Professor Al Aynsley-Green
http://www.100md.com
《英国医生杂志》
Health tsars: spin or substance?: Eight health directors ("tsars") were appointed from 1999 to 2002. Katherine Burke asked them to summarise their achievements and other people to assess their work. A ninth "tsar", Dr Sue Roberts, was appointed in March 2003 to cover diabetes. The full text is accessible at www.bmj.com
Professor Al Aynsley-Green
National clinical director for children
Appointed: July 2001
My achievements: I have been successful at increasing awareness among the top team at the Department of Health about deficiencies exposed by the Kennedy inquiry into deaths of babies at Bristol and the Laming inquiry into Victoria Climbié's murder.
I have led the development of the children's national service framework, "Getting the right start." The first part of it, which set standards for children in hospital, was published in April 2003, and the rest is due for publication early in 2004. I have been engaged in the green paper Every Child Matters (published in September 2003).
Now the role for the children's national service framework is to deliver the policies outlined in the green paper. For the first time the framework has given clear standards for the care of children in hospital. I'm proud of the way it looks at the holistic approach to the care of children. The three key principles are child centred services, the whole child, and needs led services.
What others say
Professor Sir David Hall, professor of community paediatrics, University of Sheffield: Do tsars really bring about change? Many of the determinants of health lie outside the health service and indeed outside the health department.
So every tsar has a dilemma: to focus on health care in the narrow sense and aim to get that right; or to address the bigger picture and argue the case for reducing social ills, improving poor education, and so on. Perhaps this is particularly a challenge for the children's tsar.(Katherine Burke)
Professor Al Aynsley-Green
National clinical director for children
Appointed: July 2001
My achievements: I have been successful at increasing awareness among the top team at the Department of Health about deficiencies exposed by the Kennedy inquiry into deaths of babies at Bristol and the Laming inquiry into Victoria Climbié's murder.
I have led the development of the children's national service framework, "Getting the right start." The first part of it, which set standards for children in hospital, was published in April 2003, and the rest is due for publication early in 2004. I have been engaged in the green paper Every Child Matters (published in September 2003).
Now the role for the children's national service framework is to deliver the policies outlined in the green paper. For the first time the framework has given clear standards for the care of children in hospital. I'm proud of the way it looks at the holistic approach to the care of children. The three key principles are child centred services, the whole child, and needs led services.
What others say
Professor Sir David Hall, professor of community paediatrics, University of Sheffield: Do tsars really bring about change? Many of the determinants of health lie outside the health service and indeed outside the health department.
So every tsar has a dilemma: to focus on health care in the narrow sense and aim to get that right; or to address the bigger picture and argue the case for reducing social ills, improving poor education, and so on. Perhaps this is particularly a challenge for the children's tsar.(Katherine Burke)