Skills Development Scotland

Dobbies: Various Jobs (Lasswade)

Receptionist – Full Time or Job Share Dobbies Head Office, Lasswade Competitive Salary DO2992 We are currently recruiting for a Receptionist based in our Central Support Offices at Lasswade. Junior Merchandisers Dobbies Head Office, Lasswade Competitive Salary DO2990 We currently have an opportunity for two Junior Merchandisers to join our Purchasing teams based in our … Continue reading Dobbies: Various Jobs (Lasswade)


NBHS parents and carers careers update

I have delivered talks to the following year groups and you can view the sessions by visiting the individual links. S1 here S3 here S4 here S5 here S6 here The S2 talk will take place next term. In addition to the above talks I am delivering an employability programme to S6 on Tuesdays and … Continue reading NBHS parents and carers careers update

Primary Care Improvement Plan

Comment on "Letter from Dr Andrew Smith to Dr Jon Turvill"

Dr Alastair Clubb, Chair, Access and delivery Working Group (and GP Lead, Primary Care Strategy) adds: I would like to highlight the general supporting evidence around the ANP role in primary care. The role of the Advanced Practitioner is complementary to the care offered by medical practitioners well as acting as primary care providers in their own right. Their expertise lies firmly in their ability to operate as ‘generalists’, providing complete episodes of care across any age range and across a wide variety of health needs and presenting problems. We help fill some gaps in healthcare shortages; being able to deal with a variety of acute presentations and same day and chronic long term condition appointments in particular means the role can alleviate some of the issues experienced by patients in terms of access and help fill the gaps resulting in the issues with recruitment and retention of GPs. This also enables GPs to see patients with more complex health needs, this is especially important given the new GP contract seeing the GP as very much the ‘expert medical generalist’. There is growing evidence to support that ANPs are able to provide safe and effective care. Systematic reviews as far back as 2002 found patients preferred to see a nurse in a nurse led clinic with few requiring referral to a GP. More recent systematic reviews appraising both the effectiveness and safety of the ANP showed the role to be positively evaluated across areas of patient satisfaction, clinical outcomes, and costs. ANPs in primary care settings were found to perform equally as well as physicians in terms of clinical outcomes and patient satisfaction and that whilst consultations might take slightly longer and result in more diagnostic tests and return consultations this did not result in overall increased costs. Additional evidence suggested patients seeing ANPs required fewer total primary care visits and that ANPs provided more thorough patient education - which one could suggest helps reduce the number of return visits and offers. I have no doubt that we could easily review NP/ANP prescribing, referrals rates and patient satisfaction in CWIC and find that are as good as if not better in terms of formulary adherence and referral rates that our medical colleagues. We have a few ANP/NP working in EL - I'm sure we would be delighted to look at current satisfaction and effectiveness at a local level should this seek to provide evidence to doctors unsure of our place and value in practice.

What are East Lothian school students learning today?