The Health service journal
-
Opinions diverge on how medical education in the US should develop. Most students graduate with substantial debts which deter them from entering lower-paying branches of medicine. Attempts to broaden the intake of medical schools have not been very successful.
-
Patients charges form a very small part of NHS income. Governments have often used charges to emphasise their commitment to austerity. Knowledge of the effect of charges on public health, equity and eliminating waste is limited. Both Conservative and Labour health ministers have made attempts to abolish charges.
-
A primary care unit established in an A&E department is well attended and has cut waiting times. Nurse practitioners running the unit have powers to prescribe and refer to specialists. The unit reflects growing recognition that A&E departments must serve patients previously considered the responsibility of GPs.