Student nurses in the primary care network: a pilot

2021 ◽  
Vol 32 (3) ◽  
pp. 102-106
Author(s):  
Shaun Heath ◽  
Rebecca Wilcox ◽  
Silvia Leonelli
Keyword(s):  
Primary Care ◽  
Integrated Care ◽  
Future Development ◽  
Student Nurses ◽  
Hub And Spoke ◽  
London Borough ◽  
Care Network ◽  
Nurse Leadership ◽  
Primary Care Workforce ◽  
The Future

Shaun Heath, Rebecca Wilcox and Silvia Leonelli discuss how South East London developed a hub and spoke placement pilot to place students in primary care networks, rather than with individual practices With support from Capital Nurse, primary care in South East London developed a hub and spoke placement pilot to support student nurses in a primary care network (PCN). Two groups of students were placed in two PCN's, one in an inner London borough (PCN 1) and another in an outer London borough (PCN 2). Our pilot had substantial benefits for the students, the assessors/supervisors, the PCN and, ultimately, the future development of the primary care workforce. We advocate developing strong nurse leadership within the PCN to support and grow the educational unit, and we recommend that recurrent funding be made available to support this and the preceptorship programmes within the Sustainability and Transformation Partnerships (STP)/Integrated Care System (ICS).

FRI0512 INTEGRATED CARE NETWORK AS A BUILDING STONE FOR SUSTAINABLE AND COMPREHENSIVE CARE FOR PATIENTS WITH ARTHRALGIA

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 855.1-855
Author(s):  
E. Van Delft ◽  
K. H. Han ◽  
J. Hazes ◽  
D. Lopes Barreto ◽  
A. Weel
Keyword(s):  
Primary Care ◽  
Usual Care ◽  
Integrated Care ◽  
Usual Care Group ◽  
Inflammatory Arthritis ◽  
Care Setting ◽  
Primary Care Setting ◽  
Care Group ◽  
Care Network ◽  
The Right

Background:Western countries experience an increasing demand for care, particularly for inflammatory arthritis (IA), while the healthcare budget decreases1. The innovative value-based primary care strategy2includes integrated care networks, where primary and secondary care bundle their expertise to improve patient value by providing the right care at the right place.General practitioners (GPs) have difficulties recognising IA, leading up to only 20% IA diagnoses of all newly referred arthralgia patients. However, since IA needs to be treated as early as possible to overcome progression, it is worthwhile to analyse whether integrated care networks have an impact on patient outcomes and cost-effectiveness. Triage by a rheumatologist in a primary care setting is one of the most promising integrated care networks for efficient referrals3.Objectives:To assess the effect of triage by a rheumatologist in a primary care setting in patients suspect for inflammatory arthritis.Methods:The present study follows a cluster randomized controlled trial design. The intervention, triage by a rheumatologist in a local primary care centre, will be compared to usual care. Usual care means that patients are referred to a rheumatology outpatient clinic based on the opinion of the general practitioner.The primary outcome is the frequency of IA diagnoses assessed by a rheumatologist. Patient reported outcome measures (PROMs (EQ-5D)) and costs (work productivity (iPCQ) and healthcare utilization (iMCQ)) were determined at baseline, after three, six and twelve months. The target was to include 267 patients for each study group (power level 0.8). Since this study is still ongoing we can only show first results on the efficiency of referrals.Results:In the period between February 2017 and December 2019 a total of 543 participants were included; 275 in the usual care group and 268 in the triage group. Mean age (51.3 ± 14.6 years) and percentage of men (23.6%) were comparable between groups (page=0.139; psex=0.330).The preliminary data show that the number of referred patients in the triage group is n=28 (10.5%) (Fig. 1). 32 patients (11.9%) were not referred directly but advice was given for additional diagnostics. Since all patients in the usual care group were referred there is a decrease of at least 77.6% in referrals when rheumatologists are participating in the integrated practice units.Preliminary data on diagnosis are available for all referred patients in the triage group and for n=137 (49.8%) in the usual care group at this point. In the triage group n=18 (64.2%) of referred patients were diagnosed with IA (6.7% of the total study population). In the usual care group this was n=52 (38.0%) of the patients yet diagnosed.Conclusion:These preliminary results of an integrated care network are promising. Approximately three-quarters of all patients can be withheld from expensive outpatient care. PROMs data and cost-effectiveness analysis will give clear answers in order to provide evidence whether this integrated care network can be implemented as a standard of care.References:[1] Rijksoverheid. (2018). Bestuurlijk akkoord medisch-specialistische zorg 2019 t/m 2022.https://www.rijksoverheid.nl/.[2] Porter ME, Pabo EA, Lee TH. (2013). Redesigning Primary Care: a strategic vision to improve value by organizing around patients’ needs. Health affairs, 32(3);516-525[3] Akbari A, et al. (2008). Interventions to improve outpatient referrals from primary care to secondary care. Cochrane Database Syst Rev, 4,CD005471.Disclosure of Interests:None declared

scholarly journals Using recruitment and selection to build a primary care workforce for the future

2019 ◽  
Vol 30 (3) ◽  
pp. 128-132 ◽  
Author(s):  
Celia Brown ◽  
Chris McManus ◽  
Ian Davison ◽  
Paramjit Gill ◽  
Richard Lilford
Keyword(s):  
Primary Care ◽  
Primary Care Workforce ◽  
The Future ◽  
Recruitment And Selection

scholarly journals Learning Health Care Network Heart Failure: towards a better Heart Failure care in Belgium

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
K Baldewijns ◽  
M Smeets ◽  
H Vandenhoudt
Keyword(s):  
Heart Failure ◽  
Primary Care ◽  
Health Care ◽  
Patient Education ◽  
Integrated Care ◽  
Professional Education ◽  
Discharge Planning ◽  
Scale Up ◽  
Care Network ◽  
Health Care Network

Abstract Funding Acknowledgements Type of funding sources: Foundation. Main funding source(s): Koning Boudewijn Stichting, Fonds Dr. Daniel De Konick Background The best HF-care is provided in a seamless system that includes both community- and hospital care to avoid hospital readmission. Essential elements to included in such a system are a.o. discharge planning, follow-up, multidisciplinary patient education, teamwork incl. shared professional education, medication optimisation and implementation of care pathways across settings.  Purpose To facilitate seamless HF-care in Belgium trough capacity building in primary care and improved communication between primary and specialist care. Methods HeartsConnect, a Learning Health care Network Heart Failure (LHCN-HF) was established and unites eight regional integrated care projects in Flanders, the Flemish speaking region of Belgium. This LHCN-HF organizes regular symposia on relevant topics for their members. Furthermore, materials to facilitate professional and patient education are being developed. To scale-up integrated care the LHCN-HF works together with several stakeholders. In addition, the process and results of the participating projects will be evaluated. Results Four symposia have taken place since the start of the LHCN. The discussed topics were project evaluation and data collection, the roles in a multidisciplinary team, data sharing and best practises. Narrated PowerPoints considering HF-management for GP’s, pharmacists and physiotherapists are being developed in collaboration with their professional associations. To scale-up integrated HF-care, the LHCN-HF works in close collaboration with the Belgian Working Group on Heart Failure and the Flemish Hospital Network. Together with national organizations the LHCN strives for the recognition of HF-nurses, standardized discharge planning, reimbursement of NT-pro-BNP and HF-education and the training of primary care nurses (PCN) in terms of HF-education, aligned with the existing initiatives of HF-nurse education. Conclusion  At this moment a seamless system of HF-care is not yet in place in Belgium. However, the LHCN-HF together with several HF-stakeholders aims to bridge existing gaps between primary- and specialist HF-care.

Primary Care and Public Health: A Vision for the Future

PsycCRITIQUES ◽  
2013 ◽  
Vol 58 (11) ◽  
Author(s):  
Patrick H. DeLeon ◽  
Michaela Shafer
Keyword(s):  
Public Health ◽  
Primary Care ◽  
The Future

Obecny stan badań nad Zagładą na Ukrainie

2014 ◽  
pp. 889-915
Author(s):  
Anna Abakunkova
Keyword(s):  
Future Development ◽  
The State ◽  
Significant Part ◽  
Educational Organizations ◽  
Major Research ◽  
Holocaust Studies ◽  
The Holocaust ◽  
The Future

The article examines the state of the Holocaust historiography in Ukraine for the period of 2010 – beginning of 2014. The review analyzes activities of major research and educational organizations in Ukraine which have significant part of projects devoted to the Holocaust; main publications and discussions on the Holocaust in Ukraine, including publications of Ukrainian authors in academic European and American journals. The article illustrates contemporary tendencies and conditions of the Holocaust Studies in Ukraine, defines major problems and shows perspectives of the future development of the Holocaust historiography in Ukraine.

Remedies for Breach of Contract: The Future Development of Scots Law in its European and International Context

1997 ◽  
Vol 1 (2) ◽  
pp. 200-226 ◽  
Author(s):  
Hector L MacQueen
Keyword(s):  
Future Development ◽  
European Contract ◽  
Breach Of Contract ◽  
International Context ◽  
The United Kingdom ◽  
Current State ◽  
The Future ◽  
University Of Edinburgh ◽  
International Conventions ◽  
Law Commission

This paper,first presented on 21 October 1995 at ajoint seminar ofthe Scottish Law Commission and the Faculty of Law, University of Edinburgh, on the subject of breach of contract, considers the future development of the law in this area, first by considering its history and current state in comparative terms and drawing the conclusion that it is characterised by a mixture of Civilian and Common Law elements; second, by comparing Scots law with the provisions on breach contained in recently published proposals for a harmonised law of contract (the UNIDROIT Principles of International Commercial Contracts, the Principles of European Contract Law prepared by the Lando Commission, and the draft “code”for the United Kingdom prepared on behalf of the English Law Commission by Harvey McGregor in the late 1960s) and in international conventions on the sale of goods. Although Scots law emerges reasonably wellfrom this exercise, there are a number of points to be taken on board in any future reform, as well as some insights into important underlying principles.

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