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Perspective of a lay adviser in occupational health
Published in Jim Ford, Gordon Parker, Fiona Ford, Diana Kloss, Simon Pickvance, Philip Sawney, Dame Carol Black, Rehabilitation for Work Matters, 2018
Jim Ford, Gordon Parker, Fiona Ford, Diana Kloss, Simon Pickvance, Philip Sawney, Dame Carol Black
This is a time when prompt medical intervention can influence the duration of sickness absence. Research has demonstrated that good clinical management of health problems leads to the most rapid return to work. Waiting for healthcare is associated with longer periods of sickness absence and movement into the third stage. GPs, trade-union representatives and other primary care workers could do more at this stage to prevent the emergence of new barriers to return to work.
Law, ethics and medicine
Published in Mari Robbins, Medical Receptionists and Secretaries Handbook, 2017
The NHS Code of Openness (published in 1995) encourages both purchasers and providers to enable public access to information about NHS organisations, including trusts and health authorities and, patient advice and liaison services (PALS). The public also have the right to attend certain meetings of NHS organisations, and have the opportunity to put forward their views, as part of a commitment to public consultation. This includes information about costs, quality and performance, proposed service changes and how to influence decisions and actions that affect their own treatment, and what information is available and how to obtain it. There has been a recent noticeable growth in information services for patients and the public. Under the Patient’s Charter, a single national freephone number for health information was established and health service guidelines required local centres to provide information on the following: common illnesses and treatmentsself-help groupswaiting-timeshealthcare serviceskeeping healthypatients’ rights and how to complainPatient’s Charter standards.
Waiting list management in speech-language pathology: translating research to practice
Published in Speech, Language and Hearing, 2020
Nicole McGill, Sharynne McLeod
Waiting for healthcare can occur in three main stages: waiting for (1) assessment, (2) diagnosis, and/or (3) intervention (Fogarty & Cronin, 2008). Giske and Gjengedal (2007) referred to stages 1 and 2 as the prediagnostic phase. Waiting for a diagnosis (stage 2) may consist of two separate stages if multidisciplinary/specialist perspectives or more in-depth assessment are needed prior to diagnosis: (a) the time between initial assessment and a secondary assessment, and (b) the time between a secondary assessment and receiving a diagnosis (Lebel et al., 2003; Thorne, Harris, Hislop, & Vestrup, 1999). Glogowska and Campbell (2000) proposed three phases for parental involvement in speech-language pathology: (1) ‘getting in’ (p. 397), typically involving the referral process and attending an initial appointment, (2) ‘getting on’ (p. 398), when children are beginning to progress toward goals, often coinciding with commencing intervention, and (3) ‘getting there’ (p. 400), when children can participate and cope in everyday environments, often occurring around discharge or beyond. In McGill, Crowe, and McLeod (2019), stakeholders (e.g. parents) also described waiting for multiple speech-language pathology services at once, cumulative waiting at services (e.g. due to moving to a new city), waiting for funding approvals, and waiting between intervention appointments or blocks of intervention. In a study by McGill, McLeod, Crowe, et al. (2019), SLPs reported that waiting for assessment was most common for children overall. In contrast, young children and children with feeding and stuttering needs most often received immediate assessment and intervention (referral → assessment → intervention). However, variation was evident across workplaces (McGill, McLeod, Crowe, et al., 2019).