Download Free Government Response To The House Of Commons Health Committee Report On Gp Out Of Hours Services Fifth Report Of Session 2003 4 Book in PDF and EPUB Free Download. You can read online Government Response To The House Of Commons Health Committee Report On Gp Out Of Hours Services Fifth Report Of Session 2003 4 and write the review.

The Stationery Office annual catalogue 2011 provides a comprehensive source of bibliographic information on over 4900 Parliamentary, statutory and official publications - from the UK Parliament, the Northern Ireland Assembly, and many government departments and agencies - which were issued in 2011.
Approximately 9 million patients receive urgent primary out-of -hours care in England. In April 2004 the Department of Health gave GPs the chance to opt out of providing this service and transfer responsibility to the Primary Care Trust. This report looks at three main issues related to the change: how well did the Department of Health prepare; how did the new service perform and what did it cost. It concludes that the preparation was shambolic both at local and national level and although the new service is starting to improve performance against key access targets is still not good enough. In addition the cost of the new out-of-hours service has been £70 million higher than was foreseen.
Given the divergence in health policy between England and Wales, and the significant number of patients who cross the border for treatment, the Welsh Affairs Committee examined the interface between the two systems and the effectiveness of co-ordination between the Department for Health and the Welsh Assembly Government. It wanted to discover whether cross-border patients are treated fairly and whether the Welsh Assembly Government and the Department of Health consider the border in the development of the diverging policy environment. The Committee was aware of significant confusion amongst patients, for example in knowing what they are entitled to receive from their health service and that cross-border providers were being disadvantaged by the need to cope with two separate funding and commissioning schemes. The Committee's interim report on this topic (HC 870, session 2007-08, ISBN 9780215521682) concluded that four key criteria should be established in cross-border health policy: clinical excellence as close to home as possible; border-proofing of policy and practice; cross-border citizen engagement; and transparent and accountable co-operation between localities, regions and governments. This report returns to these key criteria. The Committee is very disappointed that a protocol on cross-border health services has not been agreed, further evidence of a clear lack of co-ordination between the UK and Welsh Assembly governments and which leaves clinicians and administrators in a strained position and risks adversely affecting patients as a result of cross-border commissioning and funding problems. Better information for patients must be provided. The Committee finds the Department of Health's delay in responding to its interim report until some 6 months after publication to be unacceptable.
In 2004 new arrangements for out-of-hours general practice were introduced as part of a new General Practitioner (GP) contract with the aim of addressing inadequate standards and difficulties in retaining doctors in general practice. Many consider the new system an improvement on its predecessor, but it has some serious weaknesses. In particular the use of EEA doctors and the failure to check their language skills and clinical competence has led to poor clinical care and deaths of patients. It is on this aspect that this report focuses.
provision of allergy Services : Sixth report of session 2003-04, Vol. 2: Oral and written Evidence