scholarly journals Clinical attachments in psychiatry

2007 ◽  
Vol 31 (3) ◽  
pp. 104-106
Author(s):  
Rory O'Shea ◽  
Srikanth Nimmagadda

This article discusses the history of clinical attachments in psychiatry and recent changes in this area, including work permit regulations, which can make it increasingly difficult to obtain an attachment. The advantages and disadvantages of clinical attachments are considered for both the clinical attache and the UK health service. Good practice points for clinical attaches and their supervisors are presented. The future of the scheme is discussed and potential solutions to difficulties are suggested.

Author(s):  
Tanya Aplin ◽  
Jennifer Davis

All books in this flagship series contain carefully selected substantial extracts from key cases, legislation, and academic debate, providing able students with a stand-alone resource. This chapter discusses: design protection in the UK and EU; the history of industrial design; registered designs; unregistered design right; the relationship between copyright and industrial designs; and the future of the interface between design protection and copyright.


2018 ◽  
Vol 24 (3) ◽  
pp. 195-203 ◽  
Author(s):  
Philip Campbell ◽  
Keith Rix

SUMMARYFusion legislation is the latest in a long line of reforms in mental health law that have sought to increase patient autonomy. It has not been without controversy, having been proposed and rejected in various jurisdictions throughout the UK and internationally, while causing considerable debate in the academic literature. This article considers some of the history and debate, along with the criminal justice provisions of the first piece of fusion legislation internationally, the Mental Capacity Act (Northern Ireland) 2016, and their potential implications.LEARNING OBJECTIVES•Understand the history of fusion legislation in the UK and internationally•Understand the advantages and disadvantages of fusion legislation•Understand the Mental Capacity Act (Northern Ireland) 2016 criminal justice provisionsDECLARATION OF INTERESTNone.


1995 ◽  
Vol 166 (3) ◽  
pp. 306-310 ◽  
Author(s):  
Tony Jaffa

BackgroundThe way in which psychiatric services for adolescents in the UK are developing will be affected by recent changes in the organisation of the National Health Service.MethodThe history of these services, and the different opportunities for development are reviewed.ResultsWays in which high-quality clinical care can still be provided are indicated.ConclusionAdolescent psychiatric services should be judged on their ability to provide such care, not merely on their ability to survive.


2014 ◽  
Vol 4 (1) ◽  
pp. 39-54 ◽  
Author(s):  
Colm OBoyle

PURPOSE: The indemnification of home birth midwifery practice is a concern internationally. This article reports on recent changes in the indemnification of home birth in Ireland. A background history of maternity services in Ireland is given. Home birth midwives’ own perspective on the withdrawal of trade union indemnification and the instigation of a means of state indemnification are offered. The notion and expectation of professional clinical indemnification is discussed using Eliot Freidson’s theoretical framework on professionalism.STUDY DESIGN: Indemnification is just one concern identified in an ethnography of independent midwifery in Ireland carried out between 2006 and 2009. Participant observation and interview supply data from the midwives themselves in that period. Documentary sources including health service reports and changes in Irish statute also form part of the ethnography and this article. Subsequent developments in what has been called a “national home birth service” are reported.MAJOR FINDINGS: Home birth midwives report that professional clinical indemnification is impossible to access on the open market. They are unwilling to practice without it, not least because legislation in the European Union and Ireland, requires that midwifery attendance at birth is “adequately insured.” The midwives feel that indemnification neither improves their practice nor guarantees good practice. They feel caught in a dilemma that they are now effectively criminalized if they attend any woman outside the narrow suitability criteria set by the Irish Health Service Executive (HSE).CONCLUSION: State indemnification of home birth midwifery practice now in place in Ireland is very positive. The nominally “national” home births service, however, is entirely dependent on a small number of self-employed community midwives. The service is therefore not available to all of those considered eligible. The home birth midwives report frustration at the exclusionary effect of tying their indemnification to narrow suitability criteria. Freidson’s conception of professionalism demonstrates how it is contingent on government and market forces. Midwives’ professional concern to be “with woman” is shown here also to be vulnerable to these competing external factors.


2018 ◽  
Vol 43 (3) ◽  
pp. 126-130
Author(s):  
Claire Hilton

Historical evidence can be useful to inform debate about current dilemmas in health service policy. However, concepts of historical analysis may be problematic for doctors, for whom a model of ‘history’ is often based on clinical history-taking: a clinical history aims to explain the present, whereas a historical analysis aims to elucidate the past. This article discusses and illustrates these concepts, and highlights potential pitfalls of poor historical methodology. It also provides pointers about researching the history of psychiatry in the UK and how to contribute historical evidence to health service policy debates today.Declaration of interestNone.


Author(s):  
Blánaid Daly ◽  
Paul Batchelor ◽  
Elizabeth Treasure ◽  
Richard Watt

The National Health Service was created at the end of the Second World War. Its structure has remained relatively stable until the 1970s. Since then, politicians have continued to reform it at an ever-increasing rate and, in 2012, the biggest change to the English NHS structure was implemented (Reynolds and McKee 2012). The question as to why the reforms are being undertaken is crucial. Growing demands, changing epidemiology, better understanding of the determinants of health, and evolving societal values have all influenced the process. Perhaps most crucial is the latter. It is probably more appropriate to describe the current NHS as four differing NHS care systems that are coterminous with the legislative bodies that exist within the UK, namely England, Northern Ireland, Scotland, and Wales. Not only are the planning arrangements becoming more divergent, but also the philosophical approach underpinning each system is beginning to follow very different paths. The NHS has almost never taken a typical theoretical planning approach but rather has evolved due to the wide range of factors and influences involved. These include the changing power of health care professions, the need to ration services, adoption of economic theory (market forces and the internal market), and, not least, changing governments with differing political stances. The importance of understanding the history of the service and the lessons of the past are that they inform the present and can provide an indication of how the future may look. This chapter outlines the major influences on the NHS since its inception, describes the major problems currently faced by the NHS, and provides an overview of the ways in which clinical services are currently delivered. It will not give a detailed description of the structure of the health service, not least as by the time the book is published a new structure will exist. The current structure of the health service in each of the four countries of the UK will be available on this book’s website, and updated as changes occur.


2020 ◽  
Vol 24 (1) ◽  
pp. 27-32
Author(s):  
T. Bantorina ◽  
◽  
O. Livandovska ◽  

Annotation. Introduction. At the present stage of development of the world is the rapid functioning of all spheres of society. Based on this, today society seeks to be progressive, modern, and therefore the world introduces us to a new type of money that is gaining popularity – cryptocurrency. Currently, humanity is aimed at finding a more progressive way of realization of any financial transactions with minimal risk. Now, the cryptocurrency is in the same city, where was the first paper money during the popularization of the concept of “printing money”. That is why, after a certain period of time cryptocurrency calculations become commonplace. Purpose. The purpose of the study is to consider cryptocurrency as the currency of the future financial system and possible prospects for its future development in Ukraine and the world. Results. The article discusses the theoretical aspects and history of cryptocurrency as currency future financial system. The main types of cryptocurrencies, the process of their creation, which is based on the solution of computers to complex mathematical problems and their entry into the market, are identified. The advantages and disadvantages of using cryptocurrencies are studied, as well as its feature as decentralization, which distinguishes it from other currencies. It is emphasized that in the world, so far, there is no consensus on the further strategy for the development of cryptocurrency in the world, its legalization and legality of use, thus analyzing the legal status of cryptocurrency in different countries and prospects for use. The legal regulation of cryptocurrencies in Ukraine in accordance with the norms of Ukrainian legislation is considered. The peculiarities of the functioning of virtual currencies in Ukraine are highlighted. Conclusions. Cryptocurrency inevitably and actively popularized worldwide in furthering decade. In some areas, such as online gaming business, this kind of currency has found its application in full. In Ukraine, there is everything necessary for legal operations with cryptocurrencies, but it is at the legislative level that there is a problem that prevents the active distribution and use of such currencies. The situation when cryptocurrency is not banned, but also not allowed, is an additional reason for fraudulent schemes. Legal entities and individuals who want or are able to use cryptocurrency is not protected. Similarly, the state can not get taxes from prospective activities. That is why the need for a clear establishment of the concept of “Cryptocurrency” by the law of Ukraine and the creation of mechanisms for regulating any activity with cryptocurrencies at the legislative level, are the priority state tasks at present. Keywords: cryptocurrency; currency; bitcoin; mining; digital currency; the legal status.


2007 ◽  
Vol 31 (11) ◽  
pp. 404-406 ◽  
Author(s):  
Philip Sugarman ◽  
Seshagiri Rao Nimmagadda

Independent psychiatry beyond the National Health Service (NHS) is growing in the UK. However the history of the College can lead it to be NHS-centred in its outlook. Psychiatrists engaged in ‘private practice’ have at times been excluded from their collegiate peer group. We explore here the underlying and challenging issues of professional values, stigma, and occupational motivation. In the spirit of its commitment to raising standards, it is pleasing that the College is beginning to look beyond the NHS, supporting the professional development of non-NHS members, and including them in quality initiatives. We must all discover the value for patients in an open and independent perspective on what drives psychiatry in the UK.


Author(s):  
Francesca Entwistle ◽  
Fiona Dykes

Over the last 20 years, the Unicef UK Baby Friendly Initiative (BFI) has succeeded in gaining national recognition for the importance of breastfeeding and creating new ‘common knowledge’ related to many breastfeeding practices in the health service and among policy makers. For example, once hotly debated topics such as skin-to-skin contact, rooming in, teaching mothers how to breastfeed and avoiding supplements are now accepted as good practice. While not every mother in the UK receives this level of support, overall standards have improved and breastfeeding initiation rates have steadily increased: from 62% in 1990, to 76% in 2005, to 81% in 2010 (...


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