalf of third parties such as the NHS, Local Authorities and Prisons. The NHS is one of Farmfield's main commissioners they fund the patients stay at Farmfield. The goals of the service are to provide an exceptional service in order for them to attract more customers which will result in the company gaining a profit. External factors that can impact the business activities of the organisation are legal, political, economic and environmental. The main legal aspects that affect Farmfield are regulating bodies. Farmfield is regulated by the Care Quality Commission (CQC) who monitor, inspect and regulate all health and social care services in England. The CQC conducts inspections of all health providers in England and they publish their findings online. Commissioners such as the NHS are able to read these reports when making decisions about referring their patients to Farmfield. An unfavourable review can be detrimental to current and future business. If the hospital is found to not be operating according to the set standard by the CQC they can be shut down immediately. Political changes in legislation also affects the hospital. Guidance by the National Institute for Health and Care Excellence (NICE) advised that NHS hospitals should ban smoking in and around hospital grounds. The guidance follows the smoking ban in public places set out in the Health Act 2007. Although Farmfield...
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...ukessays.com /services/example-essays/social-work/social-care-practice.php Running Head: SOCIAL CARE PRACTICE An Investigation of Principles, Care Strategies and Theories Related to Social Care Practice Part One This section provides a summative assessment of the principles, care strategies and theories that direct social care work within the UK. Specifically, the application of support principles, procedures for protecting clients from harm and the advantages of utilising a person-centred approach in working with clients are discussed. Additionally, ethical issues, applicable policies, legislation issues and regulation and the impacts of existing policies are presented in relation to providing social care. Applications of Support Principles Ensuring that individuals are properly cared for in health and social care requires the application of a number of support principles. Examples of these support principles include equity in the provision of care, universality in its accessibility and providing multiple financial options for individuals of all backgrounds (Alcock, Daly & Griggs, 2008). As the individuals who require health and social care services differ in their ethnic, cultural, social and socioeconomic backgrounds, these support principles are pivotal in meeting the needs of the greatest percentage of the population (Alcock et al., 2008). Valuing diversity and providing support for families of varying backgrounds is a critical component of UK health and social care...
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... | |Department: |Depression and Anxiety Service | |Base: |Newton Abbott | |Responsible To: |Local Team Clinical Lead | Job Purpose The principal purpose of the job is to improve the psychological health & wellbeing of people within an identified Devon locality. The post holder will be part of an Improving Access to Psychological Therapies (IAPT) service and will provide high intensity interventions - initially cognitive behavioural therapy (CBT). The post holder will work with clients who have a range of complex Anxiety and Depression related problems for which CBT is demonstrated to be clinically effective. The post holder will work with people with different cultural backgrounds and ages, using interpreters when necessary and should be committed to equal opportunities The post holder will act as a lead specialist for IAPT, providing professional clinical supervision to less experienced staff, trainees & students. As a senior clinician the post holder will be expected to contribute to the leadership of the local service providing support and undertake delegated responsibilities under the...
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...CREATING TEMPORARY STAFFING SERVICE FOR THE DOMESTIC DEPARTMENT. MICHAEL OKOROMADU ROYALFREE HOSPTAL CMI DIPLOMA LEVEL 5 M5006 HYPOTHESIS: The Domestics department will benefit, from the creation of temporary staffing service (bank staff). AIMS AND OBJECTIVE: To demonstrate, the benefits of setting up a temporary staff servicing system in the Domestics department. The Bank Staffing services, will not only help reduce financial expenditure on staffing, but would also help improve and maintain quality standards expected by the Trust. The aims will be achieved by the following objectives; • Analyse the data and information • Look at the option or alternative for agency staffing • Discuss the impact of the research to the domestic department • Recommend a course of action to meet the project aim • Evaluate the research to make conclusions METHODOLOGY: • Identify the problems faced by the department from staff shortages. • Analyse the methods currently employed by the Domestics department in recruiting and allocating of staff, to manage these absences. • Look into the recruitment of agency staff and the legislations guarding this process. • Analyse the Temporary staff recruitment services; the process involved in recruitment, the terms and conditions of employment, and how it would be incorporated in the Domestic Services department. The SWOT analysis...
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...carry out care plan in this essay, which are maintaining a safe environment, communicating, breathing, eating and drinking, eliminating, personal cleansing and dressing, controlling body temperature, walking and playing, mobilising, sleeping expressing sexuality and dying. Also with the above mentioned framework, factors influencing the activities of living which include biological, psychological, socio-cultural, environmental and political economic will be considered. Also demonstration of how discharges are planned and problems identified will be discussed, which will involve members of the multidisciplinary team (MDT) and their roles in the patients care, education and support for family/carers. The second part will explore how recent health service legislation has influenced this care plan and its impact on caring of older people with long term condition. In this essay, issues on professional values according to Nursing and Midwifery Council (NMC) Code of Professional Conduct (2008), which include consent, confidentiality, respect and dignity will be undertaking. For the purpose of this essay, all names and research areas have been changed to comply and also to promote confidentiality as stipulated by the (NMC, 2008). The pseudonym “Mr David” will be used in this essay. Discharge is an important part of patient’s stay in hospital, and planning for discharge is part of an ongoing process that start prior to admission for planned admissions, also as soon as...
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...House of Commons Health Committee Modernising Medical Careers Volume II Written evidence Ordered by The House of Commons to be printed 8 November 2007 HC 25-II, Session 2007-08 Published on 14 November 2007 by authority of the House of Commons London: The Stationery Office Limited £20.50 The Health Committee The Health Committee is appointed by the House of Commons to examine the expenditure, administration, and policy of the Department of Health and its associated bodies. Current membership Rt Hon Kevin Barron MP (Labour, Rother Valley) (Chairman) Charlotte Atkins MP (Labour, Staffordshire Moorlands) Mr Ronnie Campbell MP (Labour, Blyth Valley) Jim Dowd MP (Labour, Lewisham West) Sandra Gidley MP (Liberal Democrat, Romsey) Dr Doug Naysmith MP (Labour, Bristol North West) Mike Penning MP (Conservative, Hemel Hempstead) Mr Lee Scott MP (Conservative, Ilford North) Dr Howard Stoate MP (Labour, Dartford) Mr Robert Syms MP (Conservative, Poole) Dr Richard Taylor MP (Independent, Wyre Forest) Powers The Committee is one of the departmental select committees, the powers of which are set out in House of Commons Standing Orders, principally in SO No 152. These are available on the Internet via www.parliament.uk. Publications The Reports and evidence of the Committee are published by The Stationery Office by Order of the House. All publications of the Committee (including press notices) are on the Internet at www.parliament.uk/healthcom Committee staff The current staff...
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...the government. The NHS is one of the world’s largest publicly funded health care providers. The NHS stands for the National Health Service which provides healthcare for all UK citizens based on their needs rather than their ability to pay for it. It is funded by taxes. As the NHS is funded by taxes and the government, if a hospital were to overspend, it would not close. Instead, funding would be cut back for a suitable period of time. The NHS provide many different services for all UK citizens, such as emergency and urgent care, general practitioners (GP’s) or dental services. Urgent and emergency care * Call NHS 111 if you urgently need medical help or advice but it’s not a life-threatening situation. * Call 999 if someone is seriously ill or injured and their life at risk. * Visit A&E in a genuine life-threatening emergency. Pharmacy services * Pharmacists play a key role in providing quality healthcare. They are experts in medicines and will use their clinic expertise together with their practical knowledge to ensure the safe supply and use of medicines by the public. * A pharmacist has to be registered with the General Pharmaceutical Council (GPhC) and have worked for at least a year under the supervision of an experienced and qualified pharmacist, either in a hospital or community pharmacy such as a supermarket. * 20% of pharmacists work in hospitals and play an essential role in the caring of patients. Working as part of a multidisciplinary...
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...The Final Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry – Chaired by Robert Francis QC On the day briefing by the Foundation Trust Network (FTN) 1. Background The following briefing provides a summary of our action to date, the Francis recommendations and an initial response from the FTN. 2. Initial Reaction from the FTN In the run up to publication of the Francis Report, our Chair, Peter Griffiths and Chief Executive, Chris Hopson wrote an open letter to members acknowledging that pockets of poor quality care can exist in all types of trust, but emphasising that failures as serious, protracted and devastating as Mid Staffordshire are rare and isolated. We recognised that the FTN and the wider NHS need to do much more to identify and share best practice on improving quality of care and to provide practical tools to support trusts in doing so. Our work programme will identify how the FTN can help develop sector led support to complement government led initiatives, focussing on: • • • • The drivers of quality identified through research such as culture, ward level leadership, team effectiveness, staff satisfaction and support; The role of the board; Defining what support could be provided to trusts finding it difficult to meet standards; Exploring the link between increasing financial pressure and quality. Clearly, today’s announcements and recommendations will have a major impact on everyone in the NHS. We are committed to engaging fully in the evolving...
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...SDO Project (08/1501/94) Changing Management Cultures and Organisational Performance in the NHS (OC2) Research Report Produced for the National Institute for Health Research Service Delivery and Organisation programme April 2010 prepared by: Russell Mannion (University of Birmingham), Huw Davies (University of Dundee & St Andrews), Stephen Harrison (University of Manchester), Frederick Konteh (University of York), Ian Greener (University of Durham), Ruth McDonald (University of Nottingham), George Dowswell (University of Birmingham), Kieran Walshe (University of Manchester), Naomi Fulop (King’s College, London), Rhiannon Walters (King’s College, London), Rowena Jacobs (University of York), Paula Hyde (University of Manchester) Address for correspondence: Professor Russell Mannion Health Services Management Centre University of Birmingham Park House 40 Edgbaston Park Road Birmingham B15 2RT Queen’s Printer and Controller of HMSO 2010 1 SDO Project (08/1501/94) Contents Acknowledgements ....................................................8 1 Introduction .......................................................9 1.1 Aims and objectives of the study ..................................... 9 1.2 Research design and project overview .............................10 1.3 Structure of the report ..................................................11 2 Policy and Organisational Culture in the NHS: An Overview ..........................................................
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...AMSPAR Diploma In Primary Care Management Unit 602 Financial Management And Budgeting In a Primary Care And Health Environment By Graham Morrison Task 1 1a. Evaluate the information and processes required to be able to set a budget, which supports the organisation's business goals. Discuss how you would use them to prepare, formulate and monitor a budget. The objectives of budget preparation are shown in the table below. Objective | Comment | Planning | Compelling managers to plan is probably the most important feature of a budgetary planning and control system. Planning forces management to look ahead, to set out detailed plans for achieving targets for each department and operation and ideally each manager and to anticipate problems. It thus prevents management relying on ad-hoc or uncoordinated planning which may be detrimental to the performance of the organisation. It also helps managers to foresee potential threats or opportunities, so that they make take action now to avoid or minimise the effects or threats and to take full advantage of the opportunities. | Responsibility | Objectives are set for the organisation as a whole, and for individual departments and operations within the organisation. Quantified expressions of these objectives are then drawn up as targets to be achieved within the timescale of the budget plan. Budgetary planning and...
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