Submitted by info@whitespace... on Thu, 03/13/2014 - 12:30
Developed after public meetings around Scotland, it calls on people to take more responsibility for their own health, view the NHS as a service delivered mainly in local communities rather than hospitals, anticipate and prevent rather than react.
It leads to Delivering for Health, a programme of action to implement the recommendations. The framework was developed by a team headed by Glasgow-born Professor David Kerr, a cancer expert at Oxford University.
Submitted by info@whitespace... on Thu, 03/13/2014 - 12:28
This highlights the huge transformation in the role of ambulance crews over sixty years. Basic stretcher bearers with first aid training at that time, they are now highly trained clinicians diagnosing and treating patients at the scene rather than just ferrying them to hospital.
In 1948, various fleets were operated by hospitals, the Red Cross, St Andrew’s Ambulance Association and the National Coal Board.
Submitted by info@whitespace... on Thu, 03/13/2014 - 12:26
The commission is chaired by Sir Stewart Sutherland, then principal of Edinburgh University.
There had been stories of pensioners forced to leave residential homes with their savings exhausted, or to sell their houses.
But the cost to the NHS of looking after increasing numbers of the elderly had been highlighted by Aneurin Bevan himself way back in 1949. Free personal care half a century later became a flagship Scottish policy.
Submitted by info@whitespace... on Thu, 03/13/2014 - 12:18
The tone of policy is different in Scotland which stresses longer-term planning and integration of services as opposed to England which encourages a range of health care providers and a modified version of the market model.
The 47 Scottish trusts are merged into 28. Local Health Care Co-operatives are created to bring local services together and managed clinical networks are promoted to co-ordinate treatment from family doctor to specialist diseases such as diabetes and heart disease.
Submitted by info@whitespace... on Thu, 03/13/2014 - 12:08
Applying to a range of other services, one of the main results is closure of large, long-stay hospitals for people with mental health problems or learning disabilities.
Treatment of mental illness benefits from new drug therapies from the early days of the NHS. In 1949 Dingleton Hospital in the Borders was one of the first in the world to unlock its wards allowing patients access to the wider community.
Submitted by info@whitespace... on Thu, 03/13/2014 - 12:03
The UK White Paper Working for Patients, published in January, sets out the policy which sees patients more as consumers and introduces an “internal market” with separate purchasers and providers of services.