OBJECTIVE To investigate the effect of social deprivation and ethnicity on inpatient admissions due to diabetes in England. DESIGN Facility-based cross-sectional analysis. SETTING National Health Service (NHS) trusts in England reporting inpatient admissions with better than 80% data reporting quality from 2010-2011 (355 facilities). PARTICIPANTS Non-obstetric patients over 16 years old i...

BACKGROUND Since the early 1990s, the National Health Service (NHS) has seen the encouragement and growth of research-based practice – described here on, as evidence-based practice (EBP). This policy has been promoted nationally by the UK Department of Health. As a consequence there has been a profusion of guidance, policy documents and service requirements disseminated to all levels of the NHS...

INTRODUCTION Manual therapy is the non-surgical conservative management of musculoskeletal disorders using the practitioner's hands on the patient's body for diagnosing and treating disease. The aim of this study is to systematically review trial-based economic evaluations of manual therapy relative to other interventions used for the management of musculoskeletal diseases. METHODS AND ANALYS...

OBJECTIVES The Out-of-Hospital Cardiac Arrest Outcomes (OHCAO) project aims to understand the epidemiology and outcomes of out-of-hospital cardiac arrest (OHCA) across the UK. This data linkage study is a subproject of OHCAO. The aim was to establish the feasibility of linking OHCAO data to National Health Service (NHS) patient demographic data and Office for National Statistics (ONS) date of d...

Objective: To evaluate the cost of atrial fibrillation (AF) to health and social services in the UK in 1995 and, based on epidemiological trends, to project this estimate to 2000. Design, setting, and main outcome measures: Contemporary estimates of health care activity related to AF were applied to the whole population of the UK on an age and sex specific basis for the year 1995. The activitie...

Mesothelioma is an incurable asbestos-related cancer with a high symptom burden. Its long lead time means cases in the military context tend to be amongst veterans. Research into lived experience of mesothelioma sparse. shows British veterans and their families are likely have particular needs accessing health services support. This study explored psychological effects UK from carer's perspecti...

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...

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...

Sir James Mackenzie is generally accepted as the founder of research by general practitioners in Great Britain, studying their own patients where and how they actually live. His pioneering work on arrhythmias was a foundation for modern cardiology, consolidated by his pupil Thomas Lewis, Britain's first full-time clinical researcher for the Medical Research Council. Mackenzie became a dominant ...