Contents...
  Forewords
John Hutton,
Minister of Health

6
Dr Ian Bogle
Chairman of the British Medical Association
8
Dr Beverly Malone
General Secretary, Royal College of Nursing
10
Dr Trevor Jones
Director General of the Association of the British Pharmaceutical Industry (ABPI)
11
David Lunts
Chief Executive of The Prince's Foundation
14
Dr Jenny Simpson OBE
Chief Executive of the British Association of Medical Managers

16
   
  ACUTE SERVICES
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.
18
     
  ALZHEIMER 'S DISEASE
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.
22
     
  CANCER
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.
24
MACMILLAN CANCER RELIEF
26
 
  CLINICAL GOVERNANCE
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.
28
   
  CORONARY HEART DISEASE
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.
30
     
  DAY SURGERY
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
32
     
  DIABETES (PART1)
Diabetes - the 21st Century epidemic
Renewed efforts are needed to target people at risk of developing diabetes, says Professor Sir George Alberti.
34
     
  DIABETES (PART2)
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
36
     
  EAR, NOSE & THROAT
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.
39
     
  EDUCATION & TRAINING
Doors opening for Lifelong Learning
An increasing range of learning opportunities are available for healthcare professionals.
41
THE OPEN UNIVERSITY
44
     
  INCONTINENCE
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.
49
     
  INFORMATION, MANAGEMENT & TECHNOLOGY
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.
51
     
  INFECTION CONTROL
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.
53
     
  INFORMATICS AND THE ELDERLY
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.
60
     
  MEDICAL DEVICES
Equipping for safety
The number and range of medical devices is increasing in Primary as well as Secondary care.
65
     
  MENTAL HEALTH
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.
72
     
  NHS LOGISTICS
Making links
Barry A Mellor, Chief Executive of the NHS Logistics Authority, describes his vision for the NHS supply chain.
75
     
  PURCHASING & SUPPLY
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.
77
     
  OBSTETRICS & GYNAECOLOGY
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.
79
     
  OSTEOPOROSIS
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.
83
     
  PRESCRIBING
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.
85
     
  PUBLIC PRIVATE PARTNERSHIP
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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RISK MANAGEMENT
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.
90
     
 
TREATING PATIENTS ABROAD
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.
95
     
 
WOUND MANAGEMENT
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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THE BIOSURGICAL RESEARCH UNIT
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LIGHT YEARS AHEAD
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