Showing papers in "British Journal of Healthcare Management in 2005"
TL;DR: For those of a pessimistic demeanour, current NHS policy is a mad jumble of half-baked policies with no attempt to ensure consistency by 'joining them up'.
Abstract: For those of a pessimistic demeanour, current NHS policy is a mad jumble of half-baked policies with no attempt to ensure consistency by ‘joining them up’. It seems as if the wonkers in Downing Street invent ideas by the week and the Great Leader responds, “right on boys!” that sounds a good wheeze!”
9 citations
TL;DR: Services to those suffering from Parkinson's Disease lack a co-ordinated multi-professional approach and often include serious shortcomings, according to the World Health Organization.
Abstract: Services to those suffering from Parkinson's Disease (PD) lack a co-ordinated multi-professional approach andoften include serious shortcomings.
2 citations
TL;DR: If you wanted to hide a tree, you'd put it in a forest, and if you want to hide some information about the NHS, you would put it on the Department of Health's legendarily un-navigable website.
Abstract: If you wanted to hide a tree, you'd put it in a forest. If you wanted to hide some information about the NHS, you'd put it on the Department of Health's legendarily un-navigable website.
2 citations
TL;DR: The Department of Health for England and Wales has indicated a commitment to consulting and listening topatients to increase involvement of patients and public in all areas of health care.
Abstract: The Department of Health for England and Wales (DH) has indicated a commitment to consulting and listening topatients. Their aim is to increase involvement of patients and public in all areas of health care: how the individual patient is treated, how local services are delivered; and how decisions for overall planning are made.
2 citations
TL;DR: A research questionnaire was developed in an area that had previously identified a shortage of general practitioners and found that there was a need for more general practitioners in the area.
Abstract: A research questionnaire was developed in an area that had previously identified a shortage of general practitioners This questionnaire was completed at multiple sites by 43 staff - a mix of doctors and nurses in two primary care trusts
1 citations
TL;DR: A sanity defence is offered in support of a sanity defence, focusing on the logic of the new elective care incentives, as different‘logics’ underpin the approach to unplanned care.
Abstract: In his inimitable style, Alan Maynard asked in the January 2005 BJHCM,‘Has the Government gone bonkers?’ Here is a quick offering in support of a sanity defence, focusing on the logic of the new elective care incentives. Different‘logics’ underpin the approach being taken to unplanned care.
1 citations
TL;DR: It seems that we will have an election in May. Tweedledee and Tweedle Dee are already exchanging blows and often evidence free assertions and counterassertions about waiting times, competing programs of cuts in ‘unnecessary’ bureaucracy and trust deficits.
Abstract: It seems that we will have an election in May. Tweedledee and Tweedledum are already exchanging blows and often evidence free assertions and counterassertions about waiting times, competing programmes of cuts in ‘unnecessary’ bureaucracy and trust deficits.
1 citations
TL;DR: There is to be no choice for primary care practices who wish to commission services themselves, when it comes to Choose And Book, according to technical guidance from the DoH.
Abstract: It seems there is to be no choice for primary care practices who wish to commission services themselves, when it comes to Choose And Book. The Health Service Journal (27 January 2005) reports that the DoH's technical guidance on practice-based commissioning will tell PCTs that they must refuse to allow practices to move to practice-based commissioning if they do not adopt the NPfIT's Choose And Book software for the GPs’ desktops.
1 citations
TL;DR: The Healthcare Commission's new system for assessing the performance of those organisations providing health care will be introduced in 2006.
Abstract: The Healthcare Commission's new system for assessing the performance of those organisations providing health care will be introduced in 2006.
1 citations
TL;DR: Recently, I have had to modify the image conjured up by a famous Canadian humourist: about the man who jumped on his horse and galloped off in all directions.
Abstract: Recently, I have had to modify the image conjured up by a famous Canadian humourist: about the man who jumped on his horse and galloped off in all directions. I was watching Tony Blair as he was listening with approval approaching adoration to the Budget speech of his deadly rival Chancellor Gordon Brown.
1 citations
TL;DR: In a recent BJHCM article, Alan Maynard (2004) likened the NHS to a crematorium - lots going in but little coming out as discussed by the authors, and this choice and use of metaphor is illuminating, offering new insights as it asks us to consider one thing in terms of another.
Abstract: In a recent BJHCM article, Alan Maynard (2004) likened the NHS to a crematorium - lots going in but little coming out. This choice and use of metaphor is illuminating, offering new insights as it asks us to consider one thing in terms of another.
TL;DR: This data shows that emergency admissions reduce available inpatient bed spaces, impacting on elective operating lists and reducing surgical efficiency.
Abstract: Emergency admissions reduce available inpatient bed spaces, impacting on elective operating lists and reducing surgical efficiency. Emphasis has been placed on day case surgery to improve throughput and reduce waiting lists in recent times.
TL;DR: There is high-level commitment in the UK to addressing the historical weaknesses in the delivery of prison health care, and for prisons to work with their NHS colleagues in order to give prisoners access to the same quality and range of healthcare services as the general public receives from the National Health Service.
Abstract: There is high-level commitment in the UK to addressing the historical weaknesses in the delivery of prison health care, and for prisons to work with their NHS colleagues in order “to give prisoners access to the same quality and range of healthcare services as the general public receives from the National Health Service” (National Health Service Executive 1999).
TL;DR: Two full parliamentary terms later, and the authors face an NHS quite different from that left to us by Stephen Dorrell.
Abstract: Two full parliamentary terms later, and we face an NHS quite different from that left to us by Stephen Dorrell. If a week is a long time in politics, eight years is certainly a long time in NHS management. In career terms, eight years has meant several job moves for most managers; a proliferation of opportunities for many; and rapid exits for some.
TL;DR: After the initial frugality of the Blair regime, the Government decided to invest heavily in the NHS and the Prime Minister demanded that it “act smarter”.
Abstract: After the initial frugality of the Blair regime, the Government decided to invest heavily in the NHS and the Prime Minister demanded that it “act smarter”. The ‘modernisation’ of the NHS is long overdue.
TL;DR: For the NHS, the three-year public spending budget is not adequate for getting real value in the future and depends on getting consistent incentives and feasible funding.
Abstract: For the NHS, the three-year public spending budget is not adequate for getting real value in the future. The future viability of the system depends on getting consistent incentives and feasible funding.
TL;DR: The word schizophrenia, like so many in the English language, has a given meaning in one context but is too often used loosely in a wider sphere as mentioned in this paper, and the word psychotic is in a similar vein.
Abstract: The word schizophrenia, like so many in the English language, has a given meaning in one context but is too often used loosely in a wider sphere. (The word psychotic is in a similar vein.)
TL;DR: Nearly 20% of Freedom Of Information requests to the Department of Health relate to the National Programme for IT (NPfIT) - and not a single answer has been published to any of these.
Abstract: Nearly 20% of Freedom Of Information requests to the Department of Health relate to the National Programme for IT (NPfIT) - and not a single answer has been published to any of these.
TL;DR: Rheumatoid arthritis (RA) has had more publicity since the advent of anti-TNF drugs than ever before in the history of the disease.
Abstract: Rheumatoid arthritis (RA) has had more publicity since the advent of anti-TNF drugs than ever before in the history of the disease.
TL;DR: ‘Mrs Grant first noticed the little lump on her wrist about 8 weeks before, although it was painless, she wondered what it was.
Abstract: ‘Mrs Grant first noticed the little lump on her wrist about 8 weeks before. Although it was painless, she wondered what it was.
TL;DR: How difficult is it in reality to address health inequalities – and are the authors doing the wrong things?
Abstract: How difficult is it in reality to address health inequalities – and are we doing the wrong things?
TL;DR: In this paper, the authors examined the formula for NHS funding in England and its implications for Cornwall and made a comparison with Scotland and Wales and with those English areas funded through the EC ‘Objective One’ programme.
Abstract: This article examines the formula for NHS funding in England and its implications for Cornwall. Parameters that make up the formula (age, need, market forces etc.) are examined for recognition of rurality. Comparison is made with Scotland and Wales and with those English areas funded through the EC ‘Objective One’ programme
TL;DR: As the pace of debate over PCT reform looks set to slow following Patricia Hewitt's statements at health questions on 25th October, this article proposes a different way to rebalance health economies.
Abstract: As the pace of debate over PCT reform looks set to slow following Patricia Hewitt's statements at health questions on 25th October, this article proposes a different way to rebalance health economies. Primary care spends 2/3 of the NHS budget, and delivers the majority of the care – with more healthcare outside hospitals on the way. It's time to look at how to create foundation PCTs.
TL;DR: Recommendations were made urging action to tackle violence at local, national and international levels.
Abstract: Violence is a global public health problem. The World Report on Violence and Health published in 2002 claims that each year over 1.6 million people loose their lives to violence and many more are injured and suffer from a range of health problems. Violence is a leading cause of death for people aged 15-44 years. Recommendations were made urging action to tackle violence at local, national and international levels
TL;DR: Fatigue among people suffering from cancer is often insidious, invasive and incessant.
Abstract: Fatigue among people suffering from cancer is often insidious, invasive and incessant. It is a pervasive physical, mental and emotional infirmity that dramatically undermines health related quality of life (HRQoL) and patients’ abilities to perform activities of daily living. It's a “complete lack of energy and severe mental exhaustion” (Curt 2001).
TL;DR: This article looks at the ways in which joined-up working has affected the delivery of community care in Scotland.
Abstract: This article looks at the ways in which joined-up working has affected the delivery of community care in Scotland
TL;DR: After some months of silence, dear old David Kernick (2005) is back misunderstanding economics and misinterpreting economists; and the fear must be that the West Country air and cholesterol-rich diet is affecting his functioning as mentioned in this paper.
Abstract: After some months of silence, dear old David Kernick (2005) is back misunderstanding economics and misinterpreting economists; and the fear must be that the West Country air and cholesterol-rich diet is affecting his functioning
TL;DR: Dysphagia — difficulty swallowing — presents a relatively common clinical problem and raises several issues for health care managers.
Abstract: Swallowing is one of those biological actions that you don't think about, until something goes wrong. Yet dysphagia — difficulty swallowing — presents a relatively common clinical problem and raises several issues for health care managers
TL;DR: Effectively and efficiently managing cardiovascular disease remains a high priority for the government, NHS executives and clinicians - with good reason.
Abstract: Effectively and efficiently managing cardiovascular disease remains a high priority for the government, NHS executives and clinicians - with good reason.
TL;DR: The objective of the NHS is to deliver health care efficiently to patients in relation to their relative need, with need being defined as their capacity to benefit from care per unit of cost.
Abstract: Conspiracy or cock-up? Let us first assume that the objective of the NHS is to deliver health care efficiently to patients in relation to their relative need, with need being defined as their capacity to benefit from care per unit of cost. The achievement of this objective requires knowledge of the cost-effectiveness of competing treatments and wheezes being offered by medical practitioners and policy makers who shape the delivery and funding of health care. Success in the pursuit of these goals results in the £70 billion-plus being spent on the NHS producing the greatest possible improvement in the health of the UK population.