a b s t r a c t mortality and morbidity from trauma continues to be a serious, ubiquitous public health problem. our short communication reports on the benefits of a dedicated lower limb trauma coordinator (lltc) to the trauma service of a busy inner-london plastics unit. this is based on a retrospective case-note based audit; performed 19 months prior to the introduction of the lltc and for 16...

This commentary explores some of the issues raised by Gilbert et al. short communication, Morality and Markets in the NHS. The increasing role of market mechanisms and the changing types of healthcare providers together with the use of choice and competition to drive improvements in quality in the National Health Service (NHS), all have important ethical implications. In order for the NHS to co...

Despite fiscal stress, public confidence in the National Health Service (NHS) remains strong; privatisation has not hollowed out the service. But if long term challenges are to be overcome, pragmatism not rhetoric should be the guide.

This paper studies the interaction between public and private health care provision in a National Health Service (NHS), with free public care and costly private care. The health authority decides whether or not to allow private provision and sets the public sector remuneration. The physicians allocate their time (effort) in the public and (if allowed) in the private sector based on the public w...