Extracontractual referrals in first three months of NHS reforms.

Extracontractual referrals in first three months of NHS reforms.

OBJECTIVE To describe the extracontractual referrals of residents of Merton and Sutton Health Authority during the first three months of the NHS reforms in terms of the nature of the referral (elective or emergency), the specialty referred to, and the source of and reason for referral. DESIGN Descriptive analysis of all extracontractual referrals submitted to the health authority between 1 Ap...

Dealing with extracontractual referrals.

OBJECTIVE To describe the mechanism established by Richmond, Twickenham, and Roehampton Health Authority to manage extracontractual referral requests made on behalf of its resident population and to examine its working in the first three months of the new arrangements. DESIGN Description of the procedures for managing extracontractual referrals and the decisions made on requests submitted to ...

Stormy weather for Labour's NHS reforms.

Post-operative management of trabeculectomy in the first three months

A successful trabeculectomy is a stable surgical fistula. The one thing required to keep a fistula patent (open) is flow. The principal and most challenging complication is scarring; however, other complications may occur, as outlined in this article. Prevention is vastly preferable to cure, so take every precaution you can to avoid complications. This involves careful case selection and, befor...

Trends in NHS doctor and dentist referrals to occupational health.

BACKGROUND Ill-health in doctors can affect performance and fitness to practice, and consequently patient care and safety, placing an important responsibility on National Health Service (NHS) occupational health (OH) services. Anecdotal discussions amongst NHS occupational physicians suggest an increase in the number of doctor attendances over time, with continuing focus on mental illness. AI...