Creating a Patient-Led NHS (Department of Health & National Health Service, 2005) reaffirmed the strategic aim of the National Health Service (NHS) to be patient centred, making it clear that the old tradition of ‘doing to patients’ was no longer acceptable. Instead, the fundamental relationship between patient and clinician, and equally between patients and the NHS writ large, is to be based o...

Britain's National Health Service (NHS) was established in the wake of World War II amid a broad consensus that health care should be made available to all. Yet the British only barely succeeded in overcoming professional opposition to form the NHS out of the prewar mixture of limited national insurance, various voluntary insurance schemes, charity care, and public health services. Success stem...

Before the introduction of the National Health Service (NHS) in 1948, there was a patchwork of public, private and voluntary provision (Keen et al 2001). Since the establishment of the NHS, when hospitals were nationalised, most of the organisations providing health care to NHS patients have been state-owned. General practitioners (GPs) are a notable exception to this, being self-employed and o...

OBJECTIVE To measure the effect of an urgent care telephone service NHS 111 on population perceptions of urgent care. DESIGN Controlled before and after population survey, using quota sampling to identify 2000 respondents reflective of the age/sex profile of the general population. SETTING England. 4 areas where NHS 111 was introduced, and 3 control areas where NHS 111 had yet to be introdu...

BACKGROUND The UK National Institute for Health and Clinical Excellence (NICE) has published guidance for employers on promoting mental wellbeing. A national audit in 2011 found wide variation between English National Health Service (NHS) trusts (organizations providing health care) in the implementation of this guidance, but it is not known whether fuller compliance with the guidance results i...

AIMS To analyse inequalities by social class in children's access to and utilisation of health services in Catalonia (Spain), private health insurance coverage, and certain aspects of the quality of care received. DESIGN Cross sectional study using data from the 1994 Catalan Health Interview Survey. SETTING Child population of Catalonia. PARTICIPANTS A representative sample of non-institu...

INTRODUCTION The variety of organisations providing National Health Service (NHS)-funded services in England is growing. Besides NHS hospitals and general practitioners (GPs), they include corporations, social enterprises, voluntary organisations and others. The degree to which these organisational types vary, however, in the ways they manage and provide services and in the outcomes for service...

The inaugural southwest medical debate, between Exeter and Plymouth medical schools and respective health services, was held on the 3rd December 2014. Plymouth proposed the motion "This house believes the NHS should be privatised?" In an increasingly political climate, the National Health Service (NHS) has become a constant topic for discussion in the media. On this occasion, all those debating...

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 UK. London: King’s Fund, 2002. 3 Department of Health. Research and development for a first class service. London: DoH, 2000. www.doh.gov.uk/research/documents/rd3/ first_class_service.pdf (accessed 3 July 2003). 4 Department of Health website. www.doh.gov.uk/research/ (accessed 3 July 2003). 5 Culyer A. Supporting research and development in the NHS. Report of the Department of Health Rese...