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Forewords |
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John
Hutton,
Minister of Health
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6
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Dr Ian Bogle
Chairman of the British Medical Association
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8
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Dr Beverly Malone
General Secretary, Royal College of Nursing
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10
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Dr
Trevor Jones
Director General of the Association of the British Pharmaceutical
Industry (ABPI) |
11
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David
Lunts
Chief Executive of The Prince's Foundation
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14
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Dr Jenny Simpson OBE
Chief Executive of the British Association of Medical Managers
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16
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ACUTE
SERVICES |
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Coping with pressures in acute medicine
Regular feedback on acute services is needed from physicians
throughout the UK say consultant physicians Hugh Mather and Henry
Connor.
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18
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ALZHEIMER
'S DISEASE |
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Quality of Life should influence prescribing for people with
Alzheimer's
Research influenced the decision by the National Institute of Clinical
Excellence to approve three drugs for treatment of the disease.
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22
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CANCER |
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Making Progress - but still a long way to go
Professor Mike Richards, National Cancer Director, says he is determined
that progress will continue in the prevention,
diagnosis, treatment, care and research of cancer.
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24
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MACMILLAN
CANCER RELIEF |
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CLINICAL
GOVERNANCE |
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Developing the clinical governance interface between
primary and secondary care
The public and the profession need to see Primary and
Secondary Care as a continuum not a divide.
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28
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CORONARY
HEART DISEASE |
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How the BHF Family Heart Study could help prevent
premature deaths in under 65s
Professor Alistair Hall reports on an exciting new test for
global genetic make-up and its effect over time.
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30
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DAY
SURGERY |
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Boosting
day surgery in the NHS
Professor Ara Darzi, newly appointed Adviser in Surgery to
the Department of Health looks at new ways of driving up
rates of day surgery throughout the NHS
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32
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DIABETES
(PART1) |
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Diabetes - the 21st Century epidemic
Renewed efforts are needed to target people at risk of developing
diabetes, says Professor Sir George Alberti.
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34
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DIABETES
(PART2) |
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Get the groundwork right now
Managers must ensure they do not lose momentum on
developing new services or opportunities will be lost, warns Paul
Streets, Chief Executive, Diabetes UK
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36
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EAR,
NOSE & THROAT |
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Managing "glue ear" in primary and secondary care: the
dangers of long delays in treatment
Michael C Frampton, Consultant ENT Surgeon, argues that the
pendulum may have swung too far towards the policy of "watchful
waiting" before referral for grommet insertion.
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39
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EDUCATION
& TRAINING |
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Doors
opening for Lifelong Learning
An increasing range of learning opportunities are available
for healthcare professionals.
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THE
OPEN UNIVERSITY |
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INCONTINENCE |
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A
fairy tale in your own backyard
Jolyon Rose, Executive Director of Incontact (Action on Incontinence)
explains why continence care does not deserve to be a Cinderella
service in the NHS.
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49
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INFORMATION,
MANAGEMENT & TECHNOLOGY |
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Developing
a shared IM&T service in a health economy
Julie Clifton explains why they took the radical step to share
services and describes the benefits they are now reaping.
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51
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INFECTION
CONTROL |
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Nurse Consultants in Infection Control - A catalyst for change?
Lynn Clark, one of the new pioneering Nurse Consultants in
Infection Control, looks at their role and how they can manage and
improve care. |
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INFORMATICS
AND THE ELDERLY |
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Does
Informatics have a future in the care of the elderly?
Dr Mahendra Gonsalkorale based this article on his keynote speech
to the HC2001 conference.
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60
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MEDICAL
DEVICES |
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Equipping for safety
The number and range of medical devices is increasing in Primary
as well as Secondary care.
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65
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MENTAL
HEALTH |
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Quality
of Life: Do you feel better?
The Cochrane Schizophrenia Group looked at 2,000 randomised
controlled trials and found not one asked people whether they actually
felt better.
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72
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NHS
LOGISTICS |
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Making
links
Barry A Mellor, Chief Executive of the NHS Logistics Authority,
describes his vision for the NHS supply chain.
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75
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PURCHASING
& SUPPLY |
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E-commerce
in the English NHS
The purchasing and supply agenda for the NHS in England is focused
firmly on the utilisation of Internet technologies.
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77
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OBSTETRICS
& GYNAECOLOGY |
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Cutting the caesarean section rate is a public challenge
There is growing concern among patients and health professionals
about the rising number of caesarean births in the UK.
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79
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OSTEOPOROSIS |
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Screening for osteoporosis in Primary and Secondary care
A pioneering screening project in the Blackpool area is helping
earlier identification of people with osteoporosis and improving
management of the disease.
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83
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PRESCRIBING |
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Community pharmacists to play major role in scheme to improve medicines
management
Sharon Morrow, Pharmaceutical Adviser, describes Barking and
Havering's Medicines' Management Scheme, which is tackling the problems
of polypharmacy and prescribing risks for older people.
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85
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PUBLIC
PRIVATE PARTNERSHIP |
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Primary care premises to get facelift with help from the private
sector
The government is committed to developing private partnerships
to improve care for NHS patients.
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87
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RISK
MANAGEMENT
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Reducing risk of harm through error: How the National
Patient Safety Agency (NPSA) can help NHS organisations
Professor Rory Shaw, Chairman of the new National Patient
Safety Agency describes its role.
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90
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TREATING
PATIENTS ABROAD
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Widening patient choice - NHS, private or abroad?
Up to 100,000 NHS patients could be offered operations abroad
this year through extra government funding to cut waiting lists.
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95
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WOUND
MANAGEMENT
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Embracing the changes: wound management in the 21st century
Two
years on from the launch of the government's NHS Plan, the ripple
of change is being felt throughout the health service, including
the area of tissue viability.
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97
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THE
BIOSURGICAL RESEARCH UNIT |
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LIGHT
YEARS AHEAD
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103
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