The organisation of group practice : a report of a sub-committee of the Standing Medical Advisory Committee.

  • Great Britain. Standing Medical Advisory Committee
Date:
1971
Catalogue details

Licence: Open Government Licence

Credit: The organisation of group practice : a report of a sub-committee of the Standing Medical Advisory Committee. Source: Wellcome Collection.

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    ancillary nursing help; and in this traditional pattern we recommend that each basic unit* should contain a health visitor and a home nurse. This may not be the best arrangement and there is an urgent need to experiment with other methods, particularly those that break down sharp distinctions between the roles of different types of nurse. (Paragraphs 58-64). (22). The community physician* will need some nursing services to perform functions not directly connected with group practice.* (Paragraph 65) (23). The nurses in a group practice* should be directed by a senior nurse respon- sible both to the practice doctors and the chief nursing officer of the area. (Para- graph 67) (24). Nurses in group practice* need accommodation, secretarial assistance and adequate transport facilities. (Paragraph 69) (25). A large proportion of nurses should receive part of their training in selected group practices.* (Paragraph 70) (26). More nurses will be needed in the community services but this need not be at the expense of the hospital service as use can readily be made of nurses who want part-time work near their homes. (Paragraph 71) Social Work and Group Practice—Chapter IV (27). The nature of the social work arising in general practice demands a team approach to the problem. (Paragraphs 77-78) (28). An artificial distinction should not be made between the social and medical aspects of a particular patient’s problems. (Paragraph 72) (29). We recommend that social workers should be attached to group practice* for case work, and to make assessment of psycho-social problems. They would be ideally placed to undertake preventive and case-finding work. (Paragraphs 75 and 77) (30). The health visitor, with her nursing background, has an important role to play in dealing with many of the day-to-day social problems associated with ill- health and should work closely with the practice social worker (Paragraph 79) (31). A need for social workers in group practice* has been established but it is necessary to make a careful assessment of their role in this field, to determine the training they will require to fit them for this work, and to estimate how many will be needed. (Paragraphs 77 and 81) (32). Although an area office of the Social Services Department should be close to, we do not recommend its inclusion within, a health centre.* (33). Home helps should be part of the group practice* team. (Paragraph 82) (34). Voluntary agencies need to be brought into close contact with the com- munity care* team and suitable co-ordinating links and lines of communication should be established. In this, both the health visitor and the social worker have an important role. (Paragraph 83)
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