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The Effects of Changes in Hospital Care on Community Health Care

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Community Health Care Development

Part of the book series: Community Health Care Series ((CHCS))

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Abstract

Health care is being affected by a number of trends, all of which will impact upon the delivery of services within the NHS and beyond. Fundamental changes in the delivery of services within acute and primary care, together with the changing shape of nursing, have created opportunities for the profession to influence the alternative patterns of health and social care delivery. These issues will be addressed in this chapter, together with the opportunities that exist for building bridges between the plethora of health and social care, and voluntary organisations. Lessons learnt from the challenges and opportunities that hospital nurses face will be applied to community nurses as they develop the government agenda of a more primary care led service.

‘With a lever long enough ... single-handed I can move the world.’

(Archimedes)

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References

  • Armstrong M. (1992) Human Resources Management: Strategy and Action. London: Kogan Page.

    Google Scholar 

  • Atkinson, J. and Meager, N. (1986) New Forms of Work Organisation. Brighton: Institute of Manpower Studies.

    Google Scholar 

  • Audit Commission (1992) Lying in Wait: The Use of Medical Beds in Acute Hospitals. London: HMSO.

    Google Scholar 

  • Australian Department of Human Services and Health Care (1994) National Casemix Education Series. Canberra: Australian Department of Human Services and Healthcare.

    Google Scholar 

  • Benis, W. and Nanus, B. (1985) Leaders: The Strategies for Taking Charge. New York: Harper & Row.

    Google Scholar 

  • Buchan, J. (1995) Casuals stay in fashion. Nursing Management, 1(9), pp. 24–5.

    PubMed  CAS  Google Scholar 

  • Butterworth, C. and Faugier, J. (1994) Clinical supervision: a position paper. Manchester: University of Manchester.

    Google Scholar 

  • Computer Aided Medical Systems (CAMS) (1991) Read Codes Enquiry Pack. London: HMSO.

    Google Scholar 

  • Cross, M. (1996a) Cracks in the code. Health Service Journal, (April), 106(5499).

    Google Scholar 

  • Cross, M. (1996b) Developing Read codes cost £3.7m. Health Service Journal, (May), 106(5501).

    Google Scholar 

  • Department of Health (1991) The Patient’s Charter. London: HMSO.

    Google Scholar 

  • Department of Health (1993) Changing Childbirth. Part 1. Report of Expert Maternity Group. London: DOH.

    Google Scholar 

  • Department of Health (1994) The Challenges for Nursing and Midwifery in the 21st Century. Heathrow Debate. London: HMSO.

    Google Scholar 

  • Ersser, S. (1988) Nursing Beds and Nursing Therapy in Primary Nursing: Nursing in the Bur ford and Oxford Nursing Development Units. London: Croom Helm.

    Google Scholar 

  • Evans, J. and Berman, B. (1985) Marketing. London: Collier Macmillan.

    Google Scholar 

  • Ferguson, L. and Picone, H. (1994) Casemix and Nursing Management. Module 8, May. Canberra: Australian department of Human Services and Health Care.

    Google Scholar 

  • Griffiths, P. and Evans, A. (1995) Evaluation of a Nursing-Led In-Patient Service. London: The King’s Fund Centre.

    Google Scholar 

  • Hammer, M. and Champy, J. (1993) Re-engineering the Corporation. A Manifesto for Business Revolution. London: Harper Business.

    Google Scholar 

  • Handy, C. (1989) The Age of Unreason. London: Business Books.

    Google Scholar 

  • Henry, B. Woods, S. and Nagelkerk, J. (1990) Nightingale’s perspective of nursing administration. Nursing and Health Care. 11(4).

    Google Scholar 

  • King’s Fund. (1992) London Health Care 2010. Changing the Future of Services in the Capital. London: King’s Fund.

    Google Scholar 

  • Kumarich, D., Biordi, D. and Milazzo-Chornick, N. (1990) The impact of the 23-hour patient on nursing workload. Journal of Nursing Administration. (November) 20(11).

    Google Scholar 

  • Legg, S. and Hennessy, M. (1996) Fair shares in practice. Nursing Management. 2(8), pp. 6–7.

    PubMed  CAS  Google Scholar 

  • MacGregor, A. and Sproull, A. (1991) Employer Labour Use Strategies: Analysis of National Survey. Employment Research paper No 83. Sheffield: Department of Employment.

    Google Scholar 

  • McConnell, E. A. (1992) Technology assessment: the road to appropriate equipment and care. Nursing Management, 23, pp. 64A–64H.

    Article  PubMed  CAS  Google Scholar 

  • Naish, J. (1995) Give up your power. Nursing Management. 2(6), pp. 6–7.

    Google Scholar 

  • NHS Centre for Coding and Classification (1993) Nursing Terms (Scoping) Project Conference. London: NHSME.

    Google Scholar 

  • NHS Executive (1995) Health Service Ombudsman’s Report on Complaints. London: NHS Executive Communications Unit.

    Google Scholar 

  • NHS Executive and Newchurch & Co. (1995) Sharpening the Focus. The Roles and Perceptions of Nursing in NHS Trusts. London: Newchurch & Co. Ltd.

    Google Scholar 

  • NHS Management Executive (1992) One Year On. The Nurse Executive Director Post. Department of Health and Central Office of Information.

    Google Scholar 

  • Pearson, A. (1983) The Clinical Nurse Unit. London: Heinemann.

    Google Scholar 

  • Redfern, S., Norman, I. et al. (1994) External review of the Department of Health funded Nursing Development Units: Consultation Seminar presented at King’s College, University of London.

    Google Scholar 

  • Senge P. (1990) The Fifth Discipline. The Art and Practice of the Learning Organisation. New York: Doubleday Currency.

    Google Scholar 

  • Shaw J. J. and Bosanquet, N. (1993) Nurse Development Units. A Way To Develop Nurses and Nursing. London: The King’s Fund Centre.

    Google Scholar 

  • Tomlinson, B. (1992) Report of the Inquiry into London Health Services, Medical Education and Research. London: HMSO.

    Google Scholar 

  • Turner, J. (1994) Current Issues in Acute Care: Re-configuring Acute Services. London: Institute of Health Services Management.

    Google Scholar 

  • United Kingdom Central Council for Nursing, Midwifery and Health Visiting (1987) Project 2000: The Final Proposals. London: UKCC.

    Google Scholar 

  • United Kingdom Central Council for Nursing, Midwifery and Health Visiting (1992) Code of Professional Conduct. London: UKCC.

    Google Scholar 

  • United Kingdom Central Council for Nursing, Midwifery and Health Visiting (1996) The Position Statement on Clinical Supervision. London: UKCC.

    Google Scholar 

  • US Office of Technology Assessment (1982) Strategies for Medical Technology Assessment. Washington, DC: US Government Printing Office.

    Google Scholar 

  • Victor, C., Nazareth, B., Hudson, M. and Fulop, N. (1994) The inappropriate use of acute hospital beds in an inner London: district health authority. Health Trends, 25(3), pp. 94–7.

    Google Scholar 

  • Warner, M. and Riley, C. (1994) Closer to Home, Health Care in the 21st Century. Research Paper 13. London: National Association for Health Authorities and Trusts.

    Google Scholar 

  • World Health Organisation (1991) Health For All Targets. Copenhagen: WHO.

    Google Scholar 

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© 1997 Sandra Legg and Helena Ellerington

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Legg, S., Ellerington, H. (1997). The Effects of Changes in Hospital Care on Community Health Care. In: Hennessy, D. (eds) Community Health Care Development. Community Health Care Series. Palgrave, London. https://doi.org/10.1007/978-1-349-13906-4_11

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  • DOI: https://doi.org/10.1007/978-1-349-13906-4_11

  • Publisher Name: Palgrave, London

  • Print ISBN: 978-0-333-64692-2

  • Online ISBN: 978-1-349-13906-4

  • eBook Packages: MedicineMedicine (R0)

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