The report into care at Mid Staffordshire NHS Foundation Trust called for strong leadership in nursing and the government's response acknowledged the importance of senior managers gaining front line experience of the NHS. This article discusses the background to the need for visible leadership and the advantages and disadvantages of different approaches to engaging with the front line. Lessons ...

BACKGROUND The aim of this study was to determine the training provisions in practical safe prescribing for foundation doctors in NHS hospitals located in the South Thames region. METHODS A web-based questionnaire was distributed by e-mail to all 1762 foundation doctors in the South Thames Foundation School (STFS) region. In addition, a separate questionnaire was distributed to prescribing tr...

A.L. MANSON, N. CHAPMAN, Y. WEDATILAKE, M. BALIC, H. MARWAY, S.L. SENEVIRATNE and P. HOLLOWAY From the Department of Clinical Immunology, St Mary’s Hospital, Imperial College Healthcare NHS Trust, London W2 1NY, Department of Clinical Pharmacology, St Mary’s Hospital, Imperial College Healthcare NHS Trust, London W2 1PG, Department of Chemical Pathology, St Mary’s Hospital, Imperial College Hea...

Department of Cardiovascular Surgery, Hospital Hietzing, Vienna, Austria; Interventional Cardiology, Clı́nico San Carlos University Hospital, Madrid, Spain; Department of Cardiovascular Surgery, Zayed Military Hospital, Abu Dhabi, United Arab Emirates; Department of Cardiothoracic Surgery, University Hospital Birmingham, NHS Foundation Trust, Birmingham, UK; Department of Cardiovascular Surgery,...

Institute of Health and Society, Human Nutrition Research Centre, Newcastle University, Newcastle upon Tyne, UK, Institute of Health and Society, Newcastle University, Sir James Spence Institute of Child Health, Royal Victoria Infirmary, Newcastle upon Tyne, UK, Gateshead Health NHS Foundation Trust, Children’s Department, Queen Elizabeth Hospital, Gateshead, UK, Division of Developmental Medic...

Imperial College Healthcare NHS Trust, London, UK Centre for Evidence-Based Practice, Belgian Red Cross-Flanders, Mechelen, Belgium Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA Global First Aid Reference Centre, International Federation of Red Cross and Red Crescent Societies, Paris, France National and Kapodistrian University of Athens, Medical School, MSc...

The development of learning, teaching and assessment of medical ethics and law over the last 40 years is reflected upon with particular reference to the roles of the London Medical Group, the Society for the Study of Medical Ethics, its successor Institute of Medical Ethics; the Journal of Medical Ethics and the General Medical Council. Several current issues are addressed. Although the situati...

NICE has accredited the process used by the BSR to produce its treatment of systemic sclerosis guidance. Accreditation is valid for 5 years from 10 June 2013. More information on accreditation can be viewed at www.nice.org.uk/accreditation. For full details on our accreditation visit: www.nice.org.uk/accreditation. Centre for Rheumatology, Royal Free Hospital, London, Rheumatology Department, S...

1 Department of Neurology, Institute of Clinical Neurosciences, University of Bristol and North Bristol NHS Trust, Bristol, BS16 1LE, UK 2 Department of Computer Science, University of Bristol, Bristol, BS8 1UB, UK 3 Department of Neurosurgery, Institute of Clinical Neurosciences, University of Bristol and North Bristol NHS Trust, Bristol, BS16 1LE 4 Department of Neurosciences, North Bristol N...

OBJECTIVE In 2010, the National Institute for Health and Care Excellence (NICE) in the UK published Clinical Guideline 95 (CG95) advocating risk stratification of patients using 'CADScore' to guide appropriate cardiac investigations for chest pain of recent onset. Implementation of the guideline in the University College London Hospitals NHS Foundation Trust was evaluated to see if it led to a ...