The vital voice of the commissioning nurse
Providing a unique patient viewpoint and strategic clinical insight, commissioning nurses are making an invaluable contribution to clinical commissioning across England. Their voice must continue to be heard, writes Jim Connolly. Related items fromOnMedica Nurses to gain formal recognition for enhanced skills Sharp drop in older applicants for nursing degree courses NHS frontline victim of ‘boom and bust’ approach to workforce RCN slams plans to ‘replace’ nurse posts with associates England faces a shortfall of 42,000 nurses by 2020 (Source: OnMedica Views)
Source: OnMedica Views - June 20, 2017 Category: Primary Care Source Type: news

How can the NHS harness the power of clinicians and accountants to deliver value?
Closer working between clinical and financial colleagues can yield a range of benefits, argues Mark Orchard Related items fromOnMedica What lies ahead for local clinical commissioning? Commissioners ‘failing’ to consider wider societal issues Lead medics urge government to be honest over NHS spending NHS trusts under rising pressure to make savings Cuts to addiction services in England are ‘a false economy’ (Source: OnMedica Views)
Source: OnMedica Views - June 13, 2017 Category: Primary Care Source Type: news

Is your practice at risk of ‘last man standing’?
Medical accountant James Gransby explains how to protect yourself against a collapse in your GP partnership Related items fromOnMedica When do practices require a lease? Collaboration key to coping with GP challenges GP leader urges caution over ‘super-hub’ general practice Over a third of GPs in Scotland plan to retire in the next five years BMA calls for maximum number of patients per GP (Source: OnMedica Views)
Source: OnMedica Views - June 6, 2017 Category: Primary Care Source Type: news

Why doctors should not lose heart if they make a mistake
Dr Pallavi Bradshaw reflects on Lord Justice Jackson ’s comment that “even good and conscientious doctors may, from time to time, fall short” Related items fromOnMedica Help offered to medical students in crisis New guidance spells out doctors ’ duty of candour to admit mistakes A&E four-hour target only for ‘urgent’ patients Excessive workload driving GPs to breaking point (Source: OnMedica Views)
Source: OnMedica Views - May 31, 2017 Category: Primary Care Source Type: news

The importance of tackling iron deficiency in heart failure patients
Nick Hartshorne-Evans explains how failing to address iron deficiency in heart failure patients increases the risk of hospitalisation Related items fromOnMedica Daily iron supplement during pregnancy improves birthweight Higher iron levels linked to gestational diabetes Iron deficiency anaemia: how far should we investigate? (Source: OnMedica Views)
Source: OnMedica Views - May 30, 2017 Category: Primary Care Source Type: news

Acting without delay
How the independent sector is helping the NHS reduce delayed discharges Related items fromOnMedica High bed occupancy rates threaten patient safety The incredible invisible bed crisis Patient waits nearly four years for hospital discharge Delayed discharges hit highest level since records began Integrated health and social care workforces is the future (Source: OnMedica Views)
Source: OnMedica Views - May 23, 2017 Category: Primary Care Source Type: news

Making mental health patients ’ voices heard in the 2017 general election
Dr Jed Boardman outlines how mental health trusts can help patients under their care exercise their right to vote Related items fromOnMedica NHS should be ‘at the forefront’ of general election debate, RCGP says Politicians warned not to let Brexit dominate the general election Tories promise 10,000 more mental health staff Increase in children with mental health problems treated ‘out of area’ Spending on public mental health is ‘negligible’ (Source: OnMedica Views)
Source: OnMedica Views - May 10, 2017 Category: Primary Care Source Type: news

Getting to grips with fitness to practise investigations
Receiving a letter from the GMC questioning fitness to practise is a stressful time for doctors. Marie Dancer, fitness to practise specialist, gives an overview of the investigation process Related items fromOnMedica Disciplinary shake-up Revalidation works well but can be a burden, says review Health safety investigation plans need more work GMC gets new powers to challenge tribunal decisions GMC decisions ‘fair and consistent’ (Source: OnMedica Views)
Source: OnMedica Views - May 5, 2017 Category: Primary Care Source Type: news

The value of lay members
The move toward place-based planning across the health sector places accountability and governance at the centre of debate. Lay members, according to Susanne Hasselmann, will be crucial in making sure local areas get it right Related items fromOnMedica Pressure increases on CCGs to meet GP access targets Three quarters of CCGs miss child mental health target GPs warned over potential conflicts of interest in CCG decisions The evolution of a CCG lay member A lay perspective on collaborative patient engagement (Source: OnMedica Views)
Source: OnMedica Views - May 2, 2017 Category: Primary Care Source Type: news

Integrated health and social care workforces is the future
Jon Parry, principal research manager at Skills for Health and Justice, reveals the findings of new research into the future of care provision in the UK Related items fromOnMedica Ealing ’s integrated care journey: learning from international models Engage public with resource prioritisation Approaches to integrated care ‘too top down’, says health alliance Primary Care Home has positive impact on care and services Practice sees huge benefits from integration (Source: OnMedica Views)
Source: OnMedica Views - April 25, 2017 Category: Primary Care Source Type: news

Developing and using a tool to improve outcomes in colorectal cancer
With rising demand for health services putting pressure on resources, it is more important than ever to make sure services are cost-effective and efficient Related items fromOnMedica Statins might not cut colorectal cancer risk after all More than one in 20 colorectal cancers missed by colonoscopy Colorectal cancer patients survive longer if overweight More than half of new bowel cancer screen test invitees fail to take up offer (Source: OnMedica Views)
Source: OnMedica Views - April 18, 2017 Category: Primary Care Source Type: news

The end of the purchaser/provider split?
With news of a potential shift to accountable care organisations, David Hare considers whether the move spells the end for the purchaser/provider divide Related items fromOnMedica CCGs facing huge challenges in balancing books 'Almost £1bn of new NHS cash spent on independent sector providers' NHS trusts under rising pressure to make savings Sustainability and Transformation Plans Stick with STPs, government and NHS urged (Source: OnMedica Views)
Source: OnMedica Views - April 11, 2017 Category: Primary Care Source Type: news

Brexit business has become real – the NHS must keep watch
With Article 50 now triggered and Brexit negotiations to begin in fervour, Elisabetta Zanon considers what lies ahead for the NHS and social care over the next two years and beyond Related items fromOnMedica Brexit and cancer research UK must retain and attract ‘scientific talent’ post Brexit, insist Peers Brexit could bar child patients from cancer trials Brexit fears prompting EU nurses to desert UK, says RCN Brexit white paper unveiled: what next for the NHS? (Source: OnMedica Views)
Source: OnMedica Views - March 29, 2017 Category: Primary Care Source Type: news

Tackling hepatitis C
Helen Harris outlines the firm foundation for working towards eliminating hepatitis C as a major public health threat in England Related items fromOnMedica GPs should administer Hep C therapy, says WHO Half of people with hepatitis C don ’t know they have it Widespread hepatitis C screening may do more harm than good Hepatitis C screening Hepatitis C - where do we stand on the road to elimination? (Source: OnMedica Views)
Source: OnMedica Views - March 28, 2017 Category: Primary Care Source Type: news

The next generation of prenatal testing: let ’s proceed with caution
Catherine Joynson, from the Nuffield Council on Bioethics, discusses a new prenatal screening test launching in 2018 Related items fromOnMedica Leading the way with NHS Screening Programmes Blood test identifies high-risk lupus pregnancies Maternity care to become more ‘personalised’ New NHS screening for Down's expected soon (Source: OnMedica Views)
Source: OnMedica Views - March 20, 2017 Category: Primary Care Source Type: news