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 ...

background recent british national health service (nhs) reforms, in response to austerity and alleged ‘health tourism,’ could impose additional barriers to healthcare access for non-european economic area (eea) migrants. this study explores policy reform challenges and implications, using excerpts from the perspectives of non-eea migrants and health advocates in london.   methods a qualitative ...

This is a commentary on Gilbert and colleagues’ (1) paper on morality and markets in the National Health Service (NHS). Morality and values are not ephemeral qualities and universal healthcare is not simply an aspiration; it has to be enshrined in law. The creation of the UK NHS in 1948 was underpinned by core legal duties which required a system of public funding and delivery to follow. The mo...

the death of the english national health service (nhs) may be slow in coming but that does not mean that it is not the conservative-led uk government’s desired end state. the government is displaying tactical cunning in achieving its long-term purpose to remould the british state. powell seeks greater clarity amidst the confusion but the lack of clarity is a principal weapon in the government’s...

it is well-established that for a considerable period the united kingdom has spent proportionally less of its gross domestic product (gdp) on health-related services than almost any other comparable country. average european spending on health (as a % of gdp) in the period 1980 to 2013 has been 19% higher than the united kingdom, indicating that comparable countries give far greater fiscal prio...

It is well-established that for a considerable period the United Kingdom has spent proportionally less of its gross domestic product (GDP) on health-related services than almost any other comparable country. Average European spending on health (as a % of GDP) in the period 1980 to 2013 has been 19% higher than the United Kingdom, indicating that comparable countries give far greater fiscal prio...

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 con...

In response to the International Journal of Health Policy and Management (IJHPM)editorial, this commentary adds to the debate about ethical dimensions of compassionate care in UK service provision. It acknowledges the importance of the original paper, and attempts to explore some of the issues that are raised in the context of nursing practice, research and education. It is argued that each of ...

Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, Queen Square, London, UK. Therapy Services, The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK. Department Clinical Neurosciences, Western General Hospital, Edinburgh, UK. Institute of Neurological Sciences, Southern General Hospital, Glasgow, UK. Therapy Services, The Ipswich...

1. UK National External Quality Assessment Service 2 Department of Haematology, University Hospitals of Leicester 3. NHS Blood and Transplant & University Hospitals Bristol NHS Foundation Trust 4. Institute of Biomedical Scientists and NHS Blood and Transplant 5. University Hospitals of Leicester 6. International Blood Group Reference Laboratory, NHS Blood and Transplant. 7. Barts Health NHS Tr...