BACKGROUND According to the provisions of the Health Act 2006, NHS acute Trusts had to become smoke-free by July 2007. Mental health Trusts were granted a further year before all indoor smoking areas have to be removed. This study was carried out to determine the extent of smoke-free policy implementation in English NHS acute and mental health Trusts, and to explore challenges and impacts relat...

BACKGROUND Following reports from the National Patient Safety Agency of deaths and serious harm from intercostal chest drains (ICD) we conducted a national survey among chest physicians of their experience of harm associated with ICD. METHODS A questionnaire was sent to 198 UK chest physicians at 148 acute hospital trusts, enquiring about current practice and any adverse incidents related to ...

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...

Abstract Trusts, which originated in common law and are used to protect family landholdings over generations, have developed into a vehicle that is more often for commercial purposes. This shift has occurred without any systematic understanding of what form extent trusts can be adopted context. Furthermore, few considered whether existing trust adequately govern trusts; is, or not the use requi...

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...

BACKGROUND in 2007, the National Patient Safety Agency (NPSA) published 'Slips trips and falls in hospital' and 'Using bedrails safely and effectively'. OBJECTIVES this observational study aimed to identify changes in local policies in hospitals in England and Wales following these publications. METHOD policies in place during 2006 and 2009 were requested from 50 randomly selected acute hos...

OBJECTIVE We set out to document how NHS trusts in the UK record and share disclosures of conflict of interest by their employees. DESIGN Cross-sectional study of responses to a Freedom of Information Act request for Gifts and Hospitality Registers. SETTING NHS Trusts (secondary/tertiary care organisations) in England. PARTICIPANTS 236 Trusts were contacted, of which 217 responded. MAIN...

OBJECTIVES To describe the use, perceived effectiveness, and predicted future use of organisational strategies for influencing clinicians' behaviour in the approach of NHS trusts to clinical governance, and to ascertain the perceived benefits of clinical governance and the barriers to change. DESIGN AND SETTING Whole population postal survey conducted between March and June 1999. SUBJECTS C...