Transforming urgent & emergency care together: phase 1 final report
Manley, K., Jackson, C., Martin, A., Apps, J., Setchfield, I., Oliver, G., East Kent Hospitals University NHS Foundation Trust, South East Coast Ambulance Service and Ashford, NHS Canterbury & Coastal, NHS South Kent Coast and NHS Thanet Clinincal Commissioning Groups 2014. Transforming urgent & emergency care together: phase 1 final report. Canterbury, UK England Centre for Practice Development: Canterbury Christ Church University.
|Authors||Manley, K., Jackson, C., Martin, A., Apps, J., Setchfield, I., Oliver, G., East Kent Hospitals University NHS Foundation Trust, South East Coast Ambulance Service and Ashford, NHS Canterbury & Coastal, NHS South Kent Coast and NHS Thanet Clinincal Commissioning Groups|
|Keywords||Clinical systems leadership; whole systems; assess treat sort competence framework; workforce development, urgent and emergency care|
|Publisher||England Centre for Practice Development: Canterbury Christ Church University|
|Place of publication||Canterbury, UK|
|02 Nov 2014|
|Publication process dates|
|Deposited||31 Mar 2016|
|Accepted||02 Nov 2014|
|Funder||Health Education Kent Surrey Sussex|
Adams, S. (2012). 'Hire foreign doctors to drive down pay' urges think tank. 09 November 2012. The Telegraph, Article
Academy of Medical Royal Colleges (2007). Acute health care services, Report of a Working Party.
Agarwal, S., Banerjee, J., Baker, R., Conroy, S., Hsu, R., Rashid, A., & Habiba, M. (2011). Potentially avoidable emergency department attendance: interview study of patients' reasons for attendance. Emergency Medicine Journal.
Age UK (2014). People, Place, Purpose: Shaping services around people and communities through the Newquay Pathfinder. Newquay Pathfinder Evaluation Report. Age UK Cornwall & Isles of Scilly
Ainsworth-Smith, M. (2012). Clinical Services Policies and Procedures. Emergency Care Practitioner Policy and Procedures. South Central Ambulance Service NHS Foundation Trust
Alberti, K. G. M. (2004). Emergency care networks: Are needed to coordinate the options available to patients in an emergency. BMJ: British Medical Journal, 329(7474), 1057.
Albury, D. (2013). Personal Communication
Anonymous (2013) Don’t be surprised the NHS 111 service failed – the workers saw it coming. Liberal Conspiracy August Archives, Blog Health
Ansari, Z., Saha, A., Azra, H., John, P., & Ahee, P. (2008). Urgent care centers: A new development in the United Kingdom. Annals of Emergency Medicine; Ann.Emerg.Med., 51(4), 550-550.
Assid, P. A. (2011). Transforming an emergency department: from crisis to excellence. Journal of Emergency Nursing, 37(6), 537-540.
Avery, A. J., & Pringle, M. (2005). Extended prescribing by UK nurses and pharmacists. BMJ, 331(7526), 1154-1155.
Ball, J., & Sawer, P. (2009). NHS chief tells trusts to make£ 20bn savings. The Telegraph (13 Jun 2009).
Barnett, K., Mercer, S. W., Norbury, M., Watt, G., Wyke, S., & Guthrie, B. (2012). Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. The Lancet, 380(9836), 37-43.
Barr, H. (2012). Integrated and interprofessional care. International journal of integrated care, 12.
Barr, H. (1998). Competent to collaborate: towards a competency-based model for interprofessional education. Journal of Interprofessional Care, 12(2), 181-187.
BBC News online. (February 2013) Child hospital stays 'keep rising'.
BBC News Kent (2013) NHS 111 recruitment: 'Students targeted' in Kent. July available at: http://www.bbc.co.uk/news/uk-england-kent-23313173
Berwick, D. M. (2008). The science of improvement. Jama, 299(10), 1182-1184.
Blunt, I. (2014). Focus on: A&E attendances. Nuffield Trust, London
Blunt, I. (2013). Focus on preventable admissions Trends in emergency admissions for ambulatory care sensitive conditions, 2001 to 2013
Blunt, I., Bardsley, M., & Dixon, J. (2010). Trends in emergency admissions in England 2004-2009: is greater efficiency breeding inefficiency. The Nuffield Trust.
Boyce, T., Dixon, A., Fasolo, B., & Reutskaja, E. (2010). Choosing a high-quality hospital. The role of nudges, scorecard design and information.
British Medical Association, “European Working Time Directive”, BMA
Britnell, M. (2005). On the on-call conundrum. Health Service Journal. 115(5965): 17.
Broad, M (2010) Spending on locums rockets due to EWTD; hospital doctor news 12th November 2010
Brook, S., & Crouch, R. (2004). Doctors and nurses in emergency care: where are the boundaries now? Trauma, 6(3), 211-216.
Burton, H. (2014) Community Services Best Practice Review. NHS South West Commissioning Support
Cabinet Office (2000). Open all hours? Results from the people's panel. London, 2000.
Calkin, S. Emergency medicine in ‘crisis, 3 October 2012, HSJ Article
Caplan, G. & Caplan, R.B. (1993). Mental health consultation and collaboration. San Francisco: Jossey-Bass.
Centre for Workforce Intelligence, “Shape of the medical workforce. Starting the debate on the future consultant workforce”, Centre for Workforce Intelligence, February 2012.
Centre for Workforce Intelligence, “Medical Specialty Workforce Summary Sheet, Emergency Medicine”, Centre for Workforce Intelligence, August 2011.
Charters, S., Knight, S., Currie, J., Davies-Gray, M., Ainsworth-Smith, M., Smith, S., & Crouch, R. (2005). Learning from the past to inform the future–a survey of consultant nurses in emergency care. Accident and Emergency Nursing, 13(3), 186-193.
Coleman, P., Irons, R., & Nicholl, J. (2001). Will alternative immediate care services reduce demands for non-urgent treatment at accident and emergency?. Emergency Medicine Journal, 18(6), 482-487.
College of Emergency Medicine (2012). Emergency medicine taskforce interim report. London: CEM.
College of Emergency Medicine Clinical Effectiveness Committee (2012) End of life care for adults in the Emergency Department. Best practice guidance
Commission for Healthcare Audit and Inspection (2008). Not just a matter of time. A review of urgent and emergency care services in England. Healthcare Commission
Conroy, S. P., Stevens, T., Parker, S. G., & Gladman, J. R. (2011). A systematic review of comprehensive geriatric assessment to improve outcomes for frail older people being rapidly discharged from acute hospital: ‘interface geriatrics’. Age and Ageing, 40(4), 436-443.
Cook, M., Oliver, D., Burns, A. (2009). Quality Care for Older People with Urgent and Emergency Care Needs
Cornwall Council (2014) People, Place, Purpose Shaping services around people and communities through the Newquay Pathfinder.
Coupe, M. (2013). Integrated care in Herefordshire: a case study. Journal of Integrated Care, 21(4), 198-207.
Coulter, A., & Magee, H. (2003). The European patient of the future. McGraw-Hill International. 19
Coulter, A. (2005). What do patients and the public want from primary care? BMJ, 331(7526), 1199-1201.
Cowling, T. E., Cecil, E. V., Soljak, M. A., Lee, J. T., Millett, C., Majeed, A., ... & Harris, M. J. (2013). Access to primary care and visits to emergency departments in England: a cross-sectional, population-based study. PloS one, 8(6), e66699.
Cox, J. (2006). GPs can no longer claim to be the ‘gatekeepers’ of the NHS. The British Journal of General Practice, 56(523), 83.
Curry, R. (2006). Vision to reality: using patients’ voices to develop and improve services. British journal of community nursing, 11(10), 438-445.
Darzi, A. (2009). High quality care for all: NHS Next Stage Review final report, 2008. London: DH.
Dawood, M. (2012). The ‘Silver Book’ on elderly care in hospitals and community settings. British journal of community nursing, 17(8), 386-387.
DeLia, D., Cantor, J. C., Brownlee, S., Nova, J., & Gaboda, D. (2012). Patient Preference for Emergency Care Can and Should It Be Changed? Medical Care Research and Review, 69(3), 277-293.
Department of Health (2006). Direction of Travel for Urgent Care: a discussion document
Urgent Care: Direction of Travel Consultation Document, London, 2006
Department of Health (2004) Telephone Access to Out-of-Hours Care: supporting PCTs commissioning call handling and telephone clinical assessment services – practical guidance. London: DH.
Department of Health. A&E Clinical Indicators: Implementation Guidance. December 2010
Department of Health. Real Involvement. 2008 Department of Health.
Department of Health. A&E clinical quality indicators (2010): Implementation guidance and data definitions. London: DH;
Department of Health, London (United Kingdom); Home Office, London (United Kingdom); Department for Education and Employment, London (United Kingdom). (2006). Working together to safeguard children A guide to inter-agency working to safeguard and promote the welfare of children.
Department of Health (2014). Mental Health Crisis Care Concordat – Improving outcomes for people experiencing mental health crisis
Department of Health (2000) Raising standards for patients New Partnerships in Out-of-Hours Care: An Independent Review of GP Out-of-Hours Services in England. Department of Health.
Dixon, A. & Ham, C. (2010) Liberating the NHS The right prescription in a cold climate? The King’s Fund
Duffield, C., Gardner, G., Chang, A. M., & Catling-Paull, C. (2009). Advanced nursing practice: a global perspective. Collegian, 16(2), 55-62.
Dunckley, M., Osborn, C., Magee, H., & Reeves, R. (2004). Development and pilot testing of the questionnaire for use in NHS Trust-based Ambulance Emergency Services patient survey. Picker Institute Europe.
East Kent Hospitals University NHS Foundation Trust Operational Plan 2014/15 – 2015/16 Monitor Submission (Draft)
Edwards, N. (2013) Can we keep up with the demand for urgent and emergency care? Kings Fund.
Emeny, R. (2013) Key steps to stabilise emergency care in England. How modelling is resuscitating NHS urgent and unscheduled care, The Cumberland Initiative.
Ende J. Feedback in Clinical Medical Education. JAMA 1983; 205: 777–81.
Faculty of Medical Leadership and Management conference (2013) Better Training Better Care, Manchester
Fernandes, A. (2011). Guidance for commissioning integrated urgent and emergency care. A whole system approach. London: Royal College of General Practitioners.
Foundation Trust Network (2013). Emergency care and Emergency services: A view from the front line
George, P. (2012). East Kent Urgent Care Needs Assessment. Kent County Council / NHS Kent & Medway
Gerard, K., Salisbury, C., Street, D., Pope, C., & Baxter, H. (2008). Is fast access to general practice all that should matter? A discrete choice experiment of patients’ preferences. Journal of Health Services Research & Policy, 13 (Suppl. 2), 3-10.
Global Health Workforce Alliance (2013). Global Health Workforce Crisis – Key messages
Goodwin, N., & Smith, J. (2011). The evidence base for integrated care. King’s Fund and the Nuffield Trust-Developing a National Strategy for the Promotion of Integrated Care.
Griffin, M., & Melby, V. (2006). Developing an advanced nurse practitioner service in emergency care: attitudes of nurses and doctors. Journal of advanced nursing, 56(3), 292-301.
Gould, M. (2013). £ 500m fund for emergency services will not fix longstanding problems, say doctors. BMJ: British Medical Journal, 347.
Haas, S., Swan, B. A., & Haynes, T. (2013). Developing ambulatory care registered nurse competencies for care coordination and transition management.
Ham, C., & Curry, N. (2011). Integrated care. What is it? Does it work? What does it mean for the NHS? The king's fund.
Ham, C. J., & De Silva, D. (2009). Integrating care and transforming Community Services: what works? where next?
Ham, C. (2013). Health care innovations in the United States: what lessons are there for the NHS? The King’s Fund.
Hassan, T., McMillan, P., Walsh, C. and Higginson, I. (2013). The drive for quality. How to achieve safe, sustainable care in our Emergency Departments? System benchmarks & recommendations report. The College of Emergency Medicine
HCL (2013) The Real Emergency in Emergency Departments: Is the chronic shortage of England’s A&E doctors reaching crisis point? HCL workforce solutions
Heyworth, J. R. (2010). Flawed assumptions have hampered emergency care. BMJ, 341.
Health Education England (2013). Introducing Health Education England: Our Strategic Intent February 2013
Health Education England (2013). Introducing Health Education England: Our Strategic Intent update. We asked- You said- We listened- What we are doing.
Health Foundation (2010). Implementing shared decision making in the UK: a report for the Health Foundation. London: the Health Foundation.
Herbert, H. (2007). Should general practitioners resume 24 hour responsibility for their patients? No. BMJ, 335(7622), 697-697.
Himelhoch, S., Weller, W. E., Wu, A. W., Anderson, G. F., & Cooper, L. A. (2004). Chronic medical illness, depression, and use of acute medical services among Medicare beneficiaries. Medical care, 42(6), 512-521.
Horne, M., Khan, H. and Corrigan, P. (2013) People powered health: health for the people, by the people and with the people. Nesta Innovative Unit
House of Commons Health Committee (2013). Urgent and Emergency Services: Alternatives to Accident and Emergency UK Parliament.
Hudson, P. V., & Marshall, A. P. (2008). Extending the nursing role in Emergency Departments: Challenges for Australia. Australasian Emergency Nursing Journal, 11(1), 39-48.
Imison, C. (2009). Shaping PCT Provider Services: The future for community health. King's Fund.
Intelligence, D. F. (2012). Fit for the future? Dr Foster hospital guide 2012. Dr Foster Intelligence, London.
ITV Report (2013) NHS 111 call handlers 'not properly trained' for role. ITV News July http://www.itv.com/news/2013-07-09/nhs-111-call-handlers-not-properl...
Jenkins, L. and King, A. (2012) Practice Nurses and Long Term Conditions- what are the training needs? A research report. Centre for Health Services Studies, University of Kent.
Jones, M., Lees, L. (2009). How is multi-professional training optimised in the acute environment? British Journal of Hospital Medicine, Supplement 1; UK Consensus Conference on Acute Medicine: The Royal College of Physicians for Edinburgh, November 2008, Vol., 70, No1, pp S19 – S25.
Jones M. (2000) Walk-in primary care centres: lessons from Canada. BMJ 321: 928-931.
Kaffash, J. (2013) NHS 111 overhaul to ensure service 'definitively manages' calls
Kent Community Health NHS Trust. Integrated Performance Report - 2012/2013
Kent Joint Strategic Needs Assessment refresh (2012). Working together to keep Kent Healthy – Urgent Care Chapter 2011-2012. Kent County Council.
Keogh, K, (2013) Review into the quality of care provided by 14 hospital trusts in England: overview report. NHS England.
Keogh, K., & Jones-Berry, S. (2013). Emergency staff call for urgent action as A&E crisis deepens. Nursing Standard, 27(38), 9-9.
King’s Fund (2013). Urgent and Emergency Care: a review for NHS South of England
King’s Fund (2012). Future trends. King’s Fund, London.
Knapp, M., Comas-Herrera, A., Somani, A., & Banerjee, S. (2007). Dementia: international comparisons.
Knowles, E., O’Cathain, A., & Nicholl, J. (2012). Patients’ experiences and views of an emergency and urgent care system. Health Expectations, 15(1), 78-86.
Kodner, D. L., & Kyriacou, C. K. (2000). Fully integrated care for frail elderly: two American models. International journal of integrated care, 1.
Kyle, R. G., Banks, M., Kirk, S., Powell, P., & Callery, P. (2012). Integrating community children’s nursing in urgent and emergency care: a qualitative comparison of two teams in North West England. BMC pediatrics, 12(1), 101.
Lacobucci, G. (2013). NHS medical director proposes two tier emergency service. BMJ: British Medical Journal, 347.
Lakhani, M., Fernandes, A., and Archard, D. (2007) Urgent Care; a position statement from the Royal College of General Practitioners
Lega, F., & Mengoni, A. (2008). Why non-urgent patients choose emergency over primary care services? Empirical evidence and managerial implications. Health Policy, 88(2), 326-338.
Lega, F. (2007). Organisational design for health integrated delivery systems: theory and practice. Health policy, 81(2), 258-279.
Limb, M. (2012). Shortage of emergency department doctors needs urgent action, says watchdog. BMJ (Clinical research ed.), 347, f6595-f6595.
Lipley, N. (2013). Urgent care boards created to improve service delivery: NHS England’s plans to raise performance and cut patient waiting times receive cautious welcome. Emergency Nurse, 21(3), 5-5.
Lone, I. A. (2012). GPs used to be effective gatekeepers. BMJ: British Medical Journal, 345.
Lovegrove, M & Davis, J. (2013). Paramedic Evidence Based Education Project (PEEP). End of study report: Maximising paramedics’ contribution to the delivery of high quality and cost effective patient care. Allied Health Solutions.
Manley K; Titchen, A; McCormack B (2013) What is practice development? In McCormack, B; Manley, K; Titchen, A. Practice Development in Nursing and Healthcare (2nd ed) Wiley-Blackwell, Chichester pp45-65
Melzer, D. Tavakoly, B. Winder, R. Richards, S. Gericke, C. Lang I (2012). Health care quality for an active later life: improving quality of prevention and treatment through information: England 2005 to 2012. A report from the Peninsula College of Medicine and Dentistry Ageing Research Group for Age UK. Exeter: Peninsula College of Medicine and Dentistry, University of Exeter.
Manley, K., Titchen, A., & Hardy, S. (2009). Work‐based learning in the context of contemporary health care education and practice: A concept analysis. Practice Development in Health Care, 8(2), 87-127.
Martin, J. (2008). Access to urgent care: Looking to the future. Practice Nursing, 19(4), 166.
Mason, S., Knowles, K., Colwell, B., Dixon, S., Wardrope, J., Gorringe, R., Snooks, H., Perrin, J. and Nocholl, J. (2007): ‘Effectiveness of paramedic practitioners in attending 999 calls from elderly people in the community: cluster randomised controlled trial’, BMJ
Meretoja, R., & Leino-Kilpi, H. (2001). Instruments for evaluating nurse competence. Journal of Nursing Administration, 31(7/8), 346-352.
McClelland, H. (2007). Emergency Care and Patient Choice. Accident and emergency nursing, 15(2), 69-70.
Mind (2011). Listening to experience: An independent inquiry into acute and crisis mental healthcare
Moll van Charante, E. P., Ter Riet, G., & Bindels, P. (2008). Self-referrals to the A&E department during out-of-hours: patients’ motives and characteristics. Patient education and counselling, 70(2), 256-265.
Monitor (2014) Walk- in Centre Review: final report and recommendations. Publication code: IRRES 02/14
Monitor and NHS England (2013) A review of the marginal rate rule. Monitor Publication code: IRG 30/13; NHS England Publications Gateway Reference 00883
Mooney, H. (2013). Teenagers targeted to be NHS 111 call handlers. Pulse, Commissioning Urgent Care
Moth, G., Huibers, L., & Vedsted, P. (2013). From doctor to nurse triage in the Danish out-of-hours primary care service: simulated effects on costs. International journal of family medicine, 2013.
Muntlin, Å., Gunningberg, L., & Carlsson, M. (2006). Patients’ perceptions of quality of care at an emergency department and identification of areas for quality improvement. Journal of clinical nursing, 15(8), 1045-1056.
Muntlin, Å., Carlsson, M., & Gunningberg, L. (2010). Barriers to change hindering quality improvement: the reality of emergency care. Journal of Emergency Nursing, 36(4), 317-323.
National Audit Office (2011). Transforming NHS ambulance services. Department of Health. National Audit Office.
National Audit Office (2013). Emergency admissions to hospital: managing the demand.
National Institute for Health Research Service Delivery and Organisation Programme (2010) The impact of changing workforce patterns in emergency and urgent out-of-hours care on patient experience, staff practice and health system performance
National Primary Care Research and Development Centre: General Practice Assessment Questionnaire. [http://www.gpaq.info/].
Nelson, J. (2011). Why patients visit emergency units rather than use primary care services. Emergency Nurse, 19(1), 32-36.
Neylor, C., Imison, C., Addicott, R., Buck, D., Goodwin, N., Harrison, T., Ross, S., Sonola, L., Tian, Y., Curry, N. (2013) Transforming our health care system: Ten priorities for commissioners
Newton, A. (2009). Paramedics Skill Levels, Specialist Roles and Timescales; the Cornerstone of a High Quality Ambulance Service. South East Coast Ambulance Service NHS Trust
NHS Alliance (2011) Breaking the mould without breaking the system: new ideas and resources for clinical commissioners on the journey towards integrated 24/7 urgent care
NHS Alliance (2012). Getting to grips with integrated 24/7 emergency and urgent care: a practical way forward for clinical Commissioners. NHS Commissioning Board 2012
NHS Commissioning Board (NHS England), Commissioning fact sheet for clinical commissioning groups, October 2012
NHS Confederation (2014a) Ripping off the sticking plaster: Whole systems solutions for urgent and emergency care
NHS Confederation (2014b) A workforce fit for the future: Working together to improve the delivery of urgent and emergency care. Urgent and emergency care briefing. August, Issue 276
NHS Confederation (2013) Community Health Services Forum Briefing; transforming local care- community healthcare rises to the challenge. March Issue 258
NHS Revalidation Support Team (2014). The early benefits and impact of medical revalidation: report on research findings in year one.
NHS England: Improving A&E Performance. Gateway ref: 00062
NHS England (2013) NHS Services, Seven Days a Week: evidence base for the development of the clinical standards
NHS Direct NHS Trust (ES 31) experience to date of the transition from NHS direct to the NHS 111 service: Written evidence to the Health Committee April 2013
NHS England (2013) High quality care for all, now and for future generations: Transforming urgent and emergency care services in England: The Evidence Base from the Urgent and Emergency Care Review
NHS England (2014) Progress with the Urgent and Emergency Care Review. Board paper 011411
NHS Institute for Innovation and Improvement (2011). A whole systems approach to improving emergency and urgent care for children and young people. A practical step by step guide
NHS Institute for Innovation and Improvement (2010). Focus on: Children and young people emergency and urgent care pathway. ISBN No. 978-1-907045-78-3.
NHS London Health Programmes (2013).Quality and Safety Programme Emergency Departments a case for change
Nursing and Midwifery Council (2009) Review of pre-registration nursing education-
Nyström, M., Nydén, K., & Petersson, M. (2003). Being a non-urgent patient in an emergency care unit—a strive to maintain personal integrity. Accident and Emergency Nursing, 11(1), 22-26.
O'Cathain, A., Coleman, P., & Nicholl, J. (2008). Characteristics of the emergency and urgent care system important to patients: a qualitative study. Journal of Health Services Research & Policy, 13(suppl 2), 19-25.
O'Cathain, A., Knowles, E., Munro, J., & Nicholl, J. (2007). Exploring the effect of changes to service provision on the use of unscheduled care in England: population surveys. BMC health services research, 7(1), 61.
O’Cathain, A., Knowles, E., Turner, J., & Nicholl, J. (2014). Acceptability of NHS 111 the telephone service for urgent health care: cross sectional postal survey of users’ views. Family practice, 31(2), 193-200.
Oliver, D., Foot, C., & Humphries, R. (2014). Making our health and care systems fit for an ageing population. The King’s Fund: London.
Parliamentary, & Health Service Ombudsman. (2011). Care and Compassion: Report of the Health Service Ombudsman on Ten Investigations into NHS Care of Older People (Vol. 778). The Stationery Office.
Patient and Client Council (2013). ‘Care When I need It’; a report on urgent care services. Patient and Client Council, Northern Ireland.
Patrick, V. C., & Lazarus, J. (2010). A Study of the Workforce in Emergency Medicine: 2007 Research Summary. Journal of Emergency Nursing, 36(6), e1-e2.
Peckham S. The New General Practice Contract and Reform of Primary Care in the United Kingdom. Healthcare Policy 2007; 2(4): 34-46.
Pennine Acute Hospitals NHS Trust Ambulatory Emergency Care: a flexible approach to ambulatory care at Pennie Acute Hospitals
Pettifer, A., Munday, D., Gakhal, S., Bronnert, R., Cole R., Rhodes, J. & Stuart, P. (2011). Development of End of Life Care for Paramedic Practitioners. NHS West Midlands
Pope, C., Halford, S., Turnbull, J., Prichard, J., Calestani, M., & May, C. (2013). Using computer decision support systems in NHS emergency and urgent care: ethnographic study using normalisation process theory. BMC health services research, 13(1), 111.
Porter, M. (2014). Call to define role of physician associates. British Medical Association http://bma.org.uk/news-views-analysis/news/2014/august/call-to-defin...
Purdy, S (2010) Avoiding hospital admissions; what does the research evidence say? The King’s Fund, London.
Purdy, S., Paranjothy, S., Huntley, A., Thomas, R., Mann, M., Huws, D., & Elwyn, G. (2012). Interventions to Reduce Unplanned Hospital Admission: A series of systematic reviews. National Institute for Health Research.
Schein, E.H., (1999) Process Consultation Revisited: Building the Helping Relationship .Prentice Hall (Organizational Development Series) Paperback
Warfield C; Manley K (1990) Developing a new philosophy in the NDU. Nursing Standard 4(41) 27-30
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