RCGP Policy Watch
18 July 2014
Acute and emergency care: prescribing the remedy (College of Emergency Medicine)
The College of Emergency Medicine, Royal College of Paediatrics and Child Health, Royal College of Physicians and Royal College of Surgeons have published their report on emergency medicine, outlining 13 recommendations to make a sustainable and resilient emergency medicine system. The report recommends that A&Es should have a primary care out-of-hours facility on site, the capacity to have extra senior staff at time of peak activity and staff contracts which facilitate a fair work/life balance.
Prevention not cure: Health on the high street key to NHS survival according to new report (Pharmacy Voice)
Pharmacy Voice has called upon public and policy makers to look beyond General Practice as the only provider of primary care. ‘We Are Primary Care’ argues that as policy makers seek to move care into the community, there needs to be an understanding that GP services may not always be the most appropriate service.
Visitor and Migrant NHS Cost Recovery Programme (DoH)
The Secretary of State for Health, Jeremy Hunt, has announced plans to recover medical costs from non-EEA visitors. Visitors from outside the EEA will now be charged the cost of the care and an extra 50 per cent, and non-EEA migrants who are here for longer than 6 months will be charged a health surcharge when the make an application for leave.
NICE unveils safe staffing plans for nursing care in wards (NICE)
The National Institute for Health and Care Excellence has responded to public concerns of patient safety by publishing guidance on safe staffing levels in wards providing over night care. NICE have outlined red flag events, such as an inability to provide pain relief or assist someone in going to the bathroom, when levels of nursing staff must be addressed to ensure a good quality of care is provided.
Wider use of statins could cut deaths from heart disease (NICE)
New Guidelines from the National Institute for Health and Care Excellence has recommended giving statins to any one with a 10 per cent chance of developing cardiovascular disease, which could save up to 8,000 lives. The guidelines mean 4.5 million people could be eligible for the treatment, and NICE recommends that GPs start treatment with atorvastatin 20 mg.
Enable more NHS organisations to become mutuals and devolve decision-making says independent review (King’s Fund)
An independent review by the King’s Fund has concluded that NHS organisations should be encouraged to become staff-led mutuals, claiming that workforces with high staff engagement provide better care. The review found that there are wide variations of staff engagement across the NHS, and argued that areas with high engagement have lower mortality, less sick leave and a lower staff turnover.