This 11 page considers the different strategies that were used in implementing the NHS Direct project and the attempt a “joined up government” with integration concerning mental health provision. The writer then consider the resources that are required for integration and how this may be achieved, looking to lessons form other areas that can be applied. The bibliography cites 9 sources.
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some very large differences. We may argue that the goal of both of the policies and resulting project was the same; to better the health care provision in the UK
for the end users. However, the way in which they sought to do this and the strategies they used to attaint the more direct goals indicated the different cultures of
the organisations involved as well as being influenced by the underlying goals. If we look at the NHS direct initiative we see that the main goal here was to
relive the pressure on the hospital accident and emergency departments as well as reduce the overall cost of providing health advice and preventing more visits to the doctor of hospital
for many of the less urgent cases. We can see that this is questionable in terms of effectiveness, we are told in the case study that the unit costs are
broadly comparable, yet the cost of answering each call was is only ?8 compared to ?10.55 for a visit to the doctors or ?42 for a visit to the hospital.
The cost saving is evident. However, there were also many concerns over the plan. The stagy was to use technology, though both the telephone as well as the Internet and
walk in centres, to answer queries form patients in the effort to reduce the number of visits to the different health provisions. This would provide a simple to use gateway,
and help prevent additional cost in the many cases were the costs were seen as incurred unnecessarily. The stagy used to set up the call centres appears to have
been separated from the rest of the service, although there was a need for the centres to be integrated, for example advice given would often lead to the advice by
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