OBJECTIVE Unsolicited web-based comments by patients regarding their healthcare are increasing, but controversial. The relationship between such online patient reports and conventional measures of patient experience (obtained via survey) is not known. The authors examined hospital level associations between web-based patient ratings on the National Health Service (NHS) Choices website, introduc...

The proposal that mental health workers should explicitly train to become ‘recovery-oriented practitioners’ has been gathering pace for over a decade (O’Hagan 2001; National Institute for Mental Health in England 2004a). It is now supported by professional endorsements (Care Services Improvement Partnership 2007), national policy (Department of Health 2011), advocacy from non-statutory organisa...

Abstract In June 1979, the Royal Commission on National Health Service published its report. Chaired by Sir Alec Merrison, covered England, Scotland, Wales and Northern Ireland. 1976, broadcast calls, asking public to put forward their views NHS. response, they received around 2,460 written evidence submissions, held fifty-eight oral sessions, met with about 2,800 individuals. soliciting eviden...

OBJECTIVES To describe implementation of a new national preventive programme to reduce cardiovascular morbidity. DESIGN Observational study over 4 years (April 2009--March 2013). SETTING 655 general practices across England from the QResearch database. PARTICIPANTS Eligible adults aged 40-74 years including attendees at a National Health Service (NHS) Health Check. INTERVENTION NHS Heal...

For oncology, one of the biggest effects of the reforms to the National Health Service (NHS) in England has been the designation of systemic anticancer treatments (other than hormonal agents) as a specialised service. This means that all decisions regarding the commissioning of chemotherapy are made at the national level via NHS England (NHSE), under expert guidance from the Chemotherapy Clinic...

OBJECTIVE To determine differences in antibiotic prescription rates between conventional General Practice (GP) surgeries and GP surgeries employing general practitioners (GPs) additionally trained in integrative medicine (IM) or complementary and alternative medicine (CAM) (referred to as IM GPs) working within National Health Service (NHS) England. DESIGN Retrospective study on antibiotic pr...

Background Healthcare organisations in England rated as inadequate in terms of leadership and one other domain enter the Special Measures for Quality (SMQ) regime to receive increased support and oversight. There is also a ‘watch list’ of challenged National Health Service (NHS) providers at risk of going into SMQ that receive support. There is limited knowledge about whether the interven...

Hospital Episode Statistics (HES) is a data set containing records of all admissions, outpatient appointments and accident and emergency (A&E) attendances at National Health Service (NHS) hospitals in England. Each year over 125 million admitted patient, outpatient and A&E records are processed. Such a large data set enables rich research opportunities for researchers and health care profession...

BACKGROUND The aim of this study was to review evaluations and audits of primary care complementary therapy services to determine the impact of these services on improving health outcomes and reducing NHS costs. Our intention is to help service users, service providers, clinicians and NHS commissioners make informed decisions about the potential of NHS based complementary therapy services. ME...