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Kansas Abortion Provider Tiller Shot Dead At Church Service
Kansas abortion provider George Tiller, one of the few U.S. doctors who performed the procedure later in pregnancy, was shot and killed Sunday at his church in Kansas, the New York Times reports. Tiller, who ran Women"s Health Care Services, was believed to be one of about three doctors in the country who provided abortion services to women in the third trimester of pregnancy under certain conditions, according to the Times. He was a longtime target for protests from antiabortion-rights groups and, in recent years, had endured multiple legal challenges from the groups and antiabortion-rights officials seeking to shut down his practice through prosecution (Stumpe/Davey, New York Times, 6/1). The Washington Post reports that Kansas resident Scott Roeder is considered a suspect in the shooting and was taken into custody. According to the Post, Roeder "is known in antiabortion circles as a man who believes that killing an abortion doctor is justifiable" (Slevin/Barnes, Washington Post, 6/1). The killing further intensifies attention on abortion-rights issues at a time when the Supreme Court nomination and the controversy over President Obama"s recent speech at the University of Notre Dame have brought the debate to the forefront, the Post reports (Barnes, Washington Post, 6/1). In a statement, Obama said he was "shocked and outraged" by the murder (Simon/Bustillo, Wall Street Journal, 6/1). "However profound our differences as Americans over difficult issues such as abortion, they cannot be resolved by heinous acts of violence," Obama said. Abortion-rights supporters said Tiller"s death would leave few options for women in need of abortion later in pregnancy. Peter Brownlie, president of Planned Parenthood of Kansas and Mid-Missouri, said, "This is a tremendous loss on so many levels" (New York Times, 6/1). The Post reports that Tiller is the fourth abortion provider to be killed since 1993 and the first since 1998. Nancy Keenan, president of NARAL Pro-Choice America, said, "Dr. Tiller"s murder will send a chill down the spines of the brave and courageous providers and other professionals who are part of reproductive health centers that serve women across this country" (Barnes, Washington Post, 6/1). NARAL New York President Kelli Conlin, said, "It is cold-blooded, vicious actions like today"s assassination that make it hard for those of us in the pro-choice community to find common ground with those on the other side" (Abcarian, Los Angeles Times, 6/1). Center for Reproductive Rights President Nancy Northup said that Tiller was "willing to be a very public, forthright and brave defender of women"s right to abortion," adding that he "put himself out front as a defender of women"s reproductive health care" (Welch, USA Today, 6/1). Abortion-rights opponents also condemned the murder, saying that they do not condone violence as a means to further their cause, USA Today reports. Troy Newman, director of Operation Rescue, which had been working to pressure Kansas" medical licensing board to revoke Tiller"s license, called Tiller"s death "a setback for the cause," adding that he "will likely be seen as a hero from the pro-choice perspective" (Bello, USA Today, 6/1). Marjorie Dannenfelser, head of the antiabortion-rights group Susan B. Anthony List, said she condemned "this anti-life act in the strongest of terms" (Wall Street Journal, 6/1).
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Quality Of GP Consultations Drives High Patient Satisfaction, UK

Being given enough time with a GP and feeling that their problems are taken seriously are the most important factor in patients" satisfaction with their local surgery, according to new data out today. The GP Patient Survey, the biggest healthcare survey of its kind, found that overall satisfaction with surgeries was high at 91%, but there is still room for improvement in accessing GP services, especially getting through on the phone and being able to make appointments more than 48 hours in advance. The GP Patient Survey, conducted for the Department of Health by Ipsos MORI, is an important measure of how well surgeries in England are responding to patients" needs. Based on survey feedback from previous years, the Government set an ambitious target for at least 50% of GP surgeries to offer extended opening hours. Now over three-quarters of practices are open longer and satisfaction with practice opening hours is 82%. While patients are clearly pleased with the treatment they receive when they see a GP, the survey shows a clear need to improve access to services, and practices should look at these results to identify their patients" concerns. Other key findings from this year"s survey include: - 84% of people who tried to get an appointment with a GP in 48 hours reported they were able to do so; - 70% of people reported satisfaction with their ability to get through to their practice on the phone; - 76% of people who wanted to book ahead for an appointment reported they could do so; and - 77% of people who wanted an appointment with a particular GP (even if meant waiting longer) reported they could do so. Commenting on the results of the GP Patient Survey, Health Minister Mike O"Brien said: "The GP Patient Survey is one of the most valuable tools we have for measuring what patients think of their GP practice. I congratulate the vast majority of surgeries who are performing well, but its clear some surgeries now need to look at these results and identify the areas where patients are still dissatisfied. In particular this year"s results show there is work to be done in improving telephone access to surgeries and making it easier for patients to book appointments in advance. "I thank the millions of patients who took the time to complete this survey, this feedback is essential in making sure the NHS is meeting the needs of patients. We need to ask patients what they think to improve the quality of the NHS. We also need to listen and act on what patients say." In addition to information on accessing services, for the first time this year patients were asked their views on a wider range of topics that are also important to patients when visiting their GP, such as cleanliness and how long they wait after arriving. Patients reported that contrary to popular myths, GP receptionists are actually helpful with 94% of patients rating them highly. Patients were also able to feedback on their practice nurse for the first time this year with overwhelmingly positive results. The majority (92%) find it easy to see a practice nurse, and rated them highly on a range of factors from listening to them and asking about their symptoms, to explaining treatment and involving patients in decisions about their care. Patient feedback plays a vital role in shaping primary care services. To help GPs respond to the feedback their patients give them, the Department of Health will this Thursday (2 July), be publishing the Provider Guide on Access and Responsiveness, giving practices practical advice on how to deliver the services their patients need. The guide was developed in partnership with the Royal College of GPs, the BMA and a range of other groups to ensure it meets the needs of practices. It includes examples of best practice such as the Saltaire Medical Practice in Bradford which introduced online appointment booking, making it easier for patients to book, cancel and check details of appointments, and freeing up phone lines so that patients who did need to speak to the practice found it faster and more convenient. GPs are increasingly offering patients more ways to contact surgeries such as by email or online, but the profession needs to consider how to best do this and make sure that those without internet access also find it as easy to contact their surgery. Department of Health, UK


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