In 1998 the Journal of Epidemiology and Community Health argued that the new millennium requires a journal of the times bringing together the strands of public health—the science and art, policy and practice. At around the same time the Department of Health for England announced the National Service Framework (NSF) programme, a programme to transform the way services are delivered for patients ...

This paper examines the relationship between the legislature and the public administration in postwar Italy (understood as the period from about 1948 through 1994). Italian public administration is normally characterized as badly designed and ine±cient, and government performance is usually classed as poor. I argue by contrast that bureaucratic ine±ciency, excessive legislation, and widespread ...

countrywide unrest and riots ... Red evolutionists ... denounce the props of an old static society... Britain now stands teetering on the brink of collapse or so it seems to the gentry. . .". Yet Charles Darwin was one of the gentry, and his letters do not mention any of this, not even the "red evolutionists". Can it be that the authors have gone over the top and are imposing their own view rat...

healthcare takes place at all levels of the National Health Service. However, these inevitable rationing decisions are taken by clinicians, politicians and bureaucrats, but with no direct say from patients or the public. Those who both fund the system, and stand to gain or lose the most from the way it works, therefore have no powers to hold it directly accountable. The potentially disastrous e...

BOOK REVIEWS Britain's National Health Service: The Doctors' Dilemmas ... . . . . . . . . Briefing: Federal Court Affirms Pro-Laetrile Ruling; British Scientist Sues over Clone Book; Want the Men to Pass ERA? Grab Them by Their Genes; DuPont Finally Relinquishes Drug Institute Post ............ Biological Warfare Fears May Impede Last Goal of Smallpox Eradicators ..... Budget-Cutting Mood in Co...

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.

In 1974 the Medical Research Council's blood transfusion research committee expressed its concern at the continued inability of the UK transfusion services to meet the blood product needs of patients with haemophilia.' This view was reiterated in 1977 by Dr Rosemary Biggs, on behalf of the haemophilia centre directors, and concern was also expressed at the predicted rapid rise in demand, the hi...