Email is widely used in many sectors of society and many people now use email regularly. The use of email in health care is however less common. One possible use of email in healthcare is for health professionals to use it to send patients information on disease prevention and health promotion. In a systematic review published by the Cochrane Collaboration, Prescilla Sawmynaden and colleagues examined how patients, healthcare professionals and health services may be affected by using email in this way. They reported that there was limited evidence on the effects of using email to give people information on disease prevention and health promotion. Consequently, they were unable to properly assess email’s impact on patient behaviours & actions. As there is a lack of good quality evidence for whether email can be used by healthcare professionals to provide information to patients on disease prevention and health promotion, Sawmynaden and colleagues concluded that future studies should consider how to get good measurable information on this area.
NHS budgets are under considerable pressure. It is therefore unsurprising that many NHS Integrated Care Boards (ICBs) In England will aim to prioritise price in contract awards, But this approach is a significant threat to community-centred healthcare. While competitive tendering is a legally required, an excessive focus on costs in awarding NHS contracts risks overshadowing key factors such as established community trust, local expertise, and the long-term impact on continuity of care. This shift towards cheaper, often external, commercial providers threatens to cut the links between communities and their local health services. The argument that competitive tendering is solely about legal compliance, and not cost, is undermined by the very nature of such tendering, which by design encourages the lowest bid. This approach risks eroding the social fabric of local healthcare provision, where established relationships and understanding of specific community needs are essential. Establishe...
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