Titlebook: Community Nursing Services in England; An Historical Policy Donna Bramwell,Kath Checkland,Pauline Allen Book‘‘‘‘‘‘‘‘ 2023 The Editor(s) (if

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,1983–1990: The Era of General Management,rvices and their geographical deployment to strengthen the concept of a localised, neighbourhood nursing structure. Whilst this was a period of change in terms of the organisation and management of Community Health Services and indeed the NHS as a whole, the core role of community or district nurses

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1990s: The Introduction of the Internal Market,ding system and an increasing use of ‘skill-mix’. We also highlight that aligned with internal marketisation ideals, funding of community services was based on a crude count of average number of contacts rather than based on the complexities of the role. As ever, there was a need for district nurses

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,2010–2015: The Health and Social Care Act, NHS Fragmentation,ment of complex patients. The HSCA 2012 began to unravel almost as soon as it was enacted, with the emphasis on competition undermined by the . shift towards integration between sectors as a dominant organising principle. Community Health Services (CHS) were, to some extent, protected from the fragm

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inform organisation and delivery of current and future community nursing services. It is an important resource for those researching community nursing and health services, as well as practitioners and policy makers..978-3-031-17084-3

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https://doi.org/10.1007/978-3-7091-9118-7nfectious diseases and supporting doctors. We also begin to examine how DNs were managed and paid for and identify the enduring tensions in how they are organised—either geographically or attached to GP practices. We conclude this chapter with a brief paragraph summing up that for this era the role

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H. E. Torebj?rk,J. L. Ochoa,W. J. L. Schadyndas emphasising integration, out-of-hospital care and prevention of ill health. In terms of managing and financing the district nursing service, this was not simplified by the re-organisation and population coverage continued as a mix of geographical and attachment to GP services. We conclude this

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