This is the first of two related articles in the present volume which examine the recent history of health services management using the case of the British National Health Service (NHS). In the historiography of the NHS the 1980s is widely seen as a watershed, when public policy first sought to introduce market disciplines into its operation. Administrative and managerial reforms were central ...

BACKGROUND Ill-health in doctors can affect performance and fitness to practice, and consequently patient care and safety, placing an important responsibility on National Health Service (NHS) occupational health (OH) services. Anecdotal discussions amongst NHS occupational physicians suggest an increase in the number of doctor attendances over time, with continuing focus on mental illness. AI...

That 'enterprise' which brings the benefits of medical science to the British, the National Health Service (NHS), is undergoing a managerial reorganisation. The overall objectives of the 'health service industry' are stated in the white paper. Good management requires that there is something in it for those who own the 'factory' and something for the 'workers'. The owners also happen to be the ...

The arrival of the British National Health Service (NHS) in 1948 heralded significant changes for all health workers, but the establishment of a 'free' health service was especially meaningful for the hospital almoners-or medical social workers, as they were starting to be known-who had previously been responsible for the assessment and collection of patient payments. It was on this basis they ...

OBJECTIVE To evaluate the performance of the National Health Service (NHS) Health Check in identifying people at high risk of having or developing type 2 diabetes. DESIGN Retrospective evaluation of the performance of the NHS Health Check diabetes filter (based on ethnicity, body mass index and blood pressure) in identifying people at risk for type 2 diabetes (glycated haemoglobin (HbA1c) ≥42...

The National Health Service in the UK has identified thirteen key standards of paediatric diabetes care. Funding depends on services meeting these standards. The aim of this study was to determine if these standards are applicable in an Irish setting. All patients attending the diabetes service during 2012 were included. Patient charts, electronic appointments, nursing notes and computerised re...

The role of charity in the provision public services is substantial academic and practitioner interest, charitable initiative within English Welsh National Health Service (NHS) has recently received considerable attention. This study provides rich insights into that NHS-linked charities present themselves as playing NHS. dataset analysed a novel construction 3,250 detailed expenditure lines fro...

OBJECTIVES To describe and evaluate the implementation and adoption of detailed electronic health records in secondary care in England and thereby provide early feedback for the ongoing local and national rollout of the NHS Care Records Service. DESIGN A mixed methods, longitudinal, multisite, socio-technical case study. SETTING Five NHS acute hospital and mental health trusts that have bee...

in a recent article, mannion and davies argue that there are a multitude of ways in which organizations (such as the national health service [nhs]) can deal with wrongdoing or ethical problems, including the formation of policies that encourage and protect would-be whistleblowers. however, it is important to distinguish internal reporting about wrongdoing from whistleblowing proper, because the...

Psychiatric out-patient services have recently come under close scrutiny. Until April 2005, nonattendance rates at first appointments were one of the performance indicators used by the Commission for Healthcare Improvement (now the Health Care Commission) in awarding ‘star ratings’ to National Health Service (NHS) trusts for service efficiency. This attention has allowed some creative thinking ...