Interpro/essional issues in community and primary health care Also by Patricia Owens COMMUNITY CARE AND SEVERE PHYSICAL DISABILITY NURSING IN CONFLICT (with Howard Glennerster) Also by John Carrier MEDICAL NEGLIGENCE: Complaints and Compensation (with Ian Kendall) SOCIALISM AND THE NHS (edited with Ian Kendall) Also by John Horder THE FUTURE GENERAL PRACTITIONER: Learning and Teaching THE WRITINGS OF JOHN HUNT Interprofessional issues in community and primary health care Edited by Patricia Owens John Carrier and John Horder palgrave macmillan Selection and editorial matter 0 Patricia OWens, John Carrier and John Horder 1995 Preface 0 John Horder 1995 Introduction 0 Patricia Owens and John Carrier 1995 Individual chapters (in order) 0 John Carrier and Ian KendalL Patrlda Owens and .Heather Petm, Andrew Wall, Anna Cohen, Gail Wilson and Julie Dockrell, Ellzabeth BirchalL Roslyn Corney, Patrida OWens, Margot Jefferys, Peter Pritchard 1995 AU rights reserved. No reproduction, copy or transmission of this publication may be made without written permission. No paragraph of this publication may be reproduced, copied or transmitted save with written permisSion or in accordance with the provisions of the Copyright, Designs and Patents Act 1988, or under the terms of any licence permitting limited copying issued by the Copyright licensing Agency, 90 Tottenham Coun Road, London WIP 9HE. Any person who does any unauthorised act in relation to this publication may be liable to criminal prosecution and dvil claims for damages. First published 1995 by MACMILLAN PRESS LTD Houndmills, Basingstoke, Hampshire RG21 2XS and London Companies and representatives throughout the world ISBN 978-0-333-59565-7 ISBN 978-1-349-13236-2 (eBook) DOI 10.1007/978-1-349-13236-2 A catalogue record for this book is available from the British Library. 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Contents The contributors vii Preface xi John Horder Introduction 1 Patrida Owens and John Carrier Section One: Theoretical contexts 1 Professionalism and interprofessionalism in health and community care: some theoretical issues 9 John Carrier and Ian Kendall 2 Professionals and management 37 Patrida Owens and Heather Petch 3 Ethical and resource issues in health and social care 57 Andrew Wall 4 The market and professional frameworks 71 Anna Cohen Section Two: Interprofessional collaboration in action 5 Elderly care 95 Gail Wilson and Julie Dockrell 6 Child protection III Elizabeth Birchall 7 Mental health services 137 Roslyn Corney 8 Palliative care 165 Patrida Owens 9 Primary health care 185 Margot Jefferys v vi Contents Section Three: Inside teamwork 10 Learning to work effectively in teams 205 Peter Pritchard Index 233 The contributors Elizabeth Birchall has worked for many years in various Social Services Departments at field and managerial level. From 1987 to 1992 she worked with Christine Hallett at the University of Stirling on a major project investigating interprofessional co-ordination in child protection work. Her most recent publication is 'The frequency of child abuse - what do we really know?', in O. Stevenson (ed.), Child Abuse: Public Policy and Professional Practice (Harvester Wheat sheaf. 1989). John Carrier is a Senior Lecturer in Social Policy at the London School of Economics, and has been in higher education for over twenty years. His research interests are in social policy and the law and health services. He is Vice-Chairman of the Royal Free Hospital Trust and CAIPE. He has collaborated with Ian Kendall on a number of publications, of which their most recent is Medical Negligence: Complaints and Compensation (Avebury Press, 1990). Anna Cohen is a social anthropologist who has worked in psychia tric hospitals in Italy and on rural development and health care in India. More recently she has carried out a project on the introduc tion of the internal market in the NHS and the contrasting models of health care held by clinicians and managers. Roslyn Corney is Professor of Psychology at the University of Greenwich. Her main research interests are the evaluation of coun selling and psychotherapy, investigating changes due to GP fund holding, and examining the roles of attached and employed mental health professionals in general practice. She is the editor of Develop ing Communication and Counselling Skills in Medidne a nd Counselling in General Practice, published by Routledge & Kegan Paul. John Horder was President of the Royal College of General Practi tioners from 1979 to 1982, and a GP in London for many years in a vii viii The contributors Health Centre. He has been Chairman of the Centre for the Advance ment of Interprofessional Education in Primary Health and Com munity Care since 1987. Margot Jefferys was Professor of Medical Sociology at Bedford College, London University, until her retirement in 1982. She is currently Visiting Professor in the Centre of Medical Law and Ethics at King's College, London. She has written many articles on British health and welfare services. In 1983 she published Re-thinkinn General Practice with Hessie Sachs (Tavistock Publications). Ian Kendall is Associate Dean at the University of Portsmouth and has been deeply involved for many years in nursing and social work education. He is Co-author with John Carrier of Health and the National Health Service, published by Athlone Press. Patricia Owens has worked in the NHS and Social Services, and trained as a social anthropologist at Cambridge University. She was Director of CAIPE at the London School of Economics from 1991 to 1993. Her most recent publications are Nursinn in Conflict, with Ho ward Glennerster (Macmillan, 1990), and Implementinn Fundholdinn in General Practice, with Howard Glennerster and Manos Matsaganis (Open University Press, 1994). Heather Petch currently works for CHAR, an organisation which promotes better services for homeless people. She has a particular interest in health and homelessness, and is the author of two reports on special health and social services in inner London for homeless people. Peter Pritchard, who was a general practitioner in Oxfordshire, has worked on team development for a number of years. More recently he has published, with his son James Pritchard, a management consultant in industry, a workbook entitled Developinn Teamwork in Primary Health Care (Oxford University Press, 1992). Andrew Wall is a Senior Fellow in the Health Services Manage ment Centre, University of Birmingham. He was a Chief Executive, and worked in the National Health Services for twenty years. His most recent publications are Ethics and the Health Service Manager The contributors ix (King's Fund Institute, 1989), The Reorganised National Health Service (with Ruth Levitt, 4th edn, revised 1993) and Values in the NHS (Institute of Health Service Managers, 1993).