martin powell makes the point that the death of the national health service (nhs) is constantly asserted without criteria. this article suggests that the nhs is many things, which makes criteria unstable. the alignment of interests in the structure of the nhs enables both overheated rhetoric and political strength, and that pluralization of provision might actually undermine that alignment over...

Recent disclosures of failures of care in the National Health Service (NHS) in England have led to debates about compassion deficits disallowing health professionals to provide high quality responsive care. While the link between high quality care and compassion is often taken for granted, it is less obvious how compassion – often originating in the individual’s emotional response – can become ...

this commentary on the editorial ‘the politics and analytics of health policy’ by professor calum paton focuses on two issues. first, it points to the unclear links between ideas, ideology, values, and discourse and policy, and warns that discourse is often a poor guide to enacted policy. second, it suggests that realism, particularly ‘programme theory’ are useful tools for health policy analys...

since its establishment in 1948, the history of the national health service (nhs) has been characterized by organisational turbulence and system reform. at the same time, progress in science, medicine and technology throughout the western world have revolutionized the delivery of healthcare. the nhs has become a much loved, if much critiqued, national treasure. it is against this backdrop that ...

Background Recent British National Health Service (NHS) reforms, in response to austerity and alleged ‘health tourism,’ could impose additional barriers to healthcare access for non-European Economic Area (EEA) migrants. This study explores policy reform challenges and implications, using excerpts from the perspectives of non-EEA migrants and health advocates in London.   Methods A qualitative ...

the death of the english national health service (nhs) may be slow in coming but that does not mean that it is not the conservative-led uk government’s desired end state. the government is displaying tactical cunning in achieving its long-term purpose to remould the british state. powell seeks greater clarity amidst the confusion but the lack of clarity is a principal weapon in the government’s...

NICE: The National Institute for Health and Clinical Excellence, and its Recent Guidance for Intrapartum Care The National Institute for Health and Clinical Excellence (NICE) is an independent organization with legal status as a Special Health Authority to the National Health Service (NHS) in England and Wales. Its purpose is to develop guidance regarding quality and cost-e¡ectiveness of clinic...

OBJECTIVES To explore the success of the introduction of the National Health Service (NHS) 111 urgent care service and describe service activity in the period 2014-2016. DESIGN Comparative mixed method case study of five NHS 111 service providers and analysis of national level routine data on activity and service use. SETTINGS AND DATA Our primary research involved five NHS 111 sites in Eng...

recent disclosures of failures of care in the national health service (nhs) in england have led to debates about compassion deficits disallowing health professionals to provide high quality responsive care. while the link between high quality care and compassion is often taken for granted, it is less obvious how compassion – often originating in the individual’s emotional response – can become ...

OBJECTIVE To document the range of web and smartphone apps used and recommended for stress, anxiety or depression by the National Health Service (NHS) in England. DESIGN The study was conducted using Freedom of Information (FOI) requests and systematic website searches. DATA SOURCES Data were collected via FOI requests to NHS services between 13 February 2015 and 31 March 2015, and searches...