Robert Maxwell (ed.), Reshaping the National Health Service, Policy Journals, Hermitage, Berks, 1988. 199 pp. £25.00.

1989 ◽  
Vol 18 (3) ◽  
pp. 443-444
Author(s):  
Rob Flynn
1994 ◽  
Vol 24 (1) ◽  
pp. 45-72 ◽  
Author(s):  
Brian Salter

The National Health Service of the United Kingdom is trapped in a policy paradox. On the one hand, the 1990 reforms encourage the devolution of power to local purchaser and provider units through the operation of the “internal market.” On the other, mechanisms of control and accountability are being revamped to produce a centrally managed system bound together by corporate contracts. The political frictions generated by this paradox are exacerbated by the problem of rationing health care in the face of apparently unlimited demand. This article examines the political problems faced by a single Health Authority as it sought to implement the changes required of it by the conflicting policies.


2014 ◽  
Vol 96 (8) ◽  
pp. 586-589 ◽  
Author(s):  
AJ Millington ◽  
JS Phillips

Introduction The aim of this study was to assess tonsillitis and tonsillectomy trends, both from a local and national perspective. Methods Retrospective analysis was carried out of tonsillitis admissions and tonsillectomy rates over a ten-year period in a university teaching hospital from 2003 to 2012. Results Since 2003 tonsillitis admissions have increased locally by 118% in adults and 179% in children despite negligible changes in tonsillectomy rates. Similar trends have been observed nationally. Conclusions The findings of this study may be considered to be the result of current National Health Service policy. A reconsideration of agreed indications for tonsillectomy could potentially reduce hospital admissions of patients with tonsillitis in the long term.


Pflege ◽  
2010 ◽  
Vol 23 (6) ◽  
pp. 417-423
Author(s):  
Elke Keinath

Im Artikel werden persönliche Erfahrungen als Advanced Nurse Practitioner (ANP) in der Thoraxchirurgie im National Health Service (NHS) in Großbritannien geschildert. Die tägliche Routine wurde von sieben Kompetenzdomänen bestimmt, nämlich: Management des Gesundheits- und Krankheitszustandes des Patienten, Beziehungen zwischen Pflegeperson und Patient, Lehren und Unterrichten, professionelle Rolle, Leitung und Führung innerhalb der Patientenversorgung, Qualitätsmanagement sowie kulturelle und spirituelle Kompetenzen. Diese Elemente wurden durch die Zusatzqualifikation, selbstständig Medikamente verschreiben und verordnen zu dürfen, erweitert, was dazu beitrug, eine nahtlose Erbringung von Pflege- und Serviceleistungen zu gewähren. Die Position wurde zur zentralen Anlaufstelle im multi-professionellen Team und stellte eine kontinuierliche Weiterführung der Pflege von Patienten und ihren Familien sicher – auch über Krankenhausgrenzen hinweg.


Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 76-OR
Author(s):  
ROBERT E.J. RYDER ◽  
MAHENDER YADAGIRI ◽  
SUSAN P. IRWIN ◽  
WYN BURBRIDGE ◽  
MELANIE C. WYRES ◽  
...  

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