This handbook describes how primary care trusts works as organizations and offers guidelines for present and future development through the process of change towards PCT status.

With chapters revolving around practical issues and real-world contexts, this Handbook offers much-needed insights into the ethics of primary healthcare. An international set of contributors from a broad range of areas in ethics and practice address a challenging array of topics. These range from the issues arising in primary care interactions, to working with different sources of vulnerability among patients, from contexts connected with teaching and learning, to issues in relation to justice and resources. The book is both interdisciplinary and inter-professional, including not just ‘standard’ philosophical clinical ethics but also approaches using the humanities, clinical empirical research, management theory and much else besides. This practical handbook will be an invaluable resource for anyone who is seeking a better appreciation and understanding of the ethics ‘in’, ‘of’ and ‘for’ primary healthcare. That includes clinicians and commissioners, but also policymakers and academics concerned with primary care ethics. Readers are encouraged to explore and critique the ideas discussed in the 44 chapters; whether or not readers agree with all the authors’ views, this volume aims to inform, educate and, in many cases, inspire. Chapter 4 of this book is freely available as a downloadable Open Access PDF at http://www.taylorfrancis.com under a Creative Commons Attribution (CC-BY) 4.0 license.

Interpersonal trauma is ubiquitous and its impact on health has long been understood. Recently, however, the critical importance of this issue has been magnified in the public eye. A burgeoning literature has demonstrated the impact of traumatic experiences on mental and physical health, and many potential interventions have been proposed. This volume serves as a detailed, practical guide to trauma-informed care. Chapters provide guidance to both healthcare providers and organizations on strategies for adopting, implementing and sustaining principles of trauma-informed care. The first section maps out the scope of the problem and defines specific types of interpersonal trauma. The authors then turn to discussion of adaptations to care for special populations, including sexual and gender minority persons, immigrants, male survivors and Veterans as these groups often require more nuanced approaches. Caring for trauma-exposed patients can place a strain on clinicians, and approaches for fostering resilience and promoting wellness among staff are presented next. Finally, the book covers concrete trauma-informed clinical strategies in adult and pediatric primary care, and women’s health/maternity care settings. Using a case-based approach, the expert authors provide real-world front line examples of the impact trauma-informed clinical approaches have on patients’ quality of life, sense of comfort, and trust. Case examples are discussed along with evidence based approaches that demonstrate improved health outcomes. Written by experts in the field, Trauma-Informed Healthcare Approaches is the definitive resource for improving quality care for patients who have experienced trauma.

"Bert Herrman, probably the world's most respected expert on handballing, offers the definitive guide to one of sexuality's final frontiers. The book explains in depth not only techniques and health considerations, but a myriad of other details that affect participants, including chapters on the Kundalini and spiritual aspects of handballing"--Page 4 of cover

Primary Care Trusts are a flagship initiative of government policy for modernising the NHS. The new requirement for frontline healthcare professionals to work together stretches across both community care and public health, and as a result traditional boundaries are being blurred and new local roles and resources are emerging right across the primary care sector. This book draws practical lessons for Primary Care Trusts from applied research and development programmes in other parts of the NHS, other parts of the public sector, parallel developments in the private sector and relevant international experience. With contributions from the Health Management Group and its associates, this book provides a comprehensive approach and practical guidance. It includes new specific models for local development on clinical governance, evidence-based medicine, use of applied health services research, social services collaboration, new organisational partnerships, public health alliances, community hospital usage and managed care. Trust in Experience will enable readers to create PCTs as their own organisations and not simply as local agents of central policy, and perceive changes as positive opportunities whilst recognising the risks involved.

This important new handbook for Primary Care Nurses is designed to assist senior nurses in developing the understanding and skills required to be effective at both strategic and operational levels.

A description of the work of primary care groups (PCGs) in their first months, from clinical governance to HimPs, and the varied roles of individuals within the organizations. It covers everything from the initial aims of PCGs through to primary care trusts and the future. The contributors, themselves members of PCGs, describe their experiences and the lessons learnt.