Clinical Negligence Reform: Lessons from France?

2003 ◽  
Vol 52 (3) ◽  
pp. 737-747 ◽  
Author(s):  
Simon Taylor
Keyword(s):  
United Kingdom ◽  
Health System ◽  
Medical Profession ◽  
Current Debate ◽  
Liability Rules ◽  
Patients Rights ◽  
The United Kingdom ◽  
The Relationship ◽  
New System

On 4 March 2002, the French legislature enacted the ‘Patients’ Rights & Quality of the Health System Act’ which introduces reforms in the relationship between the medical profession and the patient.1 As part of this wider reform, Part IV of the Act establishes a new system for the compensation of victims of medical accidents. The new legislation retains the traditional liability rules but puts in place a parallel system which aims to guarantee compensation for serious accidents, whether or not the accident is caused by negligence, without the need to resort to litigation in these cases. The new French rules are of considerable interest in view of the current debate in the United Kingdom on clinical negligence reform.

Towards Digital Governance in UK Local Public Services?

2009 ◽  
pp. 122-136
Author(s):  
Ian McLoughlin
Keyword(s):  
United Kingdom ◽  
Smart Card ◽  
Public Services ◽  
City Council ◽  
New Era ◽  
Local Public Services ◽  
The United Kingdom ◽  
Digital Governance ◽  
The Relationship

In the United Kingdom, major investments have been made in e-government in order to modernize government and improve the efficiency and quality of public services. It has been claimed that these changes herald a “new era of digital governance”. The management of the vast majority of public services in the United Kingdom takes place at local and regional levels and provision at this level has a key role in “joining-up services” through greater information sharing and multi-agency working. This chapter examines these developments with reference to a study of the procurement of a software system by a city council, an experiment in multi-agency working to provide services to children, and the introduction of a regional smart card. It is argued that if such innovations are to have outcomes consistent with the claims of the digital governance thesis, then the relationship between technological and organizational change will need to be re-thought.

scholarly journals Court interpreting in the United Kingdom: analysis of the Ministry of Justice’s Language Service New Contract

2016 ◽  
pp. 149-171
Author(s):  
Aurora Ruiz Mezcua ◽  
Alicia Fernández Gallego Casilda
Keyword(s):  
Human Rights ◽  
United Kingdom ◽  
Public Service ◽  
Private Company ◽  
Service Contract ◽  
The United Kingdom ◽  
Court Interpreting ◽  
The Uk ◽  
New System

Court interpreting is a challenging context where languages are fundamental to ensure justice and respect for human rights. The phenomenon of public service interpreting is a relatively recent one and the UK is considered to be one of the pioneer countries in providing Community Interpretation. The main objective of this research is to analyse the diverse aspects of the contract signed by the MoJ in 2012 with a private company for the outsourcing of language services. The MoJ previously obtained such services from freelance interpreters through a different system. We study the reasons for changing the old Ministry of Justice language service contract, the transition and also the new system, from an interpreting quality perspective. Consequently, this paper concentrates on one hypothesis: that there are elements in this outsourcing contract that pose a risk to the quality of the services provided under it.

scholarly journals Insurance related problems in bareboat charter agreements

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Albano Gilabert Gascón
Keyword(s):  
United Kingdom ◽  
Supreme Court ◽  
Third Parties ◽  
Insurance Contract ◽  
The United Kingdom ◽  
The Supreme Court ◽  
The One ◽  
The Baltic ◽  
The Relationship

AbstractIn 2017, the majority of the United Kingdom Supreme Court held in its judgment in the Gard Marine and Energy v China National Chartering (The Ocean Victory) case that, in bareboat charters under the ‘BARECON 89’ form, if both the owner and the charterer are jointly insured under a hull policy, the damages caused to the vessel by the charterer cannot be claimed by the insurer by way of subrogation after indemnifying the owner. The interpretation of the charter party leads to the conclusion that the liability between the parties is excluded. Faced with the Supreme Court’s decision, the Baltic and International Maritime Council (BIMCO) adopted a new standard bareboat charter agreement only a few months later, the ‘BARECON 2017’ form, which amends, among other clauses, the one related to insurance. The present paper analyses (i) the new wording of the clause mentioned above and (ii) its incidence on the relationship between the parties of both the charter agreement and the insurance contract and its consequences for possible third parties. Despite BIMCO’s attempt to change the solution adopted by the Supreme Court and his willingness to allow the insurer to claim in subrogation against the person who causes the loss, the consequences, as it will be seen, do not differ much in practice when the wrongdoer is the co-insured charterer. On the contrary, when the loss is caused by a time charter or a sub-charter, in principle, there will be no impediment for the insurer to sue him.

scholarly journals The impact of symptoms on quality of life before and after diagnosis of coeliac disease: the results from a Polish population survey and comparison with the results from the United Kingdom

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Emilia Majsiak ◽  
Magdalena Choina ◽  
Dominik Golicki ◽  
Alastair M. Gray ◽  
Bożena Cukrowska
Keyword(s):  
Quality Of Life ◽  
United Kingdom ◽  
Coeliac Disease ◽  
Gluten Free Diet ◽  
Gluten Free ◽  
The United Kingdom ◽  
Before And After ◽  
The Mean ◽  
The Uk

Abstract Background Coeliac disease (CD) is characterised by diverse clinical symptoms, which may cause diagnostic problems and reduce the patients’ quality of life. A study conducted in the United Kingdom (UK) revealed that the mean time between the onset of coeliac symptoms and being diagnosed was above 13 years. This study aimed to analyse the diagnostic process of CD in Poland and evaluate the quality of life of patients before and after CD diagnosis. In addition, results were compared to the results of the original study conducted in the UK. Methods The study included 2500 members of the Polish Coeliac Society. The patients were asked to complete a questionnaire containing questions on socio-demographic factors, clinical aspects and quality of life, using the EQ-5D questionnaire. Questionnaires received from 796 respondents were included in the final analysis. Results The most common symptoms reported by respondents were bloating (75%), abdominal pain (72%), chronic fatigue (63%) and anaemia (58%). Anaemia was the most persistent symptom, with mean duration prior to CD diagnosis of 9.2 years, whereas diarrhoea was observed for the shortest period (4.7 years). The mean duration of any symptom before CD diagnosis was 7.3 years, compared to 13.2 years in the UK. CD diagnosis and the introduction of a gluten-free diet substantially improved the quality of life in each of the five EQ-5D-5L health dimensions: pain and discomfort, anxiety and depression, usual activities, self-care and mobility (p < 0.001), the EQ-Index by 0.149 (SD 0.23) and the EQ-VAS by 30.4 (SD 28.3) points. Conclusions Duration of symptoms prior to the diagnosis of CD in Poland, although shorter than in the UK, was long with an average of 7.3 years from first CD symptoms. Faster CD diagnosis after the onset of symptoms in Polish respondents may be related to a higher percentage of children in the Polish sample. Introduction of a gluten-free diet improves coeliac patients’ quality of life. These results suggest that doctors should be made more aware of CD and its symptoms across all age groups.

The Welsh Eating Disorder Service Review 2018, Scottish Eating Disorder Service Review 2021 and recommendations of best practice in comorbid eating disorders and diabetes

2021 ◽  
pp. 135910452110138
Author(s):  
Jacinta Tan ◽  
Gemma Johns
Keyword(s):  
Eating Disorders ◽  
United Kingdom ◽  
Eating Disorder ◽  
High Mortality ◽  
Best Practice ◽  
Service Development ◽  
The United Kingdom ◽  
Scottish Government ◽  
The Relationship ◽  
Service Change

Background: Diabetes and eating disorders are frequently comorbid. This particular comorbidity is not only often poorly recognised, but is difficult to treat and has a high mortality. Method: In this article, we will briefly review the relationship between diabetes and eating disorders. We will review the current NICE and other guidance and reports concerning both diabetes and eating disorders in the United Kingdom. We will then describe the recommendations of the 2018 Welsh Government Eating Disorder Service Review and the 2021 the Scottish Government Eating Disorder Service Review regarding diabetes and eating disorders, which will lead to service change. Conclusions: We conclude that this is a relatively underdeveloped but important area where there needs to be further service development and more collaboration between diabetes and eating disorder services.

The Relationship Between Government Popularity and Approval for the Government's Record in the United Kingdom

1985 ◽  
Vol 15 (2) ◽  
pp. 165-186 ◽  
Author(s):  
John Hudson
Keyword(s):  
The Public ◽  
The Past ◽  
The United Kingdom ◽  
State Of The Economy ◽  
Degree Of Stability ◽  
Key Variables ◽  
The Government ◽  
The Relationship ◽  
Opinion Polls

The past decade has seen the growth of a considerable literature on the link between government popularity, as reflected by the proportion of the public indicating their intention to vote for the government in opinion polls, and the state of the economy, as represented by certain key variables. The work began in the early 1970s with articles by Goodhart and Bhansali, Mueller, and Kramer. It continued through the decade; some of the more recent contributions can be found in a set of readings edited by Hibbs and Fassbender. However, despite the amount and quality of this work, problems remain. Principal amongst these, as Chrystal and Alt have pointed out, is the inability to estimate a relationship which exhibits any degree of stability either over time or between researchers. Nearly all the studies have been successful in finding a significant relationship for specific time periods, but when these are extended, or when the function is used to forecast outside the original estimation period, the relationship appears to break down.

The Implementation of Constitutional Reform in the United Kingdom: Principles and Problems

1995 ◽  
Vol 29 (4) ◽  
pp. 551-564
Author(s):  
Dawn Oliver
Keyword(s):  
United Kingdom ◽  
Judicial Review ◽  
Common Law ◽  
Public Law ◽  
Constitutional Reform ◽  
Academic Literature ◽  
The United Kingdom ◽  
The Common ◽  
Executive Agencies ◽  
The Relationship

First, I want to express my gratitude and sense of honour in being invited to deliver the Lionel Cohen lecture for 1995. The relationship between the Israeli and the British legal systems is a close and mutually beneficial one, and we in Britain in particular owe large debts to the legal community in Israel. This is especially the case in my field, public law, where distinguished academics have enriched our academic literature, notably Justice Zamir, whose work on the declaratory judgment has been so influential. Israeli courts, too, have made major contributions to the development of the common law generally and judicial review very notably.In this lecture I want to discuss the process of constitutional reform in the United Kingdom, and to explore some of the difficulties that lie in the way of reform. Some quite radical reforms to our system of government — the introduction of executive agencies in the British civil service, for instance—have been introduced without resort to legislation. There has been a spate of reform to local government and the National Health Service.

Relationship of the production of the toxin, cerato-ulmin, to synnemata formation, pathogenicity, mycelial habit, and growth of Ceratocystis ulmi isolates

1980 ◽  
Vol 58 (6) ◽  
pp. 658-662 ◽  
Author(s):  
Shozo Takai
Keyword(s):  
United States ◽  
United Kingdom ◽  
The Netherlands ◽  
Radial Growth ◽  
The United States ◽  
Measurable Quantity ◽  
The United Kingdom ◽  
Relationship Of ◽  
The Relationship

Forty-seven isolates of Ceratocystis ulmi collected from Canada, the United States, the United Kingdom, France, the Netherlands, and Iran were classified with respect to their ability to produce cerato-ulmin (CU) and synnemata, their radial growth, mycelial habit, and pathogenicity.Twenty-nine isolates clearly produced CU in a measurable quantity while 18 isolates produced it only in trace quantities. In general, the former produced fluffy mycelium and were active in synnemata formation. They were aggressive in pathogenicity with one exception. The latter group of isolates generally produced waxy, yeastlike mycelium and formed very few synnemata. They were all nonaggressive in pathogenicity. Radial growth was generally higher among the isolates that produced CU in larger quantities than among those producing CU in trace quantities. The relationship between CU production and pathogenicity affords a method for estimating isolate pathogenicity without the need for host inoculation.

Experience in applying the effectiveness audit methodology in order to save budget funds for the purchase of medicines in the UK

2020 ◽  
pp. 82-87
Author(s):  
S. S. Budarin ◽  
N. V. Yurgel
Keyword(s):  
United Kingdom ◽  
Health System ◽  
National Health ◽  
Sharp Increase ◽  
National Health System ◽  
Pharmaceutical Market ◽  
National Audit ◽  
Drug Pricing ◽  
The United Kingdom ◽  
The Uk

The article examines the experience of the national audit office of the United Kingdom in conducting an audit of the effectiveness of budget funds aimed at providing medicines to English citizens. The reasons for the sharp increase in budget expenditures for providing the population with reproduced medicines in 2017—2018 are described in detail.The article analyzes the shortcomings of the system of regulation of drug pricing procedures and the resulting risks to the budget of the national health system in United Kingdom.It is concluded that the effectiveness audit has allowed us to identify not only the reasons for significant overspending of the NHS budget to provide the population with medicines, but also to assess the actions of organizations authorized by the UK Government to address issues of regulation of the pharmaceutical market.

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