A productive NHS

A productive NHS.

As the NHS in England grapples with the longest funding squeeze in its history, the quest for greater productivity becomes ever more pressing. Two new analyses published this week show that the productivity of consultants in NHS hospitals has fallen over the past six years. The authors reject any notion that this means doctors need to work harder but argue that we need to rethink how we seek an...

Employee Engagement within the NHS: A Cross-Sectional Study

Background Employee engagement is the emotional commitment of the employee towards the organisation. We aimed to analyse baseline work engagement using Utrecht Work Engagement Scale (UWES) at a teaching hospital.   Methods We have conducted a cross-sectional study within the National Health Service (NHS) Teaching Hospital in the UK. All participants were working age population from both genders...

Upcoding in a NHS∗

Evidence from the US pointed out, over the years, to the existence of upcoding in management practices. Upcoding is defined as classifying patients in DRG codes associated with larger payments. The incentive for upcoding is not particular to private providers of care. Conceptually, any patient classification system that is used for payment purposes may be vulnerable to this sort of strategic be...

Let’s Raise a Half-Full Glass to the Zombie NHS: A Response to Recent Commentaries

A Theorem on Productive Functions

Proof. Myhill has proved that any productive set is productive under a 1-1 total function. A corresponding result is easily established for any contraproductive set having at least one total contraproductive function. Letting h(x, y) be the recursive function of [2, Theorem 2.4, p. 69], consider the sequence s0 = h(0, 0), Sx — h(l, s0), s2 = h(0, Sx), Si = h(i, s2), Si = h(2, S3), and so on. Th...