In 1990, Great Britain enacted the National Health Service and Community Care Act to reduce unnecessary institutionalization, improve coordination of community-based long-term care, and stimulate private service provision. An overview of four major principles of the legislation is provided: the elevation of the assessor/care manager role, the emphasis on inter-agency collaboration across the he...

The president of the Blue Cross Association of America thinks, among other things, that the National Health Service should have 'hospital managers' and an interrelation of its 'private' and 'public' sectors. A review of his contribution to a book suggesting radical remedies.

THE WADE HAMPTON FROST LECTURE honors the memory of a career officer in the U.S. Public Health Service who, when the Johns Hopkins School of Hygiene and Public Health was established in 1919, was detailed by the Surgeon General to be resident lecturer, then professor of epidemiology, and subsequently head of the Departments of Epidemiology and Public Health Administration. The man chosen to dev...

This paper describes a computerised surgical audit project which has been developed in the North West Thames region of the British National Health Service. The need for such a project and the reasons for the approach adopted are explained. The key feature is the capacity both for local audit within hospitals and for global audit between hospitals. Progress with implementing the project is repor...

Does It Work? The Case of Britain’s 1991 National Health Service Reforms,” Rudolf Klein described health reform as one of the worldwide epidemics of the 1990s. Klein’s description of the new National Health Service model as a self-inventing institution, coupled with the powerful images on Canadian television in October 1998 of the Calgary General Hospital’s implosion, make his article an apt st...

This is a somewhat modified version of the notes I had prepared for a lecture on inequalities that formed part of a training camp organized by the Association of Mathematics Teachers of India for preparation for the Indian National Mathematical Olympiad (INMO) for students from Tamil Nadu. 1. Basic idea of inequalities 1.1. What we need to prove. An “inequation” is an expression of the form: F ...

Reforms to the English national health service (NHS) are using patient choice and provider competition to drive improvements in performance. In completing the design of the reforms, the government faces the challenge of ensuring that commissioners can negotiate on equal terms with providers, and that appropriate arrangements are put in place for market management and regulation. Politicians als...

This is a comprehensive and interestingly written survey oi the School Health Service in this country from its inception in 1907 to the present time. To those who are impatient at the slow processes of growth and fulfilment of the high standards of physical and mental health envisaged, the survey provides a reminder of the achievements of the past half century and of the large part played by lo...