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A survey of access to medical services in nursing and residential homes in England
- Authors:
- GLENDINNING Caroline, et al
- Journal article citation:
- British Journal of General Practice, 52(480), July 2002, pp.545-548.
- Publisher:
- Royal College of General Practitioners
A survey was conducted within the 72 English primary care groups/trusts (PCG/Ts) used in the National Tracker Survey of PCG/Ts to investigate patterns of access to medical services for residents in homes for older people. A structured questionnaire was used to investigate home characteristics, numbers of general practitioners (GPs) or practices per home, homes' policies for registering new residents with GPs, existence of payments to GPs, GP services provided to homes, and access to specialist medical care. Wide variations in the numbers of GPs providing services to individual homes were found and this was not entirely dependent on home size. Eight percent of homes paid local GPs for their services to residents; these were more likely to be nursing homes than residential homes and larger homes. Homes paying local GPs were more likely to receive one or more additional services, over and above GPs' core contractual obligations. Few homes had direct access to specialist clinicians. These extensive variations in homes' policies and local GP services raise serious questions about patient choice, levels of GP services and, above all, about equity between residents within homes, between homes and between those in homes and in the community.
A charge too far
- Author:
- GLENDINNING Caroline
- Journal article citation:
- Community Care, 11.7.02, 2002, pp.34-36.
- Publisher:
- Reed Business Information
Looks at the introduction of penalties for local authorities that fail to prevent delayed discharges, and corresponding incentives for hospitals. The author argues that this does not take into account the complexity of care services. Looks at the differences between the Swedish and UK model.
Partnerships performance and primary care: developing integrated services for older people in England
- Authors:
- GLENDINNING Caroline, COLEMAN Anna, RUMMERY Kirstein
- Journal article citation:
- Ageing and Society, 22(2), March 2002, pp.185-208.
- Publisher:
- Cambridge University Press
Critically examines recent policy developments in England aimed at improving health and social services for older people. Summarises the current funding and organisation of services for older people, and highlights some key problem areas. Highlights three main policy themes that are shaping services: an emphasis on partnership; active demonstration of improved performance; and increasing involvement of frontline health professional in decisions of services development. Considers the implications and impact of these factors on the development of services for older people, and discusses whether health service developments are likely to address some of the most pressing needs of older people.