Guest guest Posted July 30, 2005 Report Share Posted July 30, 2005 Hi All, Thanks for highlighting this. It gives some clarity to what we have been hearing locally. Perhaps somebody out there can help me with this one, as I have been trying to work it through but remain puzzled. Going on past experience I can't help but have a terrible sinking feeling at the thought of commissioning power lying with GP's. Here are my questions. Where does practice based commissioning sit with locality working and geographical caseloads i.e. none GP attached caseloads? No doubt those commissioning services for practices will have to ensure that need plays its part. However, will practices have to commission locally based community services or can they look further afield (the 'carrot and stick' of fundholding)? Indeed, how does PBC ensure that community needs as well as practice population needs are served? We keep hearing that commissioning provides great opportunities for nurses and health visitors - how? (Yes I know what gets published in the CNO Bulletin but I see little - none actually - evidenced where I am). Where also does the Children's agenda e.g. Children's Trusts, Children's Centres sit within a practice base commissioning model? Currently we have two Sure Start programmes evolving and developing into Children's Centre's by 2007. What will happen to community staff employed by PCT's but working very much to the CC model and providing services within this? We have been afflicted by a lack of direction in our organisation. All community practitioners have been unable to develop or modernise their sevices in light of policy and evidence. Only being able to react to imperatives. Does this place us at a disadvantage where practice based commissioning is concerned? A couple of suggestions to your question. Children's Trusts feel to be some way off as yet. As PCT's are not to be provider organisations and the funding for children's services will be with DfES i.e local authority would they be suitable provider organisations for health visiting and school nursing services? Would it be possible? How would it happen? Or what about a Children and Families PMS? Sorry for all the questions, I'd be interested in all of your thoughts as some of us community practitoners are concerned enough about the future to be meeting with our hierarchy soon to discuss ways forward. Val wrote: Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 30, 2005 Report Share Posted July 30, 2005 all this sounds very familiar where we are. I have had some dialogue with our director on an individual basis, but getting colleagues involved is a long hard struggle. From up on high there seems to be a lot of black and white areas of clear vision but in reality there are many grey areas no thought out. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 31, 2006 Report Share Posted March 31, 2006 Thank you Alana! I will pass this information along to my friends! -- WOW! Homepage (http://www.wowway.com) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 19, 2009 Report Share Posted September 19, 2009 Maybe I'm wrong, but this group seems to push the traditional treatment and prevention for swine flu, as well as scare tactics so people will accept the vaccine and meekly follow anything the government says. Are the drug companies concerned with peoples' health, or with the profits the flu will give them. I already know all this -- I joined looking for alternative ideas, vitamins that might help and realistic forecasts of the effects of the flu (not the stuff I hear on TV). For instance, I found a site listing the best case/worst case scenarios which was very interesting. But I don't think that site would be welcomed here. How about how to prepare? Get enough food, meds, books, etc so that we don't have to go to stores if this really gets bad. Should we cancel newspapers for fear of infection, or should we not touch the paper for 8 hours after receiving it, or is this unnecessary? If the flu is mostly coughs and sneezes, what OTC meds would be the best to have on hand (I sure don't want to go to the drugstore for cough syrup during a flu outbreak)? We are trying to prepare, without buying a lot of stuff we may never use. We have pets, so make sure we have 3 months of petfood (and meds and litter) on hand. We have enough food. Although I usually get books at the library, I've picked up some books at yard sales so I would have books to read. Let's talk about preparing. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 19, 2009 Report Share Posted September 19, 2009 You might want to take a look at our other Flu Pandemic group which you might find helpful: _alternative_medicine Do one thing every day that scares you. Eleanor Roosevelt From: Fischbach <fischbl@...>Flu Sent: Saturday, September 19, 2009 4:22:53 PMSubject: Re: [Flu] Digest Number 1562 Maybe I'm wrong, but this group seems to push the traditional treatment andprevention for swine flu, as well as scare tactics so people will accept thevaccine and meekly follow anything the government says. Are the drugcompanies concerned with peoples' health, or with the profits the flu willgive them.I already know all this -- I joined looking for alternative ideas, vitaminsthat might help and realistic forecasts of the effects of the flu (not thestuff I hear on TV). For instance, I found a site listing the bestcase/worst case scenarios which was very interesting. But I don't thinkthat site would be welcomed here.How about how to prepare? Get enough food, meds, books, etc so that wedon't have to go to stores if this really gets bad. Should we cancelnewspapers for fear of infection, or should we not touch the paper for 8hours after receiving it, or is this unnecessary? If the flu is mostlycoughs and sneezes, what OTC meds would be the best to have on hand (I suredon't want to go to the drugstore for cough syrup during a flu outbreak)?We are trying to prepare, without buying a lot of stuff we may never use.We have pets, so make sure we have 3 months of petfood (and meds and litter)on hand. We have enough food. Although I usually get books at the library,I've picked up some books at yard sales so I would have books to read.Let's talk about preparing. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 20, 2009 Report Share Posted September 20, 2009 Hi , You are too polite for me to immediately ban you, as I do with most who mention the word alternative. I will only add that we had a big fight in this group over alternative medicine some time ago, and had to ban it. Traditional medicine folks regard alternative meds as bunk and hooey and do not want to read it. I will add in re your question that you might want to click on our site files and then read the file on " Disinfecting Areas: War on Germs. " You might get some good tips. For preparations, go through our site file Retreats and Farming. If you click to our links section, click Get a Kit. Lots of links on how to prepare. And yes, is right, you may prefer Flu_Alternative_Medicine/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 20, 2009 Report Share Posted September 20, 2009 If you can... Store, AT LEAST, one year of food, drink and supplies. Rotate it so it won't spoil. Become self-reliant. Have a large garden. Learn to can, freeze & preserve food. Get fit, eat healthy. Do what needs to be done to the house, NOW. Figure out what you will do if you lose electricity, heat, phone, garbage etc etc. If everyone is sick, utilities MAY be lost. > > You might want to take a look at our other Flu Pandemic group which you might find helpful: > _alternative_medicine > > > Do one thing every day that scares you. > Eleanor Roosevelt > > > > > ________________________________ > From: Fischbach <fischbl@...> > Flu > Sent: Saturday, September 19, 2009 4:22:53 PM > Subject: Re: [Flu] Digest Number 1562 > > > Maybe I'm wrong, but this group seems to push the traditional treatment and > prevention for swine flu, as well as scare tactics so people will accept the > vaccine and meekly follow anything the government says. Are the drug > companies concerned with peoples' health, or with the profits the flu will > give them. > > I already know all this -- I joined looking for alternative ideas, vitamins > that might help and realistic forecasts of the effects of the flu (not the > stuff I hear on TV). For instance, I found a site listing the best > case/worst case scenarios which was very interesting. But I don't think > that site would be welcomed here. > > How about how to prepare? Get enough food, meds, books, etc so that we > don't have to go to stores if this really gets bad. Should we cancel > newspapers for fear of infection, or should we not touch the paper for 8 > hours after receiving it, or is this unnecessary? If the flu is mostly > coughs and sneezes, what OTC meds would be the best to have on hand (I sure > don't want to go to the drugstore for cough syrup during a flu outbreak)? > > We are trying to prepare, without buying a lot of stuff we may never use. > We have pets, so make sure we have 3 months of petfood (and meds and litter) > on hand. We have enough food. Although I usually get books at the library, > I've picked up some books at yard sales so I would have books to read. > Let's talk about preparing. > > > Quote Link to comment Share on other sites More sharing options...
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