scholarly journals General professional training: consultant supervision of trainees

1997 ◽  
Vol 3 (6) ◽  
pp. 347-351 ◽  
Author(s):  
John R. Robertson ◽  
Anne Dean
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Professional Training ◽  
General Medical Council ◽  
Junior Doctors ◽  
Medical Council ◽  
Educational Supervisor

‘Educational supervisor’ is the term now used by the General Medical Council for a consultant who has junior doctors working with him/her, whether employed by the National Health Service or a university. This paper represents our views of the role of the educational supervisor, rather than official College policy.

2. The Structure of the National Health Service and the Rationing of Healthcare Resources

2020 ◽  
pp. 47-101
Author(s):  
Jonathan Herring
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Ethical Issues ◽  
General Medical Council ◽  
Case Law ◽  
Medical Council ◽  
Healthcare Resources ◽  
Provision Of Services ◽  
Key Issues

This chapter examines the structure of the National Health Service (NHS) and some of the key issues facing those dealing with its management. Topics discussed include policymaking and central planning in the NHS; quality control; commissioning and planning services; the provision of services; structural issues; rationing; health inequalities; the General Medical Council; and efforts to control infectious diseases and prevent illness. The chapter also discusses the complex issue of the rationing of healthcare resources. The case law on the topic is set out and there is a consideration of the ethical issues which are raised when decisions need to be made about who gets medical treatment.

2. The Structure of the National Health Service and the Rationing of Healthcare Resources

2018 ◽  
Author(s):  
Jonathan Herring
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Ethical Issues ◽  
General Medical Council ◽  
Case Law ◽  
Medical Council ◽  
Complex Issue ◽  
Provision Of Services ◽  
Key Issues

This chapter examines the structure of the National Health Service (NHS) and some of the key issues facing those dealing with its management. Topics discussed include policymaking and central planning in the NHS; quality control; commissioning and planning services; the provision of services; structural issues; rationing; health inequalities; the General Medical Council; and efforts to control infectious diseases and prevent illness. The chapter also discusses the complex issue of the rationing of health care resources. The case law on the topic is set out and there a consideration of the ethical issues which are raised when decisions need to be made about who gets medical treatment.

scholarly journals A closer look at how managerial support can help improve patient experience: Insights from the UK’s National Health Service

2020 ◽  
pp. 001872672093883
Author(s):  
Chidiebere Ogbonnaya ◽  
Mayowa T Babalola
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Patient Experience ◽  
National Health ◽  
Organizational Support ◽  
Quality Of Healthcare ◽  
Perceived Supervisor Support ◽  
Managerial Support

Recent debates in healthcare have emphasized the need for more respectful and responsive services that meet patients’ preferences. These debates centre on patient experience, one of the most critical factors for measuring healthcare performance. In exploring the relevance of patient experience key questions need answers: what can managers or supervisors do to help improve the quality of healthcare? What is the role of employees? Addressing these questions, this study examines whether perceived supervisor support (PSS) promotes patient experience through a serial mediation involving perceived organizational support (POS), and positive employee outcomes such as engagement, involvement and advocacy. Using two-wave data from the British National Health Service, we show that PSS is strongly associated with POS, which in turn improves engagement, involvement and advocacy among employees. PSS also has a positive indirect influence on patient experience through POS and advocacy; but the indirect paths involving engagement and involvement are not supported. We offer useful guidance on how healthcare employers can support employees towards improving the quality of services rendered to patients.

The doctor wellbeing toolkit

2020 ◽  
Vol 13 (5) ◽  
pp. 262-267
Author(s):  
Grace Castronovo
Keyword(s):  
National Health Service ◽  
General Population ◽  
Health Service ◽  
National Health ◽  
Self Care ◽  
Anxiety And Depression ◽  
Junior Doctors ◽  
Professional Groups ◽  
High Profile ◽  
Increased Risk

Doctors suffer with high levels of stress, anxiety and depression; they are at increased risk of suicide when compared with the general population and other professional groups. Several high-profile deaths of junior doctors have led to a renewed focus on the wellbeing of doctors. In this article, we will review some of the facts underlying burnout in the National Health Service and provide a toolkit for doctors to assess their own wellbeing and learn simple strategies to enable them to live a more balanced and fulfilled life through self-care.

Night emergency cover for ENT in England: a national survey

2009 ◽  
Vol 123 (8) ◽  
pp. 899-902 ◽  
Author(s):  
D Biswas ◽  
A Rafferty ◽  
P Jassar
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
National Survey ◽  
Basic Knowledge ◽  
Junior Doctors ◽  
Night Time ◽  
Medical Careers ◽  
European Working ◽  
Working Time Directive

AbstractObjectives:To evaluate the quality of out-of-hours ENT on-call cover by junior doctors, in view of the European Working Time Directive and the recent changes in the National Health Service workforce due to the ‘Modernising Medical Careers’ initiative, in England.Methods:We performed a national survey of first-on-call doctors for ENT, using a telephone questionnaire. Hospital contact details were sourced from the National Health Service website. The inclusion criterion was hospitals providing acute ENT facilities overnight in England.Results:One hundred and nineteen hospitals were contacted; 91 were eligible, and 83 interviews were conducted. The grade of the first-on-call ENT doctor ranged from foundation year two (19 per cent) to registrar level or above (13 per cent). Forty-nine respondents (68 per cent) reported having no previous ENT experience. Fifty-three respondents (74 per cent) covered more than one speciality at night, with seven (10 per cent) covering four or more specialities. The second-on-call doctor was non-resident in 63 cases (88 per cent). Thirty respondents (42 per cent) stated that they did not feel comfortable managing common ENT emergencies as the first doctor on call. Otorhinolaryngology induction courses were offered in 37 of the respondents’ hospitals (51 per cent), these courses were of varying duration.Conclusion:Night-time ENT care is often provided by junior doctors with little experience of the speciality, who are often also responsible for covering multiple specialities. Many reported not feeling comfortable managing common ENT emergencies. Structured induction programmes would help to provide basic knowledge and should be mandatory for all doctors covering ENT.

Misplaced Trust? Occupational Therapy and NHS Trusts

1994 ◽  
Vol 57 (2) ◽  
pp. 40-44 ◽  
Author(s):  
Walter Lloyd-Smith
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Occupational Therapy ◽  
National Health ◽  
Health Professionals ◽  
The Self ◽  
The Government ◽  
The Impact ◽  
Therapy Service

The present governmental reforms of the National Health Service are the most far-reaching to date and have fundamental implications for health professionals. The focus of this article is to raise some of these issues in relation to occupational therapy. The introduction of trusts, the purchaser/provider split and the internal market are some of the mechanisms by which the government hoped to tackle the funding crisis of the late 1980s. These reforms have been operating since 1991, but little has been published on the impact of the self-governing trust movement on occupational therapy. Some observations on and an evaluation of these reforms are offered. It is hoped that the article will stimulate discussion within the profession about the role of trusts and their relationship to the delivery and development of an occupational therapy service.

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