One of the aims of the English National Health Service (NHS) reform program has been to give higher priority to chronic care. Chronic care policy has focused on self-management, disease management, and case management, alongside a number of related initiatives. A start has been made in implementing these initiatives, and some are beginning to demonstrate benefits, like the new pay-for-performan...

Purpose The purpose of this paper is to explore leadership in the context hub and spoke network oral maxillofacial surgery (OMFS) English National Health Service (NHS). Design/methodology/approach This a conceptual using literature relating antecedents shared relevant policy documents pertaining both NHS development OMFS. informed, theoretically by lens leadership. Findings identifies challenge...

Summary Leagues of Friends are charities that provide ‘personal service to patients’ and ‘supply hospitals with equipment not likely come from the budgeting authorities’. Hundreds continue exist, many trace their origins before NHS’s foundation in 1948. Despite rich growing historiographies voluntarism NHS, have received little attention. This article uses case studies English West Midlands sho...

OBJECTIVES To explore Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) policies from English acute, community and ambulance service Trusts for evidence of consistency and variation in implementation of national guidelines between healthcare organisations. SETTING Acute, community or ambulance National Health Service (NHS) Trusts in England. PARTICIPANTS 48 NHS Trusts. INTERVENTIONS F...

OBJECTIVES Delivering treat-to-target strategies in rheumatoid arthritis (RA) involves commitments from both providers and payers for healthcare. We have summarised the perspectives of payers from England, where the National Health Service (NHS) provides universal care that is without cost for patients. METHODS We reviewed the literature - including that from the NHS and National Institute fo...

The Scots and the English and Welsh are producing national guidance on NHS practice in different ways. Two apparently competing national agencies have already been established in Scotland—the Health Technology Board for Scotland and the Scottish Intercollegiate Guidelines Network (SIGN). Yet another one is in the pipeline—the Scottish Medicines Consortium. In England and Wales there is one agen...

Clinical governance provides a framework for accountability and quality improvement. While research is concerned with discovering the right thing to do, audit is concerned with ensuring that the right thing is done. A First class service 2 outlined structures within the National Health Service (NHS) for setting standards: the National Institute of Clinical Excellence (NICE) and the National Ser...

it is well-established that for a considerable period the united kingdom has spent proportionally less of its gross domestic product (gdp) on health-related services than almost any other comparable country. average european spending on health (as a % of gdp) in the period 1980 to 2013 has been 19% higher than the united kingdom, indicating that comparable countries give far greater fiscal prio...

The National Health Service and the private sector should be complementary; each needs the other. It is highly improbable that the Health Service will be privatised; much more likely that private practice will be publicised by bringing it within the National Health Service. This article discusses the size and growth of the private sector, looks at cost containment and quality and examines the p...

Despite fiscal stress, public confidence in the National Health Service (NHS) remains strong; privatisation has not hollowed out the service. But if long term challenges are to be overcome, pragmatism not rhetoric should be the guide.