The National Health Service [NHS] remains one of the most significant employers of minority ethnic groups. However, evidence suggests that members of such groups are significantly disadvantaged in NHS employment. In this article we present research evidence about the recruitment of minority ethnic groups into nursing and midwifery. In case studies of nurse education centres we identified few positive action provisions which were part of a systematic strategy for improving recruitment from minority ethnic communities. The arguments for positive action were neither widely understood nor embraced, and the problem was compounded by the fragmented organizational structure of the NHS. We conclude that what is required is an effective national strategy to build on the NHSs underlying principle of equitable and effective health care for all. This entails linking the moral imperatives of service delivery to a diverse patient community to a business case for equality of opportunity and positive ...
Objective: To report the percentage of graduates from British medical schools who eventually practise medicine in the British NHS. Design: Cohort studies using postal questionnaires, employment data, and capture-recapture analysis. Setting Great Britain. Subjects: 32 430 graduates from all British medical schools in nine graduation cohorts from 1974 to 2002, subdivided into home based medical students (those whose homes were in Great Britain when they entered medical school) and those from overseas (whose homes were outside Great Britain when they entered medical school). Main outcome measures: Working in the NHS at seven census points from two to 27 years after qualification. Results: Of home based doctors, 88% of men (6807 of 7754) and 88% of women (7909 of 8985) worked as doctors in the NHS two years after qualification. The corresponding values were 87% of men (7483 of 8646) and 86% of women (7364 of 8594) at five years; 86% (6803 of 7872) and 86% (5407 of 6321) at 10 years; 85% (5404 of 6331) and
Smith could not have known, based on whats in Think Like a Freak, that we actually do have a model for the NHS. And, indeed, I proposed the model to Camerons team after he left the meeting.. If nothing else, the model is admirably simple.. On January 1 of each year, the British government would mail a check for 1,000 pounds to every British resident. They can do whatever they want with that money, but if they are being prudent, they might want to set it aside to cover out-of-pocket health care costs. In my system, individuals are now required to pay out-of-pocket for 100 percent of their health care costs up to 2,000 pounds, and 50 percent of the costs between 2,000 pounds and 8,000 pounds. The government pays for all expenses over 8,000 pounds in a year.. From a citizens perspective, the best-case scenario is that they use no health care, so they end up 1,000 pounds to the positive. Well over half of U.K. residents will end up spending less than 1,000 pounds on health care in a given year. ...
In addition there are about 120 aseptic compounding units in British hospitals.. The current organisation is led by the National Advisory Board for NHS medicines preparation and manufacturing. This Board seeks to co-ordinate the various NHS groups involved, oversee the large manufacturing units. It also has an important role in rationalising the number of unlicensed medicines and encouraging the development of licensed medicines where the demand will support this; which is likely to involve working with the commercial sector.. Unlicensed medicines in the UK are also provided by the private commercial companies, which have seen significant growth over the last 10 years, particularly in regard to aseptically prepared products (chemotherapy, TPN and CIVAS) and extemporaneous dispensing services to community pharmacies.. The regulation of unlicensed medicines is currently being reviewed by the Medicines and Healthcare products Regulatory Agency (MHRA). There will be greater control over what may be ...
The two National Service Frameworks for coronary heart disease, and for diabetes, share some common themes. This article discusses where they overlap with each other and with national targets for stroke outlined in the National Service Framework for Older People. It then details a simple 10-point plan on how Primary Care Trusts can develop strategies to implement NSF targets so they achieve national standards.. ...
Clinical audit-the systematic assessment and improvement of the quality of care-is now an essential requirement of all clinicians by the government. Clinical audit of the process of myocardial infarction has been performed both in this country and elsewhere for several years,1-3 although the majority of work is performed within individual hospitals rather than in collaboration with colleagues in other hospitals. It has tended to concentrate on the use of thrombolytic treatment. Recent evidence from 15 hospitals examined between 1993 and 1997 showed only patchy improvement in delays from a call for help to treatment. Some hospitals where there were long delays before thrombolytic treatment showed no improvement over that time.4 It was clear from these data that in some hospitals either the incentive or the facilities to improve performance, at least in this area, was lacking.. The National Service Framework for Coronary Heart Disease,5 has been compiled with advice from cardiologists and others ...
Clinical audit-the systematic assessment and improvement of the quality of care-is now an essential requirement of all clinicians by the government. Clinical audit of the process of myocardial infarction has been performed both in this country and elsewhere for several years,1-3 although the majority of work is performed within individual hospitals rather than in collaboration with colleagues in other hospitals. It has tended to concentrate on the use of thrombolytic treatment. Recent evidence from 15 hospitals examined between 1993 and 1997 showed only patchy improvement in delays from a call for help to treatment. Some hospitals where there were long delays before thrombolytic treatment showed no improvement over that time.4 It was clear from these data that in some hospitals either the incentive or the facilities to improve performance, at least in this area, was lacking.. The National Service Framework for Coronary Heart Disease,5 has been compiled with advice from cardiologists and others ...
Majeed, A, Williams, J, de Lusignan, S and Chan, T (2005) Management of heart failure in primary care after implementation of the National Service Framework for Coronary Heart Disease: a cross-sectional study ...
Decentralization has been an important international development in large organizations, including those in the public sector, in recent years. The introduction of self-governing trusts in the U.K. National Health Service in the early 1990s serves as a paradigm case of public sector decentralization, managerialism and marketization. Local managers were able to develop their own employment arrangements in order to improve the recruitment, retention and deployment of labour. This article finds that pay initiatives were subverted by environmental constraints but change proceeded in the organization of working time. The findings have implications beyond the U.K. and health service context, notably the conceptual relevance of the firm-in-sector framework and the policy limits and potential of decentralization.. ...
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The studies differ significantly in their objectives and methods, so direct numerical comparisons may not be valid. Oddie et al looked at over 11 000 births in the Northern NHS region of the UK in 1998, excluding infants less than 35 weeks gestation.1 They concentrated on factors associated with early neonatal discharge, and then looked at what influenced readmission to hospital within 28 days. Escobar et al studied a population of over 33 000 using the Kaiser Permanente Medical Care Program (KPMCP) in California and Colorado, for which good data are available, in 1998-2000;2 they included all gestations and did not look at early discharge at all, but analysed in some detail factors associated with readmission within two weeks. The KPMCP, although not government run, is a managed healthcare system which has been described as being in many ways similar to the British National Health Service.3 Its membership is not restricted to the more prosperous sections of society, as may be inferred from the ...
In 2002, with data supplied by the British National Health Service, newspapers in England began publishing the names of hospitals with high infection rates. By 2004, every hospital in Great Britain was required to display its infection rate in a prominent place where patients could see it.
An official of the British National Health Service, the governmental socialized medicine program, is drawing gasps from pro-life people worldwide over comments
Image by steve p2008 via Flickr. After making news on several occasions, scientists may have made a definitive breakthrough, with the first possible transfusion using blood obtained from embryonic stem cells possibly coming within the next three years. The transfusion would be done with type O blood, which can be donated to any patient, and would be obtained by researchers using excess embryos from assisted fertilization. The project, which will be led by Marc Turner of Edinburgh University, will also receive contributions from the Transfusion and Transplant Service of the British National Health Service, as well as the ...
Our screening methods surpassed the standards set by the NICE guidelines. However 59% of patients did not take up the offer. The achievable standard to which strategic health authorities and primary care trusts are working is 90% uptake of those offered screening with the minimum standards of 70%-80%, but even though quality assurance systems are in place uptake is still very poor.. In the intercollegiate audit, led by the Royal College of Ophthalmologists, data were analysed from 9827 patients with diabetes from 129 general practices in 25 health authorities. The lowest level of coverage in a district was 38% and the highest 85%. In general practice the coverage ranged from 14% to 97%. The likelihood of having an eye examination was marginally higher in districts with a systematic examination rather than opportunistic or without recognised schemes at all.. In the Hounslow Primary Care Trust our hospital episode statistics (HES) are the only existing screening programme. Patients registered with ...
GP Fees for Non NHS Services. Non-NHS work. Some services are not covered by the NHS and we will therefore charge a fee for completion of this work. The NHS medical care of our patients takes priority during our working day so any private letters or forms can take up to 3 weeks to complete and return to you. We cannot guarantee they will be completed earlier. Why do GPs sometimes charge fees?. It is important to understand that many GPs are not employed by the NHS.. They are self-employed and they have to cover their costs - staff, buildings etc. - in the same way as any small business. The NHS covers these costs for NHS work but for non-NHS work, the fees charged by GPs contribute towards these costs.. The governments contract with GPs covers medical services to NHS patients including the provision of ongoing medical treatment. In recent years however more and more organisations have been involving doctors in a whole range of non-medical work.. Sometimes the only reason that GPs are asked is ...
In this issue we carry several takes on the state of play with public health in England. Following the latest of what has become a monotonous series of structural reorganisations, the English National Health Service is now feeling its way back to its roots in local government. Increasingly, local directors of public health are joint appointments with local authorities, holding out the prospect of the sought of leverage over the determinants of health that was possible in what is sometimes held to be the Golden Age before 1974. In Public Health Past and Present, Martin Gorsky peels off some of the layers of nuance about the strengths and weaknesses … ...
How is National Health Service Breast Screening Program (UK) abbreviated? NHSBSP stands for National Health Service Breast Screening Program (UK). NHSBSP is defined as National Health Service Breast Screening Program (UK) somewhat frequently.
North East Manchester NHS Service - The LAC specialises in multi-disciplinary assessment of children with ADD, ADHD, Behavioural Problems, Learning Problems. The LAC is lead by Dr. G.D.Kewley in the UK.
The research based metabolic and blood pressure targets that the national service framework for diabetes in England and Wales will set in the implementation document will be impractical for use in routine clinical care: targets need to be tailored to the individual patient, according to Peter Winocour. The publication of the national service framework for diabetes in England and Wales will raise public awareness of diabetes throughout the United Kingdom. Its recommendations are influenced by evidence that adverse vascular outcomes may be reduced by tight control of blood sugar and blood pressure1-3 and that secondary prevention of macrovascular disease is feasible through modification of dyslipidaemia and use of antiplatelet agents4-7w1; and by the recognition of an estimated doubling in incidence of diabetes over the next 10 years.8. This has led to the production of guidelines for optimal care that may be incorporated into a nationally recommended standardised approach, with targets for ...
CCG leaders must become demolition experts, dismantling old services and commissioning new ones, the Chairman of the NHS Alliance has said.. At the pro-reform primary care organisations annual conference, Michael Dixon said the new NHS commissioners would achieve a definitive shift in healthcare towards community-based services.. Health secretary Jeremy Hunt also told the NHS Alliance that CCG leaders would achieve the Holy Grail of NHS care: the local integration of services.. In his keynote speech, Dixon said the new commissioners first task was to enable redesign that has so persistently failed to materialise under the old order, building new treatment and care structures in the community.. However, he noted, in the face of economic restrictions, service redesign alone would not be adequate; commissioners would need to think ever bigger, wider, and more ambitious in building partnerships with new providers.. The NHS Commissioning Board would need to act as the grand protector of ...
How to Register with the National Health Service (NHS). Anyone living in the UK can register with a GP (general practitioner) practice to receive NHS services. Once youve registered with a GP, youll receive an NHS Number. Youll need the...
This project study is written in seven chapters. The first chapter is an introductory chapter consisting of the introduction, methodology and summary of the project findings. The introduction gives a rationale behind the project. The methodology explains briefly what methods have been used to facilitate collection of data for this project (for detailed account of methodology and data collection the reader is referred to Chapter 4). Summary of the study summarises the main findings of the study.Chapter 2 is a review of relevant literature on personnel management in general, and personnel manage¬ment in the National Health Service in particular. Its main objectives are: to explain how personnel management as a profession emerged in the National Health Service, how it is organised and problems it is facing in exercising its strategic role. Chapter 3 looks at the background information of the organisation whose personnel function is beinq studed, Chapter 4 is a detailed account of the methodology ...
This section provides information about how to manage your service profile on NHS Choices and edit within the Provider Information Management System (PIMS).
In December 2012 the UK Prime Minister announced the 100,000 genomes project to introduce whole genome sequencing for treatment into the UK National Health Service (NHS) o
Antimicrobial resistance mortality is set to surpass cancer and traffic-related deaths by 2050, according to the UK National Health Service (NHS).
Graham went on to say:. It is important that we have an honest conversation with the public, patients and clinicians about what the NHS should and can provide with the constrained funds it has available. As a part of that, it is right that we review what is currently offered on NHS prescription that is also available over-the-counter so that we can prioritise our spending on those products that are the most clinically effective and provide the best outcomes for patients.. NHS England chief executive Simon Stevens, said: To do the best for our patients and for taxpayers its vital the NHS uses its funding well. This consultation gives the public the opportunity to help family doctors decide how best to deploy precious NHS resources, freeing-up money from the drugs bill to reinvest in modern treatments for major conditions such as cancer, mental health and emergency care.. The list and approach have been developed based on responses that we received to the previous consultation on items which ...
Tough action will be taken against underperforming NHS hospitals and trusts, with some potentially being managed by the private sector, ministers have said today (June 4th).
Ed Miliband will know well enough not to put too much faith in this mornings poll showing Labour 11 points ahead of the Tories. Better to be ahead than behind, but at this stage of the Parliament it is as much about bad things the Tories are doing - where do I start? - as about a reassessment of Labour, though I am confident that will not be far behind.. But there is one point in the Sunday Express poll that really should cheer Labour and worry the Tories. It is the part that asks people what they see as the most important issue facing the country. The economy was way ahead at 42%. But what about the NHS? - just 4% saw it as the most important issue.. I can remember when it was up there with and even ahead of living standards and unemployment. And why has it changed? Because Labour delivered on the promise to save the NHS. People get better quicker treatment in more and better hospitals. GPs are better paid and better funded and satisfaction ratings are higher than they have ever been.. So ...
2) CCGs (Clinical Commisssioning groups) are involved in commissioning (i.e. allocating NHS resources and providing funds to service providers (private/public). Youre right that NHS hospitals are free at the point of use but all of the services they provide cost money, which is provided by CCGs if NHS hospitals are chosen to provide certain services. Similarly, CCGs can choose private providers (like Virgin Health/BUPA) to provide NHS services- in this case too the patient will not pay directly for the treatment but these private companies are paid by general taxation funds allocated by CCGs ...
Develop childrens spoken language, reading, writing and vocabulary with our English primary resources suitable for the Curriculum.
This section details the National Health Service (NHS), NHS diabetes support services and is a new central platform for our visitors to browse the services the NHS provides for people with diabetes locally and nationally.
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To ensure the service is evidence based, it will deliver the applicable requirements of the National Service Framework (NSF) for diabetes, the Care Quality Commission (CQC), relevant National Institute of Clinical Excellence (NICE) guidance, the Department of Health Standards for Better Health, Your Health, Your Care, Your Say (2) and support NHS Milton Keynes prescribing guidelines related to diabetes.. Diabetescompetencies used will be identified by Skills for Health and aligned to the Integrated Career and Competency Framework forDiabetesNursing (3rd Edition) (3). The assessment and review of care planning will be in accordance with Year of Care (4) guidance and Knowledge & Information Repository, Care Planning andDiabetes(5). The service will provide support with specific projects which include:. ...
Patients may be at risk from a shortage of beds, staff and money that threatens to undermine the most extensive preparation ever undertaken by the NHS, hospital trusts have warned.
The annual costs to the NHS of Private Finance Initiative schemes will soar fivefold from £470m to £2.3bn over the next eight years and could damage services, Edinburgh University researchers claim.
Obese patients in the UK are a step closer to getting easier access to Sanofi-Aventis weight loss drug Acomplia, after the countrys spending watchdog proposed recommending its use on the National Health Service. - News - PharmaTimes
UKFast is set to offer cloud services through the new Health and Social Care Network (HSCN) after receiving accreditation as a supplier from NHS Digit
This service is offered to young people under the age of 18 who present with an acute deterioration in mental state associated with a severity of risk to self or others, such that they cant be safely managed in a Tier 4 Acute Unit or HDU.
The improved National Health Service The British Medical Association has weighed in on the new Prime Minister David Camerons health care proposals. The Allergists voted ...
The drive to systematically identify patients with chronic kidney disease will lead to a huge surge in GP workload, a new study concludes.. GP researchers developed an automated search of practice records to identify patients with the condition - and found 92 per cent were currently undiagnosed.. Improved detection is a major focus of the new renal disease national service framework and ministers are pushing for CKD targets in the revised QOF. But GPs warned they will need a big increase in resources to cope with the extra burden of cases.. In the study, published in this months Nephrology Dialysis Transplantation, researchers searched 10,975 patient records for serum creatine, cardiovascular illness and other risk factors (see box, below). They identified 492 patients with stages 3-5 CKD, only 40 of whom had been previously diagnosed.. Study author Dr Simon de Lusignan, a GP in Guildford, Surrey, and senior lecturer in primary care informatics at St Georges, London, told Pulse: It was a ...
Moving elective procedures out of general hospitals can increase quality and reduce cost of emergency services, says 10-year study of all English NHS hospitals co-authored by Professor Stefan Scholtes of Cambridge Judge Business School.
A little Chesterfield girl who has a rare incurable condition which leads to early death will be able to receive treatment on the NHS to help prolong her life after a deal has been struck.
We are urgently seeking to recruit experienced Healthcare Assistants to place for various ad-hoc and short to long term assignments to suit in NHS across the UK. You will work as a part of a multidisciplinary team; providing nursing care to patients suffering from a wide variety of medical conditions and illnesses, supporting in their treatment, recovery and well-being. Your core duties and responsi...
Eight in ten hospitals are not safe enough, with rising numbers overloaded by a crisis in care of the elderly which is approaching “tipping point,” NHS watchdogs have warned.
In November last year, after much debate over cost, the National Institute for Health and Care Excellence (NICE) approved two new drugs for treatment of breast cancer for use on the NHS. Although first approval happened some time ago, this decision to make palbociclib and ribociclib available on the NHS, gives thousands more people access.
One agency posted 140 adverts last Friday alone in a desperate mayday call to fill posts while others are trying to poach staff from neighbouring hospitals
The purpose of this guideline is to ensure the best treatment for adults with suspected or confirmed pneumonia in the community during the COVID-19 pandemic and best use of NHS resources. We have withdrawn our guideline on diagnosing and managing pneumonia in adults until further notice. For general advice on managing COVID-19 symptoms, see the NICE COVID-19 rapid guideline on managing symptoms (including at the end of life) in the community . ...
Large cost variations revealed between NHS hospitals: The New NHS 1998 Reference Costsshows that surgical operations in Englands most expensive hospitals are 58% more costly than in the least expensive. The cost of a hip replacement varies from £1834 ($2930) to £6494.. UK has new health minister: John Hutton, MP for Barrow and Furness, has been appointed parliamentary undersecretary … ...
This guideline describes good patient experience for babies, children and young people, and makes recommendations on how it can be delivered. It aims to make sure that all babies, children and young people using NHS services have the best possible experience of care. It is recognised that parents and carers play a key role, and where appropriate, we took their views into account when developing the recommendations. ...