Nappy brash

Article Abstract:

Delegates to the UK Royal College of Midwives 1998 annual conference voted to press for representation on planning groups proposed in the government white paper on the National Health Service. The white paper's proposed Primary Care Groups will have health care planning and commissioning powers and the midwives felt that, without midwife consultation, general practitioners would gain inappropriate control over maternity services. Health Secretary Frank Dobson, who spoke at the meeting, maintained that the reference to nurses in the white paper included midwives.

Planning, Conferences, meetings and seminars, Political activity, Midwives, United Kingdom. National Health Service, Royal College of Midwives

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From high-rise anxieties the valleys of despair

Article Abstract:

A community psychiatric nurse in inner London, UK, and one who works in a rural area, discuss the way that the location adversely affects the mental health of their clients. Residents in London have to cope with housing problems and lots of people and traffic, while those in the country have transport problems and everyone knows about everyone else, so it is hard to keep problems hidden. However, clients are more likely to be noticed in the rural areas, and to receive treatment, although in London there are better facilities and support networks.

Health aspects, Community psychiatric services, Community mental health services, Rural health services, Rural areas, City and town life, Urban life, Sparsely populated areas

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Solution to a benign problem

Article Abstract:

A breast-care clinic is being established in a district of London, England, specializing only in benign breast disorders. The service aims to reduce the number of unnecessary referrals to breast clinics and is designed to relieve the pressure on general practitioners. Initially, the clinic will target women aged under-25, but if it successful it will gradually be expanded. Some 90% of referrals to breast clinics are for benign conditions.

Care and treatment, Ambulatory care facilities, Tumors, Clinics, Breast diseases

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