Community Health Care Development by Deborah Hennessy BA PhD RN RM RHV Dip Public Health Nursing

By Deborah Hennessy BA PhD RN RM RHV Dip Public Health Nursing (eds.)

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TECHNOLOGICAL INFLUENCES Developments in health technology are having an exciting impact on health care. This subject includes new drugs for psychotic disorders, improvements in surgical techniques such as keyhole surgery, and nerve transplants for multiple-sclerosis sufferers. Developments in genetics are opening up horizons and challenging the traditional view that we have control over our own health, as well as raising many ethical questions. This is of course one aspect of the general major technological shift leading to a massive acceleration in the pace of change in society.

Richardson, A. and Bray, C. (1987) Promoting health through participation. Experience of groups for patient participation in General Practice. London: Policy Studies Institute. Robinson, R. and Le Grand, J. (eds) (1994) Evaluating the NHS Reforms. London: King's Fund Institute. 35 Swain, G. W. (1995) Clinical supervision, the principles and process. London: HV A. Taylor-Gooby, P. and Lawson, P. (1993) Markets and Managers. New Issues in the Delivry of Welfare. Buckingham: Open University Press.

The government agrees guidelines with the medical profession to avoid queue-jumping by GP fundholders. A green paper on The Health of the Nation is published. 1988 1991 January The development of NHS reforms June 1992 April July October 1993 February April July October The Conservative Party is re-elected. Virginia Bottomley replaces William Waldegrave as Secretary of State for Health. The second wave of 99 NHS trusts and 288 GP fundholders is established in England. A white paper on The Health of the Nation is published.

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