OBJECTIVE To estimate the number of deaths and readmissions associated with delay in operation after femoral fracture. DESIGN Analysis of inpatient hospital episode statistics. SETTING NHS hospital trusts in England with at least 100 admissions for fractured neck of femur during the study period. Patients People aged > or = 65 admitted from home with fractured neck of femur and discharged b...

OBJECTIVES To identify whether the practice of the UK ambulance trusts comply with national recommendations with respect to when ambulance personnel are allowed to recognise death and/or terminate resuscitation attempts in the adult, normothermic, non-traumatic cardiac arrest. METHODS Questionnaire study of 39 ambulance trusts. RESULTS At the time of the study (summer 2000), 23 trusts opera...

INTRODUCTION In 2009 the Vascular Society of Great Britain and Ireland reported its recommendations for The Provision of Vascular Services for Patients with Vascular Disease. The objective is to halve the UK elective surgery mortality rate for Abdominal Aortic Aneurysm to 3.5% by 2013. From 16th March 2012, statutory approval has been given by Parliament to recognise Vascular Surgery as a Speci...

The principle of numerus clauses is the basic civil law countries, and trusts, as a product common system, are bound to diverge from it. Among them, conflict between ownership trust property most significant. How ease two in order promote long-term development trusts China has attracted lot attention. Trusts developing rapidly around world, comparative study approach been adopted, which followi...

OBJECTIVES The objective of this study was to establish how antibiotic prescribing policies at National Health Service (NHS) hospitals match the England Department of Health 'Start Smart-Then Focus' recommendations and relate to Clostridium difficile infection (CDI) rates. METHODS Antibiotic pharmacists were surveyed regarding recommendations for empirical treatment of common syndromes ('Star...

BACKGROUND The UK Health Department circular HSC 2002/010 requires health care employers to test certain groups of health care workers (HCWs) for hepatitis C, without additional funding. Little is known about the consistency of implementation of such guidelines. AIM This study audited the process, completeness and problems of implementation of circular HSC 2002/010 in acute and ambulance trus...

Landscape scale conservation planning informed by stakeholders is necessary for effective conservation action. We developed a watershed level conservation planning approach by working with two local land trusts that operate in the Upper Oconee subbasin of northeast Georgia. Emphasizing the interdependency of ecological processes and human livelihood to area residents motivates stewardship; henc...

OBJECTIVES To examine associations between mortality and registered nurse (RN) staffing in English hospital trusts taking account of medical and healthcare support worker (HCSW) staffing. SETTING Secondary care provided in acute hospital National Health Service (NHS) trusts in England. PARTICIPANTS Two data sets are examined: Administrative data from 137 NHS acute hospital trusts (staffing ...

BACKGROUND The National Institute for Health Research initiative 'collaborations for leadership in applied health research and care' (CLAHRC) in Leicestershire Northamptonshire and Rutland (LNR) is a partnership between the University of Leicester and NHS trusts in LNR that aims to reduce the second gap in translation (the long delay between conducting research and it having an impact on clini...

• taking action to prevent financial difficulties by recognising the warning signs, engaging appropriate experts, and intervening to avoid escalation is critically important • Monitor’s experience demonstrates the value of a rules based intervention regime that makes explicit what is expected of Foundation Trusts, and the consequences that will follow from failures of performance • a menu of op...