Biomedical subjects
Publications and source records attributed to Carol Lewis.
Sexual health appears to be an ideal candidate for a managed clinical network, although there are doubts about whether networks deliver better patient care. With no dedicated staff, clinicians have to put in much of their own time to establish and run a network. For SWAGNET in south-west London, Inclusion is a problem. HIV teams are large and multidisciplinary--everyone needs to be represented.
The psychiatrist vacancy rate means job redesign is inevitable if the mental health national service framework is to be achieved. The issue of patient responsibility is causing concern among some clinicians. Avon and Wiltshire Mental Health Partnership trust is making progress in changing referral system.
The time between a myocardial infarction patient arriving at hospital and receiving life-saving drugs is decreasing. Schemes to speed up care include paramedics administering thrombolytic drugs. Hospitals are also finding ways of speeding up admission patients.
PCTs are likely to miss the national target on employment of graduate mental health workers. Pilots are showing success in reducing referrals. Managers must address career progression problems and define roles more clearly.
Redesigning the diabetes team has meant national service framework targets have been hit. A trained technician has proved as adept in the diabetes review role as clinicians. The role of technician could be adapted to different specialties, such as asthma and coronary heart disease.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Remember. Good communication Safe and effective practice Nurse prescribing relies on nursing skills Detailed assessment Non-drug options Check the patient's understanding Reflect and learn.
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