Developing a Seamless Pediatric Feeding Service in Wales It is with pleasure that I introduce to you Alison Stroud. Until recently she has been the director ofspeech services for the Prince Charles Hospital Trust in Mythr Tydfil and is currently the director ofdysphagiafor Wales. She is leaving behind her managerial duties, at leastfor the present, and returning ... Article
Article  |   October 01, 1998
Developing a Seamless Pediatric Feeding Service in Wales
Author Affiliations & Notes
  • Alison Stroud
    University of Wales
Article Information
Swallowing, Dysphagia & Feeding Disorders / International Column
Article   |   October 01, 1998
Developing a Seamless Pediatric Feeding Service in Wales
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), October 1998, Vol. 7, 14-15. doi:10.1044/sasd7.3.14
SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), October 1998, Vol. 7, 14-15. doi:10.1044/sasd7.3.14
It is with pleasure that I introduce to you Alison Stroud. Until recently she has been the director ofspeech services for the Prince Charles Hospital Trust in Mythr Tydfil and is currently the director ofdysphagiafor Wales. She is leaving behind her managerial duties, at leastfor the present, and returning to academe to enter a doctoral program at the University of Wales. We wish her good fortune in her pursuit.
In the last year the country has had a change in government and Wales will shortly have its own Welsh Assembly. This has had an effect on the strategic planning for health care, Wales now diversifying and developing in a unique way to England. The English focus is on structure of health care; Wales is on public health. Our government has stressed that “best practice must become common practice” with a strong focus on clinical audit, quality and risk management, especially clinical risk management, or clinical governance. The National Institute for Clinical Excellence (NICE) will support, but not police, improving quality in health care by developing kite marks or clinical guidelines and good practice for clinical audit. Evidently this function will be handled by the Committee for Health Improvement (CHIMP), which will regulate Health Improvement Plans. Commissioning Health Care for the people of Wales will be controlled by Local Health Groups (LHG), a band of 12 with the aim to commission services suited more closely to the local population. Fears for Professions Allied to Medicine (PAM), including speech and language therapists, physiotherapists, and occupational therapists are that these 12 will be mainly doctors and nurses, the doctors being general practitioners. Their ability to act as broad range commissioners is in doubt. There will be no direct representation by PAM's groups and the advisory mechanisms are unclear.
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