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Govind Rao

It's the workforce, stupid | The BMJ - 0 views

www.bmj.com/bmj.i1510

from heather privatization UK private clinics

shared by Govind Rao on 21 Mar 16 - No Cached
  • BMJ 2016; 352 doi: http://dx.doi.org/10.1136/bmj.i1510 (Published 17 March 2016) Cite this as: BMJ 2016;352:i1510
  • Gareth Iacobucci, news reporter, The BMJgiacobucci@bmj.comWith experts assessing that the NHS is in the grip of the biggest crisis in its history, The BMJ hosted a roundtable discussion during the Nuffield Trust health policy summit this month to discuss whether today’s medical workforce is fit for the future needs of the health service. Gareth Iacobucci reports
  • Govind Rao on 21 Mar 16
     
    And might clinical staff leave the NHS to work for these private providers, further depleting an already beleaguered workforce? The BMJ hosted a discussion at the Nuffield Trust Health Policy Summit, exploring the current NHS crisis. Participants were asked whether the UK's medical workforce was fit for purpose and what could be done to improve things. As Gareth Iacobucci reports (doi:10.1136/bmj.i1510), there are already concerns that low morale and the dehumanising of medicine will adversely affect recruitment and retention of doctors and nurses.
Govind Rao

Proliferation of private online healthcare companies | The BMJ - 0 views

www.bmj.com/bmj.i1076

from heather privatization it

shared by Govind Rao on 21 Mar 16 - No Cached
  • Proliferation of private online healthcare companies BMJ 2016; 352 doi: http://dx.doi.org/10.1136/bmj.i1076 (Published 23 February 2016) Cite this as: BMJ 2016;352:i1076
  • Safety of online consultingOnline consultation methods, although widely used in countries such as Denmark,3 are relatively untested, with recent Cochrane reviews concluding that insufficient evidence exists to make recommendations about their use,4 and doctors and patients voicing safety concerns.5 UK professional bodies advise that emails should be reserved for “appropriate matters” such as scheduling appointments, repeat prescriptions, and test results.6 7 The American Academy of Family Physicians supports online consultations for “established patients” who have …
Govind Rao

Junior doctors escalate action to full withdrawal of labour | The BMJ - 0 views

www.bmj.com/...bmj.i1740

from heather UK strike doctors

shared by Govind Rao on 30 Mar 16 - No Cached
  • BMJ 2016; 352 doi: http://dx.doi.org/10.1136/bmj.i1740 (Published 24 March 2016) Cite this as: BMJ 2016;352:i1740
  • Abi Rimmer
  • Junior doctors will withdraw all labour for 18 hours in protest against planned changes to their contract, the BMA has announced.After a vote by the BMA Junior Doctors Committee last week,1 the association has said that industrial action scheduled for 26 April will change from 48 hour emergency care only to a full withdrawal of labour by junior doctors from 8 am to 5 pm on Tuesday 26 and Wednesday 27 April. Other doctors and staff will continue …
Govind Rao

Does Ontario have too many under-regulated health workers? - Healthy Debate - 0 views

healthydebate.ca/...health-professional-regulation

from heather regulation Ontario psw care aide

shared by Govind Rao on 05 Apr 16 - No Cached
  • by Wendy Glauser, Mike Tierney & Michael Nolan (Show all posts by Wendy Glauser, Mike Tierney & Michael Nolan) March 31, 2016
  • In recent years, various health care professions have called for better regulation – including paramedics, personal support workers, physician assistants and others. Inadequate regulation has led to confusion that can put the public at risk, representatives of the professions say.
  • For many paramedics in Ontario, the Emergency Health Services Branch of the Ministry of Health sets the rules around how paramedics transport people and provide basic care like managing wounds, while base hospitals delegate more advanced care activities like administering medications and inserting breathing tubes.
  • ...10 more annotations...
  • Other non-RHPA occupations have less oversight. Personal support workers, who provide services including assisting with bathing, helping patients adhere to their medications and other tasks in the home, don’t have any provincial body to monitor their training or to ensure they’re practising appropriately, explains Miranda Ferrier, president of the Ontario Personal Support Worker Association (OPSWA).
  • these doctors tend to err on the side of under-delegation, knowing that if something goes wrong, they’ll be held accountable.
  • A personal support worker could be fired because of an accusation of abuse or neglect and they can literally get up and walk down the street and get hired by another agency and they wouldn’t know anything about it,” says Ferrier.
  • The OPSWA conducts a national criminal record and credential check for the 16,000 PSWs registered with them, but registration is voluntary. There are over 80,000 PSWs in the province who haven’t registered with OPSWA, Ferrier explains. “We would like to see one curriculum for all PSWs,” she says. “There should be expectations upon them for retraining and we should have the ability to blacklist ones that get charged with abuse.”
  • however. Chinese medicine practitioners were granted self regulating status in 2013 and naturopaths in 2015 – but not without controversy.
  • The problem is that not just in Ontario but broadly, in Canada, we’ve defined regulation in health care as self regulation and other countries don’t do that.”
  • UK and Australia
  • government oversight
  • New legislation should also allow smaller professions that can’t afford to maintain an RHPA-defined College to have title protection, says Grosso. And the voluntary oversight the professions currently do recognized legally, she adds. “When it comes to public protection, size should not matter,” says Grosso. 
  • Alberta’s government has overseen the development of a College of Paramedics,
Govind Rao

15 Inconvenient Truths About Tax Havens | Canadians for Tax Fairness - 0 views

www.taxfairness.ca/...enient-truths-about-tax-havens

from heather taxes international corruption corporation

shared by Govind Rao on 05 Apr 16 - No Cached
  • Toby Sange
  • UK, Canadian, US and European banks were instrumental in making most tax havens into what they are today.
  • Many solutions: automatic exchange of tax information, country by country reporting, tougher legislation and enforcement,
Govind Rao

Would Brexit Be Good For Britain's Health(care)? - 0 views

www.counterpunch.org/...e-good-for-britains-healthcare

from heather Europe UK privatization

shared by Govind Rao on 12 Apr 16 - No Cached
  • April 12, 2016
  • As the debate on the EU referendum continues to heat up, the future of the NHS has unsurprisingly emerged as one of the key battlegrounds.
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