scholarly journals NHS70

2020 ◽  
Vol 11 (1) ◽  
pp. 7
Author(s):  
Ramesh Mehta
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Patient Care ◽  
National Health ◽  
Core Values ◽  
Comprehensive Care ◽  
High Quality ◽  
Ability To Pay ◽  
Quality Patient Care ◽  
Point Of Use

On 5 July 1948, the National Health Service came into existence. 70 years on, it continues to be there for patients and communities. Its core values have stood the test of time: comprehensive care, free at the point of use, delivered on the basis of need rather than the ability to pay. We at BAPIO are proud to be part of this national institution and committed to providing high-quality patient care.

scholarly journals Why doctors consider leaving UK medicine: qualitative analysis of comments from questionnaire surveys three years after graduation

2017 ◽  
Vol 111 (1) ◽  
pp. 18-30 ◽  
Author(s):  
Trevor W Lambert ◽  
Fay Smith ◽  
Michael J Goldacre
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Patient Care ◽  
National Health ◽  
Medical Graduates ◽  
Quality Patient Care ◽  
Negative View ◽  
Job Opportunities ◽  
Questionnaire Surveys ◽  
The Uk

Objective To report the reasons why doctors are considering leaving medicine or the UK. Design Questionnaire survey. Setting UK. Participants Questionnaires were sent three years after graduation to all UK medical graduates of 2008 and 2012. Main outcome measures Comments from doctors about their main reasons for considering leaving medicine or the UK (or both). Results The response rate was 46.2% (5291/11,461). Among the 60% of respondents who were not definitely intent on remaining in UK medicine, 50% were considering working in medicine outside the UK and 10% were considering leaving medicine. Among those considering working in medicine outside the UK, the most commonly cited reasons were to gain wider experience, that things would be ‘better’ elsewhere and a negative view of the National Health Service and its culture, state and politics. Other reasons included better training or job opportunities, better pay and conditions, family reasons and higher expectations. Three years after graduation, doctors surveyed in 2015 were significantly more likely than doctors surveyed in 2011 to cite factors related to the National Health Service, to pay and conditions, to their expectations and to effects on work–life balance and patient care. Among those considering leaving medicine, the dominant reason for leaving medicine was a negative view of the National Health Service (mentioned by half of those in this group who commented). Three years after graduation, doctors surveyed in 2015 were more likely than doctors surveyed in 2011 to cite this reason, as well as excessive hours and workload, and financial reasons. Conclusions An increasingly negative view is held by many doctors of many aspects of the experience of being a junior doctor in the National Health Service, and the difficulty of delivering high-quality patient care within what many see as an under-funded system. Policy changes designed to encourage more doctors to remain should be motivated by a desire to address these concerns by introducing real improvements to resources, staffing and working conditions.

Renewing the National Health Service: Labour's Agenda for a Healthier Britain

1996 ◽  
Vol 26 (2) ◽  
pp. 269-308 ◽  
Author(s):  
Rae Barrantes
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Health Care Professionals ◽  
Current Status ◽  
Patient Centered ◽  
Labour Government ◽  
Point Of Use ◽  
Tier System

In this report the Labour Party gives its view of the current status of the British National Health Service (NHS), and outlines its plans for the NHS under a Labour government. The values underlying the NHS—comprehensive health care, free at the point of use, based on need rather than ability to pay—have been betrayed. The truly national health service, created by a Labour government in 1948, has been replaced by a market-based service led by accountants. Patients are suffering, health care professionals are dissatisfied, some of the nation's finest hospitals are closing, community care is in chaos, and NHS dentistry has all but been privatized. Under the Tories, the NHS faces a future of privatization, competition, and markets, money wasted on bureaucracy, and the unfairness of a two-tier system. Under Labour, the NHS faces modernization, planned progress, money spent on frontline services, and excellence for all. Labour will follow a model of health care that is patient centered and community led, a properly coordinated and efficient public service.

Psychiatric In-Patients and Out-Patients: A Reply to Mezey and Evans

1972 ◽  
Vol 120 (557) ◽  
pp. 433-436 ◽  
Author(s):  
D. G. Morgan ◽  
R. M. Compton
Keyword(s):  
Mental Health ◽  
National Health Service ◽  
Health Service ◽  
Social Security ◽  
Patient Care ◽  
National Health ◽  
Recent Article ◽  
Psychiatric Services ◽  
Outpatient Services ◽  
Department Of Health

Department of Health and Social Security statistics show a steady rise in the use of outpatient services from the inception of the National Health Service; since the Mental Health Act of 1959, the numbers of new outpatient and clinic attendances have increased by one-third and one-fifth respectively (D.H.S.S., 1971). However, as our knowledge of the actual functions of out-patient services and their relationship to in-patient care is at best only rudimentary, the recent article by Mezey and Evans (Journal, June 1971, 118, p. 609) is a much needed contribution towards evaluating these different facilities of the psychiatric services.

Adolescent Psychiatry Services

1995 ◽  
Vol 166 (3) ◽  
pp. 306-310 ◽  
Author(s):  
Tony Jaffa
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Adolescent Psychiatry ◽  
Clinical Care ◽  
Psychiatric Services ◽  
High Quality ◽  
History Of ◽  
The Uk ◽  
The Way

BackgroundThe way in which psychiatric services for adolescents in the UK are developing will be affected by recent changes in the organisation of the National Health Service.MethodThe history of these services, and the different opportunities for development are reviewed.ResultsWays in which high-quality clinical care can still be provided are indicated.ConclusionAdolescent psychiatric services should be judged on their ability to provide such care, not merely on their ability to survive.

Financial Governance and the NHS

2020 ◽  
pp. 36-65
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Essential Medicines ◽  
Financial Control ◽  
Healthcare Provision ◽  
Financial Costs ◽  
Point Of Use ◽  
Financial Governance

Faced with significant difficulties to meet financial costs owing to increased demand for healthcare, National Health Service (NHS) organisations are looking to maintain tight financial control and reduce expenditure where possible. Significant price hikes in essential medicines can also raise challenges to the supply of necessary drugs for the population. The NHS continues to supply healthcare free at the point of use and any attempts to introduce charges remain unpopular. There have been a number of ways in which providers endeavour to reduce costs: rationalisation (reduction of services or certain costly drugs) or through increasing the role of private providers in healthcare provision. This chapter thus reviews the funding challenges the NHS is currently facing and how financial governance is evolving to meet those challenges.

scholarly journals The INDIAN HEALTHCARE SECTOR –

2020 ◽  
Vol 11 (1) ◽  
pp. 26-27
Author(s):  
Buddhdev Pandya
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Health Care Sector ◽  
Healthcare Sector ◽  
Ability To Pay

In good healthcare should be available to all, regardless of wealth. When the National Health Service (NHS) was launched on July 5th, 1948 by it has three core principles embodied in the shaping culture of the population in the context of creating of services; it meets the needs of everyone, it is uniformity in the health care sector across the nation. available free at the point of delivery and based on These practices are not optional and form an integral clinical need – from cradle to grave, not the ability to pay. part of the healthcare landscape that exists in India.

scholarly journals Information Overload in Emergency Medicine Physicians: A Multisite Case Study Exploring the Causes, Impact, and Solutions in Four North England National Health Service Trusts (Preprint)

2020 ◽  
Author(s):  
Laura Sbaffi ◽  
James Walton ◽  
John Blenkinsopp ◽  
Graham Walton
Keyword(s):  
Emergency Medicine ◽  
National Health Service ◽  
Health Service ◽  
Patient Care ◽  
National Health ◽  
Medical Information ◽  
Information Overload ◽  
Group Analysis ◽  
Emergency Physicians ◽  
The Impact

BACKGROUND Information overload is affecting modern society now more than ever because of the wide and increasing distribution of digital technologies. Social media, emails, and online communications among others infuse a sense of urgency as information must be read, produced, and exchanged almost instantaneously. Emergency medicine is a medical specialty that is particularly affected by information overload with consequences on patient care that are difficult to quantify and address. Understanding the current causes of medical information overload, their impact on patient care, and strategies to handle the inflow of constant information is crucial to alleviating stress and anxiety that is already crippling the profession. OBJECTIVE This study aims to identify and evaluate the main causes and sources of medical information overload, as experienced by emergency medicine physicians in selected National Health Service (NHS) trusts in the United Kingdom. METHODS This study used a quantitative, survey-based data collection approach including close- and open-ended questions. A web-based survey was distributed to emergency physicians to assess the impact of medical information overload on their jobs. In total, 101 valid responses were collected from 4 NHS trusts in north England. Descriptive statistics, principal component analysis, independent sample two-tailed <i>t</i> tests, and one-way between-group analysis of variance with post hoc tests were performed on the data. Open-ended questions were analyzed using thematic analysis to identify key topics. RESULTS The vast majority of respondents agreed that information overload is a serious issue in emergency medicine, and it increases with time. The always available culture (mean 5.40, SD 1.56), email handling (mean 4.86, SD 1.80), and multidisciplinary communications (mean 4.51, SD 1.61) are the 3 main reasons leading to information overload. Due to this, emergency physicians experience guideline fatigue, stress and tension, longer working hours, and impaired decision making, among other issues. Aspects of information overload are also reported to have different impacts on physicians depending on demographic factors such as age, years spent in emergency medicine, and level of employment. CONCLUSIONS There is a serious concern regarding information overload in emergency medicine. Participants identified a considerable number of daily causes affecting their job, particularly the traditional culture of emergency departments being always available on the ward, exacerbated by email and other forms of communication necessary to maintain optimal, evidence-based practice standards. However, not all information is unwelcome, as physicians also need to stay updated with the latest guidelines on conditions and treatment, and communicate with larger medical teams to provide quality care.

scholarly journals Crisis resolution/home treatment and in-patient care

2003 ◽  
Vol 27 (02) ◽  
pp. 44-47
Author(s):  
Marcellino G. Smyth
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Policy Implementation ◽  
Patient Care ◽  
National Health ◽  
Home Treatment ◽  
Crisis Resolution ◽  
Department Of Health ◽  
Guidance Department

With the development of crisis resolution/home treatment (CR/HT) teams according to the National Health Service (NHS) Plan and Policy Implementation Guidance (Department of Health, 2000), it is important to anticipate the issues involved in their collaboration with acute in-patient units. What are the implications for in-patient care (IC) of CR/HT availability? How can we realise the opportunities that full integration can offer towards an improved acute service?

scholarly journals Achieving high-quality universal health coverage: a perspective from the National Health Service in England

2018 ◽  
Vol 3 (6) ◽  
pp. e000944 ◽  
Author(s):  
Rocco Friebel ◽  
Aoife Molloy ◽  
Sheila Leatherman ◽  
Jennifer Dixon ◽  
Sebastian Bauhoff ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Universal Health Coverage ◽  
Low Income ◽  
Healthcare Services ◽  
Staff Retention ◽  
Health Coverage ◽  
High Quality ◽  
Universal Health

Governments across low-income and middle-income countries have pledged to achieve universal health coverage by 2030, which comes at a time where healthcare systems are subjected to multiple and persistent pressures, such as poor access to care services and insufficient medical supplies. While the political willingness to provide universal health coverage is a step into the right direction, the benefits of it will depend on the quality of healthcare services provided. In this analysis paper, we ask whether there are any lessons that could be learnt from the English National Health Service, a healthcare system that has been providing comprehensive and high-quality universal health coverage for over 70 years. The key areas identified relate to the development of a coherent strategy to improve quality, to boost public health as a measure to reduce disease burden, to adopt evidence-based priority setting methods that ensure efficient spending of financial resources, to introduce an independent way of inspecting and regulating providers, and to allow for task-shifting, specifically in regions where staff retention is low.

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