Multi-skilled health carers: nature, purpose and implications.

Multi-skilling has been the most enduring element of patient-focused care in the UK. A recent report from the Manchester University Health Service Management Unit (HSMU) extended the multi-skilling debate and offered a framework for changing National Health Service workforce policy along multi-skilling lines. Examines the main HSMU issues in the light of broader empirical and other evidence. Assesses the strengths, weaknesses, opportunities and threats to multi-skilling. Concludes that multi-skilling protagonists still face a number of challenges.

[1]  K. Hurst The managerial and clinical implications of patient-focused care. , 1996, Journal of Management in Medicine.

[2]  L. Doyal,et al.  Nurses taking on junior doctors' work: a confusion of accountability , 1996, BMJ.

[3]  J. Tingle By accident or design , 1996 .

[4]  T. Heymann,et al.  The Patient Focused Approach: A Better Way to Run a Hospital? , 1996, Journal of the Royal College of Physicians of London.

[5]  P. Oakley,et al.  Restructuring. 5. Cultural consequences--process re-engineering. , 1995, The Health service journal.

[6]  J. Macdonald Risk management and patient-focused care. , 1994, The Health service journal.

[7]  D. P. Vogel Patient-focused care. , 1993, American journal of hospital pharmacy.

[8]  G Morgan,et al.  The implications of patient focused care. , 1993, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[9]  C. Pitt,et al.  Quality health care: identifying and meeting customer needs. , 1993, International journal of health care quality assurance.

[10]  M. Dell Making the right choices for the new consumer , 1993 .

[11]  C. Hancock Nurses and skill mix. , 1992, Senior nurse.

[12]  T. Hudson,et al.  Restructuring care: patient focus is key to innovation. , 1991, Hospitals.

[13]  Lathrop Jp Patient-focused hospital. , 1991, Health services management.

[14]  J. Buchan PFC: stuck at stage one. , 1996, Nursing management.

[15]  J. Buchan Patient-focus pocus? , 1995, Nursing management.

[16]  Nhs Estates Design for patient-focused care , 1993 .

[17]  D. Carlisle A secret procedure? , 1992, Nursing Times.