UK - The Audit Commission has published its report to the Department of Health on the proposed Payment by Results (PbR) data assurance framework for the National Health Service (NHS)

2007 ◽  
Vol 20 (2) ◽  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Department Of Health ◽  
Audit Commission

scholarly journals Specialist personality disorder services in England: a case for managed clinical networks?

2005 ◽  
Vol 29 (10) ◽  
pp. 365-368 ◽  
Author(s):  
Kingsley Norton ◽  
Julian Lousada ◽  
Kevin Healy
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Personality Disorder ◽  
Health Service ◽  
Personality Disorders ◽  
National Health ◽  
Clinical Networks ◽  
Department Of Health ◽  
Specialist Services

Following the publication by the National Institute for Mental Health in England (NIMHE) of Personality Disorder: No Longer A Diagnosis of Exclusion (National Institute for Mental Health in England, 2003), it is perhaps surprising that so soon after there have been threats to the survival of some of the small number of existing specialist personality disorder services to which it refers. Indeed, one of the few in-patient units specialising in such disorders (Webb House in Crewe) closed in July 2004. Such closures or threats argue for closer collaboration in planning between the relevant secondary and tertiary services and also between the Department of Health, the NIMHE and local National Health Service commissioners. Not safeguarding existing tertiary specialist services, at a time of increasing awareness of the needs of patients with personality disorders, may be short-sighted.

Psychiatric In-Patients and Out-Patients: A Reply to Mezey and Evans

1972 ◽  
Vol 120 (557) ◽  
pp. 433-436 ◽  
Author(s):  
D. G. Morgan ◽  
R. M. Compton
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Health Service ◽  
Social Security ◽  
Patient Care ◽  
National Health ◽  
Recent Article ◽  
Psychiatric Services ◽  
Outpatient Services ◽  
Department Of Health

Department of Health and Social Security statistics show a steady rise in the use of outpatient services from the inception of the National Health Service; since the Mental Health Act of 1959, the numbers of new outpatient and clinic attendances have increased by one-third and one-fifth respectively (D.H.S.S., 1971). However, as our knowledge of the actual functions of out-patient services and their relationship to in-patient care is at best only rudimentary, the recent article by Mezey and Evans (Journal, June 1971, 118, p. 609) is a much needed contribution towards evaluating these different facilities of the psychiatric services.

Effects of the National Institute for Health and Clinical Excellence's technology appraisals on prescribing and net ingredient costs of drugs in the National Health Service in England

2009 ◽  
Vol 25 (03) ◽  
pp. 262-271 ◽  
Author(s):  
Eva Susanne Dietrich
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Ambulatory Care ◽  
National Health ◽  
Role Model ◽  
Regression Analyses ◽  
England And Wales ◽  
Department Of Health ◽  
Prescription Costs ◽  
The Impact

Objectives:The aim of this study was to examine the impact of the National Institute for Health and Clinical Excellence's (NICE's) negative and restricting technology appraisals on the number of prescription items dispensed and the corresponding total net ingredient costs for drugs from 2000 to 2004 in the ambulatory care of the National Health Service (NHS) in England and Wales. In addition, it is discussed whether the NICE approach could be a role model for Germany.Methods:The number of prescription items dispensed and the net ingredient costs of thirty-one drugs reimbursed by the NHS were analyzed, thereof thirteen drugs descriptively and twenty-one drugs with regression analyses. Data were extracted from the “Prescription-Costs-Analysis-Statistics” for the ambulatory care of the British Department of Health (England 1993–2005). In the case of the twenty-one drugs analyzed by regression analyses, predictions were established how the prescribing and the costs would have developed without NICE's drug appraisal. Finally, conclusions were drawn whether NICE's negative and restricting drug appraisals had a decreasing effect or not.Results:For 97 percent of the drugs analyzed in this study, the publication of NICE's fourteen negative and restricting technology appraisals of drugs between 2000 and 2004 did not reduce the number of prescription items dispensed and net ingredient costs in the ambulatory care of the NHS in England and Wales.Conclusions:Cost-effectiveness appraisals as performed by NICE or the German Institute for Quality and Efficiency in Health Care (Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen, IQWiG) are a useful and important tool to enhance the discussion about methods and acceptance of evidence-based medicine in general.

scholarly journals The Canadian experience

1989 ◽  
Vol 13 (9) ◽  
pp. 499-500 ◽  
Author(s):  
Brian Ferguson
Keyword(s):  
Medical Education ◽  
Nova Scotia ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Clinical Work ◽  
Previous Article ◽  
Department Of Health ◽  
Canadian Experience

A previous article in the Bulletin describes the ‘BTC’ (Been to Canada) scheme sponsored by the Nova Scotia Department of Health to bring psychiatric trainees to Canada in order to undertake a year's clinical work in addition to ongoing medical education under the auspices of the Department of Psychiatry at Dalhousie University. Over the years the scheme has attracted a number of graduates, some of whom have been prompted to stay on and develop rewarding careers. The original article by Munro and colleagues (1987) describes the programme from the sponsor's perspective and might well be complemented by this account from a BTC graduate who has now returned to the National Health Service.

scholarly journals Mr Slop

2010 ◽  
Vol 92 (6) ◽  
pp. 215-215
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
General Election ◽  
Department Of Health

With the general election thankfully over and the Brand New National Health Service (BNNHS) dawning (so say the confabulators in Westminster and the Department of Health) the aging but oddly wise Editor of the Bulletin has asked his semi-geriatric reporter Mr Slop FRCS (Eng) to reflect on surgery not as a political football but as a noble and unchanging art that even the politicians cannot dumb down.

Learning before, during and after

2011 ◽  
Vol 28 (4) ◽  
pp. 236-241 ◽  
Author(s):  
Sofia Layton ◽  
Andrew Lambe
Keyword(s):  
Knowledge Management ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Health Authority ◽  
Health Informatics ◽  
Management Team ◽  
Business Continuity ◽  
Next Generation ◽  
Department Of Health

This article highlights the importance of knowledge management during the current NHS reorganization and describes the approach adopted by one Strategic Health Authority (SHA) to enable business continuity as it heads towards closure. The article explains how this business continuity approach evolved from an existing project to embed knowledge management into informatics projects. The authors use this programme of work to illustrate how the Knowledge Management team of the Department of Health Informatics Directorate (DHID) is supporting the closure of NHS organizations so that corporate knowledge is retained in the system and shared with successor organizations for the continuing benefit of the next generation National Health Service.

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