NHS at 60: advances in surgery

2008 ◽  
Vol 90 (5) ◽  
pp. 156-158
Author(s):  
Matthew Worrall
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Ad Hoc ◽  
Great Length ◽  
Common Memory ◽  
The Uk

With most surgeons practising in the UK today having known nothing other than the National Health Service, it seems difficult to imagine a time when it wasn't around. A time when everyone in society made private arrangements for their health care, no matter how basic or ad hoc, is only now starting to fall out of common memory. However, 60 years isn't such a great length of time, which emphasises the pace of change in health care over that period – not just in terms of technical achievements, but also in how our society understands health care.

‘Structural Interests’ in Health Care: Evidence from the Contemporary National Health Service

2009 ◽  
Vol 38 (4) ◽  
pp. 607-625 ◽  
Author(s):  
KATH CHECKLAND ◽  
STEPHEN HARRISON ◽  
ANNA COLEMAN
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
Qualitative Study ◽  
Health Systems ◽  
National Health ◽  
The World ◽  
The Uk

AbstractAlford's theory of structural interests has been used as a framework within which to analyse health systems across the world. However, authors have often been uncritical in their acceptance of Alford's original analytic categories. In this article we use data from a detailed qualitative study of the introduction of Practice Based Commissioning in the UK NHS to interrogate Alford's work more critically. Disrupting Alford's original categories of ‘professional monopolisers’ as dominant interests, challenged by management ‘corporate rationalisers’, we suggest that the new structures established in the NHS since 2002 systematically privilege an interest that we call ‘corporate monopolisers’, and that this is under challenge from ‘professional rationalisers’.

A survey of trainees supported by oral and maxillofacial surgery units while studying for a second degree

2014 ◽  
Vol 96 (10) ◽  
pp. e19-e23
Author(s):  
R O’Connor ◽  
R Bhandari
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Ad Hoc ◽  
Financial Burden ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Tuition Fees ◽  
The Uk ◽  
Medical Disciplines

Training in oral and maxillofacial surgery (OMfs) in the UK and other european countries is unique, requiring degrees in both dentistry and medicine. This rewards trainees with a varied skillset but carries a financial burden that has been exacerbated by increasing tuition fees and the pay freeze for national health service (nhs) employees. 1 although not a new concept, working through university is a necessity for many. however, work is often undertaken ad hoc or as a locum in dental or medical disciplines unrelated to omfs.

Partnerships in Purchasing: Development of Consortium-Based Purchasing among GP Fundholders

1997 ◽  
Vol 10 (4) ◽  
pp. 245-254 ◽  
Author(s):  
A. Laing ◽  
S. Cotton
Keyword(s):  
Health Care ◽  
General Practice ◽  
National Health Service ◽  
Health Service ◽  
Organizational Structure ◽  
National Health ◽  
Depth Study ◽  
Managerial Implications ◽  
The Uk ◽  
The Impact

In the last few years there have been considerable changes in the National Health Service (NHS) in the UK. Arguably the most significant of these has been the introduction of competition. Central to this development has been the introduction of general practice (GP) fundholding, whereby practices purchase health care for their patients directly from competing suppliers. Those practices which have become fundholders have faced considerable challenges in developing their purchasing function, given the complexities of contracting within the context of the NHS internal market. Although one of the original aims of GP fundholding was to facilitate locally responsive purchasing, such have been the complexities of contracting that many fundholding practices have attempted to reduce the managerial demands of purchasing through membership of purchasing consortia. Based on an in-depth study of GP fundholders across Scotland, this paper explores the development of consortium-based purchasing. Specifically, this paper seeks to address three issues central to the evolution of such consortium-based purchasing. Firstly, the patterns of organizational structure and the operational dynamics of such consortia. Secondly, the impact of such consortia on the process of fundholder purchasing. Thirdly, the managerial implications of purchasing through such consortia for the participating practices. In addressing these issues, it will examine whether such patterns of purchaser development have impacted on the evolution of locally responsive purchasing.

Rationalizing radio medical advice for maritime emergencies

2003 ◽  
Vol 9 (1_suppl) ◽  
pp. 12-14 ◽  
Author(s):  
K Aujla ◽  
R Nag ◽  
J Ferguson ◽  
M Howell ◽  
C Cahill
Keyword(s):  
National Health Service ◽  
Data Collection ◽  
Health Service ◽  
National Health ◽  
Coastal Waters ◽  
Ad Hoc ◽  
Demographic Characteristics ◽  
Medical Advice ◽  
Medical Emergencies ◽  
The Uk

summary The provision of radio medical advice by the National Health Service for British coastal waters has developed in an ad hoc fashion. In 1999, the closure of one of the two centres providing such advice led to unexpected problems. The demographic characteristics of the offshore population covered by each centre were markedly different and this resulted in a different spectrum of medical emergencies presenting to the sole remaining centre. Subsequent data collection of the details of medical emergencies presenting from offshore allowed an audit to inform the development of training packages for both base and remote practitioners. This has led to an ongoing national rationalization of ship-to-shore radio medical advice for the UK.

THE UK NHS EXPERIENCE OF BURNOUT: TIME FOR ACTION

2021 ◽  
Vol 9 (3) ◽  
pp. 7-18
Author(s):  
Helen L. Millar
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
Patient Care ◽  
National Health ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Work Place ◽  
The Uk ◽  
The Impact

Background: Burnout, as a global phenomenon, has probably always existed and been present in all cultures but more recently has been increasingly identified in the public health sector work place. The UK National Health Service (NHS) is the largest employer in Europe with over 1.3 million workers. It therefore reflects many of the challenges common to global health care systems. The escalation of burnout in the UK NHS (National Health Service) is now recognized given the impact on workforce sustainability and the health care delivery. Objectives: This article aims to highlight the current epidemic of burnout in the UK NHS, its causes, and impact on the workforce and quality of care provided. Strategies developed to improve the health of the NHS workforce will be reviewed and appraised in terms of their impact and limitations to date. Methods: The methodology includes a broad overview of selected articles/publications focusing on the concept of burnout and the impact on the workforce and patient care and is not intended to be a systematic review. Publications include peer reviewed articles, governmental strategic documents, recent surveys, and relevant responses by health care professionals and other relevant independent bodies. Results: The current literature highlights that burnout in the NHS is a major concern. It is clear that recognition of the extent of the problem and its impact are crucial for the sustainability of the NHS. The alarming rate of work force attrition is evident and unless immediate drastic steps are taken to address the root causes, the pressure on remaining staff will escalate to breaking point resulting in an inability to sustain services due to further staff losses. Evidence demonstrates that staff burnout adversely affects patient care and increases errors. Conclusion: It is vital that burnout is addressed as a matter of urgency in order to ensure a healthy and productive workforce and to ensure patients are treated safely and effectively. The NHS’s very survival depends on direct and urgent action to remedy this situation.

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