This paper examines the relationship between performance of English public sector hospitals (NHS trusts) and the quality of their nursing staff. Performance ratings of NHS trusts published in 2001 and 2002 indicate a clear regional divide. This divide is not explained by lower medical need. The gap between wages in the private and public sector (the private sector premium) has a regional divide...

This paper considers the relative healthcare expenditure needs of England, Wales, Scotland and Northern Ireland. It applies the NHS weighted capitation formula – used to allocate resources to English Primary Care Trusts – to Health Boards in Wales and Scotland and Health and Social Care Trusts in Northern Ireland. According to this formula, per capita healthcare expenditure need in Wales is 16%...

Groundwater management by water service providers in Lusaka, Zambia, includes borehole siting, drilling and on-going monitoring. Semi-structured interviews were conducted with Lusaka Water and Sewerage Company (LWSC) and devolved Water Trust managers, in order to assess their needs and collect their suggestions to improve data management. The research found that both the Water Trusts and LWSC l...

This paper introduces a mechanism to quantify propagation of trust in an e-commerce environment. Using principles derived from Dempster-Shafer theory of evidence, we propose a method to propagate and quantify trust. More specifically, we answer the question: if A trusts B, and B trusts C, then with how much certainty may A trust C? This reasoning can be extended to an arbitrary length of trust ...

Aims To examine if the introduction of Diabetes Inpatient Specialist Nurses impacted on length stay and rates readmission. Design Knowledge discovery through data mining as part a larger realist evaluation role. Methods Data from January 2017 to 2019 was extracted examined. A subset performance July 2017–November 2018 analysed. This consisted 7320 records for Hospital Episode Statistics 272 inc...

Strategy and implementation Health authorities have been working hard on developing health strategies and health programmes. Much of this work can come to naught. Towards the end of the financial year the contracting process takes over. Large sums of money are exchanged between purchasers and providers without explicit or detailed cognisance of the health strategy or programmes. Similarly, gene...