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this commentary explores some of the issues raised by gilbert et al.short communication, morality and markets in the nhs. the increasing role of market mechanisms and the changing types of healthcare providers together with the use of choice and competition to drive improvements in quality in the national health service (nhs), all have important ethical implications. in order for the nhs to con...

in this research, gelatin nanoparticles were synthesized via inverse miniemulsion method by employing a mixture of a water soluble carbodiimide (cdi) and n-hydroxysuccinimide (nhs) as a non-toxic cross-linking system. the gelatin nanoparticles were characterized for their size and size distribution, morphology and stability and were compared with those of nanoparticles cross-linked by glutarald...

BACKGROUND Information on maternity services is increasingly derived from national administrative health data. We evaluated how statistics on maternity care in England were affected by the completeness and consistency of data on "method of delivery" in a national dataset. METHODS Singleton deliveries occurring between April 2009 and March 2010 in English NHS trusts were extracted from the Hos...

OBJECTIVE This study aimed to identify if patients have adequate access to Computerised Cognitive Behavioural Therapy (cCBT) programmes in all mental health trusts across England. DESIGN The primary researcher contacted a targeted sample of information technology (IT) leads in each mental health trust in England to complete the survey. SETTING Telephone, email and postal mail were used to c...

Introduction Every health and social care system around the world is concerned with how it can provide care in a way that ensures both high quality and cost-effective care for people. The English system is no exception and over the last few decades there has been increased interest in the use of markets within the context of health and social care [1]. Although local government in the UK has a ...

In a recent English case before the Family Division of the English High Court, the Official Solicitor objected to the withdrawal of treatment from a patient diagnosed as being in vegetative state (VS) despite agreement between the NHS Trust and the patient’s family that treatment should be withdrawn: An NHS Trust v. J. One objection arose from the possibility, based on a recent medical article,...

BACKGROUND Mental health units in England had to become smoke-free by law from July 2008. Concerns regarding the implementation and enforcement of smoke-free policies in these settings have been raised. AIMS To study difficulties and challenges associated with smoke-free policy implementation in English National Health Service (NHS) mental health settings. METHOD Questionnaire survey of all...