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Out of hours medical cover in community hospitals : implications for palliative care.

Kerr, Chris and Hawker, Sheila and Payne, Sheila and Seamark, David and Lloyd-Williams, Mari (2006) Out of hours medical cover in community hospitals : implications for palliative care. International Journal of Palliative Nursing, 12 (2). pp. 75-80. ISSN 1357-6321

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Abstract

Background The new General Medical Services contract in England means many GPs have transferred out-of hours work to their primary care organization, with implications for continuity of palliative care in community hospitals. Aim To examine existing arrangements for out-of-hours medical cover in community hospitals, focusing on palliative care. Methods Telephone survey of community hospital managers/ senior nurses across England and Wales. Results Interviews (n = 62) revealed nursing staff were satisfied with existing out-of-hours care. Concern was expressed about the future of out-of-hours medical care from GPs as new services will cover larger areas, meaning unknown doctors may attend, taking longer to arrive. Conclusion Arrangements for out-of-hours medical cover in community hospitals are in transition, threatening the continuity of care for dying patients.

Item Type: Article
Journal or Publication Title: International Journal of Palliative Nursing
Subjects: R Medicine > R Medicine (General)
Departments: Faculty of Health and Medicine > Health Research
ID Code: 8288
Deposited By: Mr Richard Ingham
Deposited On: 17 Apr 2008 09:05
Refereed?: Yes
Published?: Published
Last Modified: 09 Apr 2014 22:13
Identification Number:
URI: http://eprints.lancs.ac.uk/id/eprint/8288

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