This article summarises the needs of people with learning disabilities in the police station, courts and prisons. The article describes national plans to address these needs, with particular information on how needs are being addressed in the south west region of the English NHS.

OBJECTIVES To investigate geographic variation in guideline-indicated treatments for non-ST-elevation myocardial infarction (NSTEMI) in the English National Health Service (NHS). DESIGN Cohort study using registry data from the Myocardial Ischaemia National Audit Project. SETTING All Clinical Commissioning Groups (CCGs) (n=211) in the English NHS. PARTICIPANTS 357 228 patients with NSTEMI...

Objectives To examine whether rate of reoperation after breast conserving surgery is associated with patients’ characteristics and investigate whether reoperation rates vary among English NHS trusts. Design Cohort study using patient level data from hospital episode statistics. Setting English NHS trusts. Participants Adult women who had breast conserving surgery between 1 April 2005 and 31 Mar...

AIM To understand the effects of Nurse Case Managers (NCMs) working in primary care in the English National Health Service (NHS) from multiple perspectives and how this new role impacts on social workers, this paper reports and discusses findings from a multi-level study of the role of NCMs working in primary care in the English NHS. BACKGROUND Case management as understood by the NHS is equi...

this is a commentary on gilbert and colleagues’ (1) paper on morality and markets in the national health service (nhs). morality and values are not ephemeral qualities and universal healthcare is not simply an aspiration; it has to be enshrined in law. the creation of the uk nhs in 1948 was underpinned by core legal duties which required a system of public funding and delivery to follow. the mo...

OBJECTIVES To examine whether rate of reoperation after breast conserving surgery is associated with patients' characteristics and investigate whether reoperation rates vary among English NHS trusts. DESIGN Cohort study using patient level data from hospital episode statistics. SETTING English NHS trusts. PARTICIPANTS Adult women who had breast conserving surgery between 1 April 2005 and ...

OBJECTIVE Obstetric care is a high-risk area in healthcare delivery, so it is essential to have up-to-date quantitative evidence in this area to inform policy decisions regarding these services. In light of this, the objective of this study is to investigate the incidence and economic burden of third and fourth-degree lacerations in the English National Health Service (NHS) using recent nationa...