INTERNATIONAL NEWS AND REPORTS

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

PEDIATRICS ◽  
1950 ◽  
Vol 5 (4) ◽  
pp. 757-758
Author(s):  
JOHN D. KERSHAW

The Chief Medical Officer of the Ministry of Education, in his latest report,1 deals with the 2 years 1946 and 1947. It is appropriate that this should be so, for the 2 year period is one of special significance during which the full implications of the Education Act of 1944 for School Health work were being realised, while the National Health Service was not yet in operation to take its share of the burden. This latter point had considerable influence, for some local authorities were understandably shy of incurring expense in developing school health activities which might prove unnecessary when the National Health Service came into being.


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.


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