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Enormous Increase In NHS Spending On Management Consultants, UK
The amount of money PCTs (primary care trusts) are spending on management consultants has risen enormously, according to Pulse. In comparison to two years ago, the amount PCTs spend during the last financial year on external consultancy fees has risen threefold, according to figures compiled from 62 trusts.
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Fresh Vision Makes Mental Health The Priority For All Public Services
Police, teachers and other public sector workers should be trained in spotting signs of mental ill-health as a new report from a coalition of mental health groups sets out its vision for mental health services that spans across public services.
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Prereg Tutor Training Day And Prereg Trainee Pharmacist Programme 2009/10 - Booking Now
Registration forms for the prereg trainee pharmacist programme 2009/10 are now available to download on the NPA members" website. The NPA is also providing training on 26 June 2009 for prereg tutors that have enrolled their prereg on to the NPA"s programme.
Public Health

Hospital Disaster Potential Highighted By Swedish Study

Factors that lead to emergency department overcrowdings, ambulance diversions and other incidents that endanger patient safety have been revealed. A study published in BioMed Central"s open access Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine has shown that reductions in the number of hospital beds and downsizing or closure of emergency departments may create a dangerous loss of "surge capacity". Amir Khorram-Manesh, from the Prehospital and Disaster Medicine Centre, Gothenburg, Sweden, worked with Annika Hedelin and Per Ortenwall to study all data concerning "hospital-related incidents" in Sweden"s Region Vç¤stra Gç¶taland between January 2006 and December 2008. He said, "Disasters seldom occur, but if they strike, a fast and effective response from healthcare services is expected. The incidents we document, where emergency hospitals, for different reasons, could not operate at their normal capacity are a matter of concern for patient safety as well as disaster response preparedness". The researchers found increasing numbers of "incidents" over the three years studied. Bed shortages in intensive care and ordinary wards were the most common, followed by technical dysfunctions in the radiology department. They blame cost-cutting reductions in the size and staffing of emergency departments and increased pressure to treat people on an out-patient basis for the rise. Khorram-Manesh said, "Although these measures seem to be logical steps taken to improve healthcare effectiveness and reduce costs, they also, in a negative way, affect the surge capacity of a hospital". "Hospital-related incidents; causes and its impact on disaster preparedness and prehospital organisations" - Amir Khorram-Manesh, Annika Hedelin and Per Ortenwall - Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine (in press) - http://www.sjtrem.com/ Graeme Baldwin BioMed Central


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