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NHS Update
Issue 4. March 2002.

Alan Jones
Welcome to the March 2002 edition of NHS Update, one of the
free informational resources available via AllAboutMedicalSales.com.

Introduction

NHS Update is a brief precis of current NHS changes and developments that may impact on the business and activities of UK Pharmaceutical sales teams. A more comprehensive monthly review, along with other relevant intelligence and useful feature articles, is available via our free monthly newsletter: PharmaceuticalReview. Subscribe now ->

Alternatively, if your business demands a more specific market analysis, you should contact Alan Jones of ajc healthcare. ajc healthcare corporate newsletters are employed throughout the UK Pharmaceutical Industry as a source of crucial NHS intelligence.

To discuss how your team could benefit from regular up-to-date analysis of the NHS changes and issues that directly impact on your business, please contact:
Alan Jones of ajc healthcare

1. In the news…..

Alan Milburn has told NHS staff that they have a key role to play in boosting public confidence in the service. 'I ask the NHS to stand up for itself and speak for itself. We can't assume public confidence - we have to go out and argue for it', he said. Even the HSJ had a go at the media, "Media coverage is running at an unprecedented levels. Much of it is ill-informed, distorted and biased". Health was also on the box with the BBC even boldly going into overdrive with a 'Your NHS' day.

2. Strategic Health Authorities
Next month 28 Strategic Health Authorities appear. StHAs have the responsibility for developing a strategic framework and performance managing PCTs and NHS Trusts to secure delivery. Like the Regional Offices before them, they will also be responsible for holding local health services to account and intervening and brokering solutions where conflicts and problems arise. Mr. Milburn has admitted that the structural upheavals currently under way in the NHS present 'huge risks' ahead for NHS.

3. NICE

The House of Commons Health Select Committee's NICE Inquiry ran its course. Amongst the 'experts' called were several Directors of Public Health who made the point that room for local discretion about central decisions seemed to be going, which meant that PCTs and HAs were having to divert money to meet them. Also to come out of the inquiry were claims that companies had withheld important evidence from NICE. NICE's 7th work programme is now out for consultation. Some dozen areas are being considered.

4. Primary Care

CHI is set to start clinical reviews of PCTs. Detailed practice questionnaires already sent out have questions on risk management of prescribing. See www.chi.nhs.uk. 8 more PCTs have been awarded Teaching Trust status. The next wave of 40 Medicines Management Services pilot sites has been announced. West Midlands and Trent Regions have advertised for PCT Directors of Public Health.

5. Care Trusts

Care Trusts are anther organisation going live next month. Last year ministers seemed to envisage all social care being provided within the Care Trust model by 2005 but the scale and pace of change here now seems far reduced with only some 15 pilot Care Trusts starting between April 2002 and April 2003. Care Trusts can come through both the PCT and the Mental Health Trust routes.

6. Rx & Budgets

Nurse's new prescribing powers have been described as 'potty and dangerous' by the GPC. Training for extended nurse prescribing has already begun in several areas. See www.doh.gov.uk/nurseprescibing. The DoH notes on primary care prescribing for 2002/3 are worth examining carefully as they will be the 'bible' for the new PCTs. See www.doh.gov.uk/prescribingbudgets/index.htm.


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