Primary Care – Page 240
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      NewsScottish GPs discuss industrial actionThe NHS risks losing family doctors' goodwill, a Scottish GPs' leader has warned. 
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      NewsDarzi reforms must not be dictated by DH - Nuffield TrustThe government must not dictate how to develop integrated care systems following Lord Darzi's forthcoming review, a leading health policy organisation warns. 
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      NewsScotland's personal care funding gap must be filledFree personal and nursing care in Scotland needs better funding and planning, says a new report. 
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      NewsGPs paid £20m for sickness and maternity coverGP practices in England were paid more than £20m last year for locums to cover sickness and maternity leave in their practices, HSJ has learnt. 
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      NewsLib Dems scrap free social care promiseThe Liberal Democrats have formally ditched their policy of free social care in England. The party has opted instead for a co-payment system based on the one set out by Sir Derek Wanless for the King's Fund. 
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      NewsFrustration over advance GP appointmentsNearly three quarters of England's GP practices have left at least one in 10 patients dissatisfied because of the difficulties of making appointments more than two days in advance. 
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      NewsPublic health network to help avoid 'postcode lotteries'A new public health network is to give primary care trusts advice on licensed drugs before the publication of NICE guidance, HSJ can reveal.The advice will help PCTs avoid accusations that they are imposing a 'postcode lottery'. 
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      NewsDoubts over community foundation trustsConflicts of interest, difficulties in demonstrating autonomy and low pay are just some of the potential problems facing community foundation trusts. 
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      CommentPreparing for a pandemic in the NHSWe live in a climate where the threat of bio-terrorism is significant enough to warrant serious preparation for a biological attack.This, together with the possibility of global outbreaks of infectious disease, such as avian influenza or SARS, increases the need to prepare for a pandemic. 
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      NewsScottish doctors to vote on no-confidence motionScottish GPs are set to consider a vote of no confidence in the UK government's stewardship of the NHS. 
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      NewsCommissioner-provider split is inefficient, study claimsSeparating commissioner and provider functions, as advocated in world class commissioning, may damage the efficiency of the health service, a leading academic has claimed. 
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      NewsConservatives to let GPs pick their own hoursThe Conservatives have backed GPs' calls to be allowed to determine their own opening hours. 
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      NewsPCTs plan to recruit public members to shape reformPrimary care trusts could link up with foundations by sharing public membership bodies that drive local health priorities. PCTs are considering recruiting public members to counter perceptions they are undemocratic and overly centralised. 
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      NewsDarzi reforms under threat in LondonPoor leadership in NHS organisations is threatening to jeopardise Lord Darzi's vision to transform the capital's healthcare.NHS London board papers state it is 'likely' there will be 'insufficient leadership capacity and capability in primary care trusts and allied NHS organisations' to deliver the now junior health minister's plans. 
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      NewsVascular checks could mean insurance hikesThousands of people face higher health insurance premiums and may unwittingly invalidate their policies if government plans for vascular checks get the green light. 
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      NewsLondon must focus on preventionService reform in the capital must go beyond Healthcare for London proposals and focus on prevention if fatal strokes are to be avoided, the London health observatory has warned. 
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      HSJ KnowledgeJoint working: passing the partnership testPCTs and local authorities are now working even more closely on understanding the needs of local people in a leap forward in partnership working. By Renu Bindra 
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      CommentAndrew Jones on the next big shift in healthcareI often wonder what will drive the next quantum shift in healthcare. If we ran a poll today, world class commissioning or the Darzi review would probably top the list. These ideas are fine, but it seems to me that they represent an incremental nudge rather than a quantum shift. 
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      NewsDoctors' leaders challenge GP pay dealBritish Medical Association chair Hamish Meldrum has written to health secretary Alan Johnson challenging the proposed pay deal for GPs. 
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      CommentSophia Christie on tackling the digital divideEconomic growth is increasingly driven by the skill of the local workforce and more specifically confidence and competence in using digital technologies. 
