Steadying the NHS

Acetylcholinesterase inhibitors and gait: a steadying hand?

Cognitive impairment, complex movement disorders, and high risk of falls are all interrelated , levodopa-unresponsive symptoms in patients with advanced Parkinson's disease. Although Parkinson's disease is conventionally viewed as a motor syndrome that results from nigrostriatal dopaminergic denervation, there is also an intricate interplay between multisystem degeneration and neurotransmitter ...

Morality and Markets in the NHS

Since its establishment in 1948, the history of the National Health Service (NHS) has been characterized by organisational turbulence and system reform. At the same time, progress in science, medicine and technology throughout the western world have revolutionized the delivery of healthcare. The NHS has become a much loved, if much critiqued, national treasure. It is against this backdrop that ...

What do NHS staff think about the NHS?

Reforming the NHS from within CIMA NHS Working Group

A fundamental shift in performance often needs a radical change in the way an organisation is managed.Today’s NHS faces significant challenges, not least the need to maximise the use of the available resources and to demonstrate sound financial management. Recent developments such as payment by results and the introduction of a national tariff have only added to the pressure.To exacerbate this,...

NHS Values, Compassion and Quality Indicators for Relationship Based Person-Centred Healthcare; Comment on “Morality and Markets in the NHS”

The paper by Gilbert et al. should be on the table of every politician and National Health Service (NHS) manager in the run up to the general election, when the NHS is at the hustings. They have raised profound moral dilemmas of the internal and external market in their present form, such as the practicalities of distributive justice and the enhancement of autonomy – to which are added the pres...