Abstract
Health care is being affected by a number of trends, all of which will impact upon the delivery of services within the NHS and beyond. Fundamental changes in the delivery of services within acute and primary care, together with the changing shape of nursing, have created opportunities for the profession to influence the alternative patterns of health and social care delivery. These issues will be addressed in this chapter, together with the opportunities that exist for building bridges between the plethora of health and social care, and voluntary organisations. Lessons learnt from the challenges and opportunities that hospital nurses face will be applied to community nurses as they develop the government agenda of a more primary care led service.
‘With a lever long enough ... single-handed I can move the world.’
(Archimedes)
This is a preview of subscription content, log in via an institution.
Preview
Unable to display preview. Download preview PDF.
References
Armstrong M. (1992) Human Resources Management: Strategy and Action. London: Kogan Page.
Atkinson, J. and Meager, N. (1986) New Forms of Work Organisation. Brighton: Institute of Manpower Studies.
Audit Commission (1992) Lying in Wait: The Use of Medical Beds in Acute Hospitals. London: HMSO.
Australian Department of Human Services and Health Care (1994) National Casemix Education Series. Canberra: Australian Department of Human Services and Healthcare.
Benis, W. and Nanus, B. (1985) Leaders: The Strategies for Taking Charge. New York: Harper & Row.
Buchan, J. (1995) Casuals stay in fashion. Nursing Management, 1(9), pp. 24–5.
Butterworth, C. and Faugier, J. (1994) Clinical supervision: a position paper. Manchester: University of Manchester.
Computer Aided Medical Systems (CAMS) (1991) Read Codes Enquiry Pack. London: HMSO.
Cross, M. (1996a) Cracks in the code. Health Service Journal, (April), 106(5499).
Cross, M. (1996b) Developing Read codes cost £3.7m. Health Service Journal, (May), 106(5501).
Department of Health (1991) The Patient’s Charter. London: HMSO.
Department of Health (1993) Changing Childbirth. Part 1. Report of Expert Maternity Group. London: DOH.
Department of Health (1994) The Challenges for Nursing and Midwifery in the 21st Century. Heathrow Debate. London: HMSO.
Ersser, S. (1988) Nursing Beds and Nursing Therapy in Primary Nursing: Nursing in the Bur ford and Oxford Nursing Development Units. London: Croom Helm.
Evans, J. and Berman, B. (1985) Marketing. London: Collier Macmillan.
Ferguson, L. and Picone, H. (1994) Casemix and Nursing Management. Module 8, May. Canberra: Australian department of Human Services and Health Care.
Griffiths, P. and Evans, A. (1995) Evaluation of a Nursing-Led In-Patient Service. London: The King’s Fund Centre.
Hammer, M. and Champy, J. (1993) Re-engineering the Corporation. A Manifesto for Business Revolution. London: Harper Business.
Handy, C. (1989) The Age of Unreason. London: Business Books.
Henry, B. Woods, S. and Nagelkerk, J. (1990) Nightingale’s perspective of nursing administration. Nursing and Health Care. 11(4).
King’s Fund. (1992) London Health Care 2010. Changing the Future of Services in the Capital. London: King’s Fund.
Kumarich, D., Biordi, D. and Milazzo-Chornick, N. (1990) The impact of the 23-hour patient on nursing workload. Journal of Nursing Administration. (November) 20(11).
Legg, S. and Hennessy, M. (1996) Fair shares in practice. Nursing Management. 2(8), pp. 6–7.
MacGregor, A. and Sproull, A. (1991) Employer Labour Use Strategies: Analysis of National Survey. Employment Research paper No 83. Sheffield: Department of Employment.
McConnell, E. A. (1992) Technology assessment: the road to appropriate equipment and care. Nursing Management, 23, pp. 64A–64H.
Naish, J. (1995) Give up your power. Nursing Management. 2(6), pp. 6–7.
NHS Centre for Coding and Classification (1993) Nursing Terms (Scoping) Project Conference. London: NHSME.
NHS Executive (1995) Health Service Ombudsman’s Report on Complaints. London: NHS Executive Communications Unit.
NHS Executive and Newchurch & Co. (1995) Sharpening the Focus. The Roles and Perceptions of Nursing in NHS Trusts. London: Newchurch & Co. Ltd.
NHS Management Executive (1992) One Year On. The Nurse Executive Director Post. Department of Health and Central Office of Information.
Pearson, A. (1983) The Clinical Nurse Unit. London: Heinemann.
Redfern, S., Norman, I. et al. (1994) External review of the Department of Health funded Nursing Development Units: Consultation Seminar presented at King’s College, University of London.
Senge P. (1990) The Fifth Discipline. The Art and Practice of the Learning Organisation. New York: Doubleday Currency.
Shaw J. J. and Bosanquet, N. (1993) Nurse Development Units. A Way To Develop Nurses and Nursing. London: The King’s Fund Centre.
Tomlinson, B. (1992) Report of the Inquiry into London Health Services, Medical Education and Research. London: HMSO.
Turner, J. (1994) Current Issues in Acute Care: Re-configuring Acute Services. London: Institute of Health Services Management.
United Kingdom Central Council for Nursing, Midwifery and Health Visiting (1987) Project 2000: The Final Proposals. London: UKCC.
United Kingdom Central Council for Nursing, Midwifery and Health Visiting (1992) Code of Professional Conduct. London: UKCC.
United Kingdom Central Council for Nursing, Midwifery and Health Visiting (1996) The Position Statement on Clinical Supervision. London: UKCC.
US Office of Technology Assessment (1982) Strategies for Medical Technology Assessment. Washington, DC: US Government Printing Office.
Victor, C., Nazareth, B., Hudson, M. and Fulop, N. (1994) The inappropriate use of acute hospital beds in an inner London: district health authority. Health Trends, 25(3), pp. 94–7.
Warner, M. and Riley, C. (1994) Closer to Home, Health Care in the 21st Century. Research Paper 13. London: National Association for Health Authorities and Trusts.
World Health Organisation (1991) Health For All Targets. Copenhagen: WHO.
Editor information
Editors and Affiliations
Copyright information
© 1997 Sandra Legg and Helena Ellerington
About this chapter
Cite this chapter
Legg, S., Ellerington, H. (1997). The Effects of Changes in Hospital Care on Community Health Care. In: Hennessy, D. (eds) Community Health Care Development. Community Health Care Series. Palgrave, London. https://doi.org/10.1007/978-1-349-13906-4_11
Download citation
DOI: https://doi.org/10.1007/978-1-349-13906-4_11
Publisher Name: Palgrave, London
Print ISBN: 978-0-333-64692-2
Online ISBN: 978-1-349-13906-4
eBook Packages: MedicineMedicine (R0)