Releasing Resources to Achieve Health Gain

289 Pages·2016·15.553 MB·English

by  Christopher Riley, Morton Warner, Amanda Pullen

Releasing Resources
to Achieve Health Gain

Releasing Resources
to Achieve Health Gain
Edited by
Christopher Riley
Associate Director
Welsh Health Planning Foaim
Cardiff
Morton Warner
Executive Director
Welsh Health Planning Forum
Cardiff
Carolyn Semple Piggot
Operations Manager
NHS Relations
Glaxo Pharmaceuticals (UK) Ltd
and
Amanda Pullen
Executive Director
International Advisory Board
Project Hope
with a Foreword by
John Wyn Owen
CRC Press
Taylor & Francis Group
Boca Raton London New York
CRC Press is an imprint of the
Taylor & Francis Group, an informa business
First published 1995 by Radcliffe Publishing
Published 2016 by CRC Press
Taylor & Francis Group
6000 Broken Sound Parkway NW, Suite 300
Boca Raton, FL 33487-2742
©1995 Christopher Riley, Morton Warner, Carolyn Semple Piggot, Amanda Pullen
CRC Press is an imprint of Taylor & Francis Group, an Informa business
No claim to original U.S. Government works
ISBN-13: 978-1-85775-018-8 (pbk)
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Contents
List of contributors ix
Foreword xiii
John Wyn Owen
Acknowledgements xvii
List of abbreviations xix
Introduction xxi
Releasing resources overview xxiii
Clive Smee
Part One Focusing Clinical Activity on Outcomes
1 Overview 1
Richard Lilford
2 Use of diagnostic imaging resources 9
Graham Whitehouse
3 Audit of x-ray referrals from a general practice 18
David Lyon
4 Pathology services 23
Vincent Marks
5 Rational prescribing in primary health care 31
Judy Clark
6 Asthma: an outcome-focused audit 37
Jack Solomon
vi Contents
7 Appropriate prescribing in hospitals 45
Michael Spencer
8 Achieving change by stealth 50
Harry Burns, Gillian Mcllwaine and Sarah Twaddle
9 Commissioning appropriate alcohol services 59
Chrissie Pic kin
Part Two Acting Now to Prevent Later Problems
10 Overview 69
Klim McPherson
11 Antenatal care patterns: horses for courses 82
Andrew Dawson
12 Mothers as partners in antenatal care 89
Kevan Thorley and Trish Rouse
13 Preventing low birth weight 97
Gay nor Bussell
14 Value for money in health promotion 106
Jeremy Corson
15 Health promoting hospitals in Europe 114
Dominic Harrison
16 Shifting the focus in dental care 124
Wayne Richards
17 Podiatric surgery: early interventions in foot health care 132
Nick Gilbert and Tom Galloway
18 Psychological aspects of early treatment interventions 143
Sue Gardner
19 Tertiary preventive programmes 149
Peter Donnelly
Part Three Doing Things Differently
20 Overview 157
Morton Warner
21 Supporting self-care: the buck stops here 166
Bill Holmes
22 The community pharmacist 174
Michael Chapman
23 Health promotion and self-care in later life 180
Janet Askham
Contents vii
24 Benefits of additional staff in primary care 189
Denys Wells
25 Nursing resources in primary care 197
Nesta Williams
26 Social and health care integration in Lyme Regis 206
Barry Robinson
27 Integrated care for asthma 214
Neil Drummond, Ken Buckingham, Ian Russell, Mona Abdalla, Sue Ross,
Jim Beattie, James Friend, Joe Legge and Graham Douglas
28 Tracking the financial shifts 223
Peter Brambleby
29 An alternative to the asylum 231
Donald Pendlebury
30 Physiotherapy in general practice 236
Geoff Hackett
Index 247

List of contributors
Dr Mona Abdalla Gaynor Bussell
Health Services Research Unit Womens Health Dietitian
University of Aberdeen University College London Hospitals
Polwarth Building Grafton Way
Foresterhill London, WC1E 6AU
Aberdeen, AB9 2ZD
Dr Peter Brambleby
Dr Janet Askham Consultant in Public Health
Deputy Director East Sussex Health Authority
Age Concern Institute of Gerontology Rutherford Business Park
King's College London Marley Lane
Cornwall House Annex East Sussex, TN33 OEZ
Waterloo Road
London, SE1 8TX Michael Chapman
Chapman's Chemist
DrJimBeattie 8 East Reach
Health Services Research Unit Taunton
University of Aberdeen Somerset, TA1 3EN
Polwarth Building
Foresterhill Judy Clark
Aberdeen, AB9 2ZD Pharmaceutical Advisor
Public Health and Health Policy
Dr Ken Buckingham NW Anglia Health Commission
Health Services Research Unit St John's
University of Aberdeen Thorpe Road
Polwarth Building Peterborough, PE3 6jG
Foresterhill
Aberdeen, AB9 2ZD Dr Jeremy Corson
Chief of Public Health and Information
Dr Harry Burns Health Promotion Wales
Director of Public Health Medicine Ffynnon-las
Greater Glasgow Health Board Ty Glas Avenue
112 Ingram Street Llanishen
Glasgow, Gl 1ET Cardiff, CF4 5DZ