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Uncertainty among Scottish psychiatrists over NHS continuing care guidance

  • Gary S. Stevenson (a1), Agnieszka Philipson (a2) and Gordon McLaren (a3)
Abstract
Aims and Method

To examine knowledge among Scottish psychiatrists of the 1996 guidance on National Health Service (NHS) responsibility for continuing healthcare, a postal questionnaire was devised and sent to the 132 consultants and specialist registrars in the South-East Scotland Deanery in May 2007.

Results

Two-thirds of the clinicians (67%, n= 88) responded, 88% of whom had in-patient responsibilities. Only 24% responded positively to an awareness of the current Scottish guidance. There was a strong association between awareness of the guidance and psychiatric speciality, and greater awareness among clinicians with previous experience of a relevant complaint or appeal.

Clinical Implications

Uncertainty about NHS continuing healthcare guidance among practising psychiatrists suggests a need for increased awareness of the issues, with training implications for the new guidance on NHS continuing healthcare in Scotland which became effective in February 2008.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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1 The Scottish Office. NHS Responsibility for Continuing Health Care. NHS MEL (1996): 22. Department of Health, 1996.
2 Health Service Ombudsman. NHS Funding for Long Term Care. TSO (The Stationery Office), 2003 (http://www.ombudsman.org.uk/pdfs/care03.pdf).
3 Scottish Executive. Handling Complaints About the Funding of Continuing Health Care. Health Department Directorate of Service Policy and Planning, 2003.
4 Scottish Public Services Ombudsman. Ombudsman's Commentary June 2007. SPSO, 2007 (http://www.spso.org.uk/investigation-reports/2007/june/ombudsmans-commentary-june-07).
5 Department of Health. The National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care. Department of Health, 2007 (http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_076288).
6 Department of Health. Decision-Support Tool for NHS Continuing Healthcare. Department of Health, 2007 (http://www.dh.gov.uk/en/SocialCare/Deliveringadultsocialcare/Continuingcare/DH_073912).
7 Scottish Government. NHS Continuing Healthcare. CEL 6 (2008). Primary and Community Care Directorate, 2008.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Uncertainty among Scottish psychiatrists over NHS continuing care guidance

  • Gary S. Stevenson (a1), Agnieszka Philipson (a2) and Gordon McLaren (a3)
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