The challenge to provide a nation-wide healthcare service continues unabated in the 21st century as politicians and managers drive through policies to modernize the UK National Health Service (NHS). Established around 60 years ago to offer free healthcare at the point of delivery to all citizens, the NHS now accounts for the largest portion of public expenditure after social security, with tota...

The death of the English National Health Service (NHS) has been pronounced many times over the years, but the time and cause of death and the murder weapon remains to be fully established. This article reviews some of these claims, and asks for clearer criteria and evidence to be presented.

OBJECTIVES The UK's National Institute of Health and Clinical Excellence (NICE) has an explicit cost-effectiveness threshold for deciding whether or not services are to be provided in the National Health Service (NHS), but there is currently little evidence to support the level at which it is set. This study examines whether it is possible to obtain such evidence by examining decision making el...

Reducing the number of catheter-associated urinary tract infections (CAUTI) in the National Health Service (NHS) has the potential for large cost savings. This review identifies factors which affect the incidence rate of CAUTI, as well as the need for further studies investigating cost-effectiveness, particularly in the areas of silver alloy catheters and education.

J Fam Plann Reprod Health Care 2006: 32(4) Background At least 50% of pregnancies in the UK are unplanned and approximately one-fifth of conceptions end in legal abortion despite over 70% of women in the age range 16–49 years using some form of contraception.1 Despite free availability of family planning services in the UK, unplanned and unwanted pregnancies remain a public policy issue. It is ...

In the 1990s, Latvia aimed at introducing Social Health Insurance (SHI) but later changed to a National Health Service (NHS) type system. The NHS is financed from general taxation, provides coverage to the entire population, and pays for a basic service package purchased from independent public and private providers. In November 2013, the Cabinet of Ministers passed a draft Healthcare Financing...

Introduction Healthcare Resource Groups [HRG] are the mechanism by which patient activity is classified according to case mix in England. They are the primary funding mechanism for acute care in the English National Health Service [NHS], under the Department of Health's Payment by Results [PbR] national policy. This Department collects annual cost data ('Reference Costs'), and uses this as the ...

BACKGROUND The aim of this study was to review evaluations and audits of primary care complementary therapy services to determine the impact of these services on improving health outcomes and reducing NHS costs. Our intention is to help service users, service providers, clinicians and NHS commissioners make informed decisions about the potential of NHS based complementary therapy services. ME...

The UK National Health Service is subject to variation in demand for medical services, particularly during the winter. Such variations can cause major problems for the management of services to patients. This paper describes System Watch, a real-time system to assist with healthcare planning in NHS Scotland.