scholarly journals Barriers to healthy eating by National Health Service (NHS) hospital doctors in the hospital setting: results of a cross-sectional survey

2008 ◽  
Vol 1 (1) ◽  
pp. 69 ◽  
Author(s):  
James Winston ◽  
Carol Johnson ◽  
Sue Wilson
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Healthy Eating ◽  
National Health ◽  
Hospital Setting ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Hospital Doctors

scholarly journals What is the relationship between mortality alerts and other indicators of quality of care? A national cross-sectional study

2019 ◽  
Vol 25 (1) ◽  
pp. 13-21
Author(s):  
Elizabeth Cecil ◽  
Alex Bottle ◽  
Aneez Esmail ◽  
Charles Vincent ◽  
Paul Aylin
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Hospital Mortality ◽  
National Health ◽  
Hospital Setting ◽  
Cross Sectional Study ◽  
Hospital Quality ◽  
Sectional Study ◽  
Cross Sectional ◽  
Process Indicator

Objectives To assess whether mortality alerts, triggered by sustained higher than expected hospital mortality, are associated with other potential indicators of hospital quality relating to factors of hospital structure, clinical process and patient outcomes. Methods Cross-sectional study of National Health Service hospital trusts in England (2011–2013) using publicly available hospital measures reflecting organizational structure (mean acute bed occupancy, nurse/bed ratio, training satisfaction and proportion of trusts with low National Health Service Litigation Authority risk assessment or in financial deficit); process (mean proportion of eligible patients who receive percutaneous coronary intervention within 90 minutes) and outcomes (mean patient satisfaction scores, summary measures of hospital mortality and proportion of patients harmed). Mortality alerts were based on hospital administrative data. Results Mortality alerts were associated with structural indicators and outcome indicators of quality. There was insufficient data to detect an association between mortality alerts and the process indicator. Conclusions Mortality alerts appear to reflect aspects of quality within an English hospital setting, suggesting that there may be value in a mortality alerting system in highlighting poor hospital quality.

scholarly journals Chronic kidney disease and diabetes in the National Health Service: a cross-sectional survey of the UK National Diabetes Audit

2013 ◽  
Vol 31 (4) ◽  
pp. 448-454 ◽  
Author(s):  
C. J. Hill ◽  
C. R. Cardwell ◽  
C. C. Patterson ◽  
A. P. Maxwell ◽  
G. M. Magee ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
National Health Service ◽  
Kidney Disease ◽  
Health Service ◽  
National Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Uk

scholarly journals Benzodiazepines in schizophrenia

2000 ◽  
Vol 24 (3) ◽  
pp. 113-115 ◽  
Author(s):  
Carol Paton ◽  
Stuart Banham ◽  
John Whitmore
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Psychiatric Rehabilitation ◽  
Clinical Implications ◽  
Objective Data ◽  
Cross Sectional Survey ◽  
Cross Sectional

Aims and MethodWe sought to determine the prevalence of long-term benzodiazepine prescribing in patients with schizophrenia occupying psychiatric rehabilitation beds. A cross-sectional survey was conducted in 11 National Health Service trusts.ResultsAlmost10% of patients occupying rehabilitation beds had a diagnosis of schizophrenia and received long-term benzodiazepines in combination with one or more anti-psychotics.Clinical ImplicationsOur results are consistent with those of other authors and show that benzodiazepines are frequently used inthe long-term in patients with schizophrenia despite a lack of open acknowledgement of this practice and a paucity of objective data to support its efficacy.

Occupational Therapy and the National Health Service, 1948–1998

1998 ◽  
Vol 61 (7) ◽  
pp. 311-315 ◽  
Author(s):  
Catherine F Paterson
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Occupational Therapy ◽  
National Health ◽  
Age Groups ◽  
50Th Anniversary ◽  
Hospital Setting ◽  
Wide Range ◽  
History Of ◽  
The Many

Much of the history of occupational therapy is associated with the history of the National Health Service (NHS). As the nation celebrates the 50th anniversary of the founding of the NHS on 5 July 1948, it is fitting to reflect on the development of the profession over the past half century and how it has adapted to the many medical, technological, demographic and social changes. In 1948, the profession comprised a small band of mainly middle-class women, who worked under medical direction with long-stay patients in a hospital setting. In 1998, over 18,000 occupational therapists are state-registered. Having gained degree-entry status practitioners are increasingly self-directed and research-focused, and they work in a wide range of settings with all age-groups: a profession reflecting the ideals of the NHS to provide a service from ‘the cradle to the grave’.

scholarly journals Prevalence and changes of BMI categories in China and related chronic diseases: Cross-sectional National Health Service Surveys (NHSSs) from 2013 to 2018

2020 ◽  
Vol 26 ◽  
pp. 100521 ◽  
Author(s):  
Minghuan Wang ◽  
Prof Shabei Xu ◽  
Wenhua Liu ◽  
Chenyan Zhang ◽  
Xiaoxiang Zhang ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Chronic Diseases ◽  
National Health ◽  
Cross Sectional

scholarly journals Relationship between employee engagement scores and service quality ratings: analysis of the National Health Service staff survey across 97 acute NHS Trusts in England and concurrent Care Quality Commission outcomes (2012–2016)

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e026472 ◽  
Author(s):  
Mark Wake ◽  
William Green
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Employee Engagement ◽  
National Health ◽  
Care Quality ◽  
Cross Sectional ◽  
Quality Ratings ◽  
Service Staff ◽  
Care Quality Commission ◽  
Receive Treatment

ObjectiveThis research explores measures of employee engagement in the National Health Service (NHS) acute Trusts in England and examines the association between organisation-level engagement scores and quality ratings by the Care Quality Commission (CQC).DesignCross-sectional.Setting97 acute NHS Trusts in England.Participants97 NHS acute Trusts in England (2012–2016). Data include provider details, staff survey results and CQC reports. Hybrid Trusts or organisations affected by recent mergers are excluded.Outcome measuresAnalysis uses organisation-level employee engagement and CQC quality ratings.ResultsEmployee engagement is affected by organisational factors, including patient bed numbers (β=−0.46, p<0.05) and financial revenue (β=0.38, p<0.05). CQC ratings are predicted by overall employee engagement score (β=0.57, p<0.001) and financial deficit (β=−0.19, p<0.05). The most influential employee engagement dimension on provider ratings is ‘advocacy’ (λ=0.54, p<0.001). Analysis supports the notion that employee engagement can be predicted from advocacy scores alone (eigenvalue=4.03). Better still, combining advocacy scores from the previous year’s survey or adding in motivation scores is a highly reliable indication of overall employee engagement (95.4% of total variance).ConclusionsNHS acute Trusts with high employee engagement scores tend to have better CQC ratings. Trusts with a high financial deficit tend to have lower ratings. Employee engagement subdimensions have different associations with CQC ratings, the most influential dimension being advocacy score. A two subdimension model of engagement efficiently predicts overall employee engagement in NHS acute Trusts in England. Healthcare leaders should pay close attention to the proportion of employees who would recommend their organisation as a place to work or receive treatment, because this is a proxy for the level of engagement, and it predicts CQC ratings.

Sensitivity to being betrayed and betraying others in Obsessive Compulsive Disorder

2020 ◽  
Author(s):  
Sarah Louise Howkins ◽  
Josie Frances Adeline Millar ◽  
Paul M. Salkovskis
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Obsessive Compulsive Disorder ◽  
National Health ◽  
Physical Contact ◽  
Obsessive Compulsive ◽  
Cross Sectional ◽  
Compulsive Disorder ◽  
Mental Contamination ◽  
Low Levels

Abstract:Objectives Mental contamination (MC) describes subjective internal feelings of ‘dirtiness’ which are experienced in the absence of direct physical contact/contaminants. There isevidence of a link between MC in Obsessive Compulsive Disorder (OCD) and the experience of past betrayals. However, it has also been noted that “perpetrators” also experience MC. We aimed to replicate the previous finding of specificity of OCD for sensitivity to being betrayed, and to extend this by evaluating whether people with high MC OCD are also relatively more sensitive to the idea that they might betray others compared to those with low levels of MC OCD.Design A cross-sectional, between-groups design was used.Method Four groups, high MC OCD (N= 60), low MC OCD (N=61), depression (N=28) andnon-clinical controls (N=46) completed online questionnaires. Participants were recruitedthrough the National Health Service (NHS) and social media.Results Relative to all groups, the high MC OCD group had significantly higher scores both for betrayal sensitivity and sensitivity to betraying others. The depression group showed similar levels to low MC OCD in betrayal sensitivity but were significantly lower (and comparable to non-clinical controls) in sensitivity to betraying others.Conclusions Betrayal sensitivity occurs trans-diagnostically. There may be a specific linkbetween the development of OCD and the perception of betraying others, perhaps linked to the trauma of being betrayed making those so affected more likely to worry about their own responsibility for betraying others.

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