Federal State Budgetary Educational Institution of Higher Education “N.I. Pirogov Russian National Research Medical University” of the Ministry of Healthcare of the Russian Federation, Moscow, Russia National Parkinson Foundation International Centre of Excellence, King’s College London and King’s College Hospital, London, UK Department of Basic and Clinical Neuroscience, The Maurice Wohl Clini...

Molecular Psychiatry Laboratory, Rockefeller Building, University College London, 21 University Street, London, UK, Institute of Psychiatry, King’s College London, UK, Bexley Substance Misuse Service, South London & Maudsley NHS Foundation Trust, London, UK, Imperial College London, UK and Chelsea and Westminster Hospital NHS Foundation Trust, London, UK, Addictions Department, National Addicti...

BACKGROUND In the UK, audiology services deliver the majority of tinnitus patient care, but not all patients experience the same level of service. In 2009, the Department of Health released a Good Practice Guide to inform commissioners about key aspects of a quality tinnitus service in order to promote equity of tinnitus patient care in UK primary care, audiology, and in specialist multi-discip...

INTRODUCTION The UK National Health Service (NHS) is essentially publicly funded through general taxation. Challenges facing the NHS include the rise in prevalence of long-term conditions and financial pressures. NATIONAL POLICY TRENDS: Political devolution within the UK has led to variations in the way services are organised and delivered between the four nations. PRIMARY CARE RESPIRATORY SERV...

INTRODUCTION Chronic Bronchitis is a serious and costly health problem. Prevalence is estimated at 45 per 10,000 persons in the United Kingdom. Approximately 120,000 Pounds would be saved for every 100 hospital admissions avoided. A reduction in acute exacerbations of chronic bronchitis (AECB), treatment failures, and subsequent hospital admission could have a significant impact on the burden o...

Timothy M Rawson BSc MBBS, Nataliya Brima MSc, Fahad AlMajid MD FRCP, Anton L Pozniak MD FRCP, Azara Janmohamed PhD MRCP, Sundhiya Mandalia PhD, Sheena Basnayake RGN, Lusha Kellgren RGN, Andrew J Copas PhD, Robert F Miller MBBS FRCP Imperial College London, London, UK Research Department of Infection and Population Health, University College London, London, WC1E 6JB, UK St Stephen’s Centre, Che...

This commentary on the Editorial ‘The politics and analytics of health policy’ by Professor Calum Paton focuses on two issues. First, it points to the unclear links between ideas, ideology, values, and discourse and policy, and warns that discourse is often a poor guide to enacted policy. Second, it suggests that realism, particularly ‘programme theory’ are useful tools for health policy analys...

INTRODUCTION Pressurized metered-dose inhalers (pMDI) such as fluticasone propionate and salmeterol (FP/SAL) are commonly used for the treatment of asthma in the UK. Previously, a budget impact analysis demonstrated that use of FP and formoterol fumarate (FP/FORM) pMDI as an alternative to FP/SAL pMDI, would be a cost-saving option for the UK National Health Service (NHS). This budget impact an...

BACKGROUND A National Health Service (NHS) contingent liability for medical error claims of over £26 billion. OBJECTIVES To evaluate the safety management and educational benefits of adapting aviation's Normal Operations Safety Audit (NOSA) to health care. METHODS In vivo research, a NOSA was performed by medical students at an English NHS Trust. After receiving training from the author, th...

This paper gives an overview of evidence-based practice in health promotion, with reference mainly to the National Health Service (NHS) context within the UK, but with wider international relevance. It starts by looking at the tensions raised at the interface of the two activities of research and health promotion. It goes on to explore two aspects of evidence-based practice: incorporating resea...