Navigation Links
Deliberation on hospital closures

According to an article in this week’s British Medical Journal, the doctors must contemplate the subject of hospital closures//.

General practitioner, Richard Lehman writes that this matter in spite of becoming a major news has never been debated on national level in the profession.

Over the past 15 years there has been much talk of centralising services, and many local campaigns over individual threatened local hospitals, but little systematic collection of evidence to inform decision making, he says. Instead the process has been driven largely by financial pressures, by the European Working Time Directive and its effects on junior doctors' staffing, and recommendations from the royal colleges.

Inevitably these pressures have driven hospitals to amalgamate services, at some cost to local accessibility. Equally inevitably such moves are deeply unpopular with patients, who may have to travel considerable distances for acute care that used to be on their doorstep.

The services most likely to be cut or merged throughout Britain are paediatrics, obstetrics, and emergency services – the very ones that patients particularly want to be near.

This presents a dilemma for trusts seeking to maintain a lower level of service, for example by substituting a midwife led birth unit for a consultant led obstetric service. Such units only accept "low risk" births, but emergencies inevitably occur, requiring transit to the nearest consultant led facility. If considerations of cost are allowed to predominate that may be a very long distance, he warns.

This issue is one of several that need to be debated urgently before a further wave of such changes sweeps the country, he writes. It cannot be timed or located to suit electoral convenience.

We need clearer guidance on issues such as safe transit times for paediatric and obstetric emergencies, and we need more creative thinking on shared site working and flexible train ing rotas.

It is time for GPs to reassert their role as patients' advocates, defending the principle of local care for local people, he says. If doctors do not take an active role in questioning the present direction of policy then the public will rightly see us as more interested in our own career structures and hours of working than in providing a safe and accessible service.

Source-Eurekalert
GY
'"/>




Related medicine news :

1. Greater volume hospitals better for stroke
2. Spurt in hospital admissions following football shoot-outs
3. Machines take over the battle against hospital bugs
4. New way to control hospital infection
5. Indian hospitals require International Accreditation
6. Improved parent-physician communication to prevent hospitalizations for childhood asthma
7. German hospital established in Kashmir for earthquake relief
8. Unsafe Injections and Unclean Hand hygiene major cause of hospital infections in India
9. Religious Leaders condemn determination of sex in hospitals
10. Mughal era Hamams and hospital discovered at Fatehpur Sikri
11. Community hospitals inundated with Psychiatric care cases (12%)
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:10/13/2017)... ... , ... While it’s often important to take certain medications during the night, ... has identified a solution. , She developed a prototype for MOTION LIGHT-UP PILL BOX ... eliminates the need to turn on a light when taking medication during the night, ...
(Date:10/13/2017)... ... October 13, 2017 , ... ... alumni Hannah Randall, PharmD ‘17, and Jennifer Huggins, PharmD ’17, along with ... for the primary prevention of cardiovascular diseases during the 15th Annual Women’s ...
(Date:10/13/2017)... ... ... The Visiting Nurse Association (VNA) of Somerset Hills is proud to host ... items from across the nation, this holiday-themed event will raise funds and awareness for ... The boutique will be open Saturday, November 4 (10:00 a.m. – 5:00 p.m.) ...
(Date:10/13/2017)... ... , ... Talented host, actor Rob Lowe, is introducing a ... episode of "Success Files," which is an award-winning educational program broadcasted on PBS ... in-depth with passion and integrity. , Sciatica occurs when the sciatic nerve in ...
(Date:10/12/2017)... ... 2017 , ... First Healthcare Compliance (FHC), an industry leader ... range of technology and learning solutions at the 68th Annual American Healthcare Association ... held October 14–18, 2017 at the Mandalay Bay Resort in Las Vegas, Nevada. ...
Breaking Medicine News(10 mins):
(Date:9/28/2017)... Hill-Rom Holdings, Inc. (NYSE: HRC), will host ... webcast on Friday, November 3, 2017, beginning at 7:00 ... approximately 8:30 a.m. (CDT) / 9:30 a.m. (EDT). ... performance and guidance for 2018, Hill-Rom executives will also ... performance, and long-range financial outlook through 2020. ...
(Date:9/25/2017)... 25, 2017  EpiVax, Inc., a leader in ... immune-engineering today announced the launch of EpiVax Oncology ... personalized therapeutic cancer vaccines. EpiVax has provided $500,000 ... to enabling technologies to the new precision immunotherapy ... EpiVax Oncology as Chief Executive Officer. Gad brings ...
(Date:9/19/2017)... --  ZirMed Inc ., a recognized leader in cloud-based revenue ... been ranked #1 by its users for the seventh consecutive ... Survey. ZirMed was recognized as the top-ranked end-to-end revenue cycle ... over 200 beds and holds one of the longest #1 ... ...
Breaking Medicine Technology: