Regional Variations in the Provision of Orthodontic Treatment in England and Wales

1973 ◽  
Vol 1 (1) ◽  
pp. 13-17 ◽  
Author(s):  
C. D. Stephens ◽  
T. P. Bass

A notable feature of British Orthodontics in recent years has been the enormous increase in the number of cases taken on for treatment by practitioners in the National Health Service. Whilst references have been made in the past to possible regional variations in demand, no effort has been made to relate this to the local child population. The present study attempts this. The familiar North and South difference is found with some discrepancies and an explanation is offered.

1996 ◽  
Vol 23 (2) ◽  
pp. 125-128 ◽  
Author(s):  
K. A. Eaton ◽  
C. D. Stephens ◽  
R. A. Heesterman

This paper reports on two studies which investigated levels of discontinued orthodontic treatment amongst patients under IS years, who had been treated in the General Dental Service (GDS) and Community Dental Service (CDS) of the National Health Service during June and July 1991. These complement the study of discontinued Hospital Dented Service treatment already reported. The studies indicated that, at the time, the levels were 13·1 per cent in the GDS and 12·5 per cent in the CDS. The figure for the GDS was much lower than that of 20 per cent reported in the Sehansehieff Report. There was little difference in the levels of discontinued treatment between those working in the GDS with an orthodontic qualification (12·1 per cent) and those without (13·5 per cent). The results suggest that the levels for discontinued orthodontic treatment in those aged under 18 years of age may be lower than previously reported.


PEDIATRICS ◽  
1949 ◽  
Vol 4 (6) ◽  
pp. 850-850

Since the National Health Service was officially born on July 5, 1948, and is already well past its first birthday, it would seem a suitable time to review the progress of this peculiar infant (or rather infants, since the Service in Scotland is administered under a different Act from that in England and Wales, and the Secretary of State for Scotland serves as midwife cum wet-nurse to the Scottish infant, whilst the Minister of Health disciplines its English cousin).


Econometrica ◽  
1957 ◽  
Vol 25 (2) ◽  
pp. 372
Author(s):  
Jerome Rothenberg ◽  
Brian Abel-Smith ◽  
R. M. Titmuss

2009 ◽  
Vol 25 (03) ◽  
pp. 262-271 ◽  
Author(s):  
Eva Susanne Dietrich

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.


2006 ◽  
Vol 30 (1) ◽  
pp. 25-28 ◽  
Author(s):  
Niamh Power ◽  
Dawn Harwood ◽  
Akintunde Akinkunmi

Rollo May Ward, a long-term medium secure facility integrated within the West London Mental Health National Health Service (NHS) Trust, is the first dedicated long-term NHS medium secure unit to have opened in England. It caters for a group of men with complex clinical needs and risk assessment issues who had previously been inappropriately detained within high secure services owing to a lack of suitable, less secure placement facilities. We describe the background to the development of the long-term medium secure service, the referral and assessment processes, the structure of the ward and the therapeutic programmes available to patients. We also outline the characteristics of the first 21 patients to be admitted to the ward and offer advice for similar future developments.


Perfusion ◽  
1994 ◽  
Vol 9 (1) ◽  
pp. 19-22 ◽  
Author(s):  
D.A. Hett ◽  
D.C. Smith Shackleton

We conducted a postal survey of all National Health Service centres where cardiac surgery is performed. We requested information about the priming solutions and additives used in the cardiopulmonary bypass circuit, and specifically asked whether changes were made in priming solutions for diabetic patients. Hartmann's solution was used by 63% of respondents, either alone or mixed with colloid. Heparin was added to the prime by 89% of respondents. Only two centres and one anaesthetist at a third centre altered the prime for diabetic patients.


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