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) has been pronounced many times over the years, but the time and cause of death and the murder weapon remains to be fully established. This article reviews some of these claims, and asks for clearer criteria and evidence to be presented.

The National Health Service in England considers on the Government's plans to improve quality of health care Commenting on another of its consultation papers, one notary recently gave the British Government " for presentation, minus for deliverability ". 1 Early indications are that the Government's consultation paper on quality in the English National Health Service (NHS) 2 could edge up to a ...

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...

Introduction Healthcare Resource Groups [HRG] are the mechanism by which patient activity is classified according to case mix in England. They are the primary funding mechanism for acute care in the English National Health Service [NHS], under the Department of Health's Payment by Results [PbR] national policy. This Department collects annual cost data ('Reference Costs'), and uses this as the ...

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...

This chapter summarises the evidence assembled in the previous chapters covering different aspects of the market-related reforms of the English National Health Service (NHS) under New Labour. It tries to assess the extent to which the objectives of the reforms had been met or the concerns of sceptics vindicated by the time that New Labour lost power in May 2010. It concludes by discussing the n...

Performance targets are commonly used in the public sector, despite their well known problems when organisations have multiple objectives and performance is difficult to measure. It is possible that such targets may work where there is considerable consensus that performance needs to be improved. We investigate this possibility by examining the response of the English National Health Service (N...

BACKGROUND Over the past three decades, a limited range of market like mechanisms have been introduced into the hierarchically structured English National Health Service ('NHS'), which is a nationally tax funded, budget limited healthcare system, with access to care for all, producing structures known as a quasi market. Recently, the Health and Social Care Act 2012 ('HSCA') has been enacted, in...