In the English National Health Service (NHS), patients are now expected to choose the time and place of treatment and even choose the actual treatment. However, the theory on which patient choice is based and the implementation of patient choice are controversial. There is evidence to indicate that attitudes and abilities to make choices are relatively sophisticated and not as straightforward a...

Patient choice is not new to the National Health Service (NHS). The nationalisation of hospitals at the founding of the NHS made it possible for a patient to go to any NHS hospital with a referral from a general practitioner (GP). In practice, however, GPs made these decisions on behalf of their patients and, for the majority of the 60-odd years since the inception of the NHS, patient flows to ...

OBJECTIVE (1) To assess the extent to which current English national regulations/policies/guidelines and local hospital practices align with indicators suggested by a European review of effective strategies for infection prevention and control (IPC); (2) to examine the capacity of local hospitals to report on the indicators and current use of data to inform IPC management and practice. DESIGN...

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...

The National Health Service (NHS) has often been regarded, by both academic commentators and the public, as the centrepiece of Britain’s welfare state. It has retained a high degree of popularity, and politicians have had to take account of this, privately and publicly. So, for example, in the late 1950s a leading Conservative observed that the electorate might accept cuts in defence spending: ...