Consultant in Contraception and Sexual Health, C&SH Oxford Health NHS Foundation Trust, The Alec Turnbull Centre, Oxford, UK Specialist Trainee in Community Sexual & Reproductive Health, Department of Contraception & Sexual Health, Oxford Health NHS Foundation Trust, Oxford, UK Consultant in Contraception and Sexual Health, Russells Hall Hospital, Dudley Group of Hospitals, Dudley, UK Clinical ...

Hospital King’s Lynn NHS Foundation Trust, King’s Lynn, UK. James Paget University Hospitals NHS Foundation Trust, Great Yarmouth, UK. Peterborough and Stamford Hospitals NHS Foundation Trust, Peterborough, UK. West Suffolk Hospitals NHS Foundation Trust, Bury St Edmunds, UK. Mid Essex Hospital Services NHS Trust, Chelmsford, UK. MRC Biostatistics Unit, Institute of Public Health, University of...

The UK Government has made improvements in cardiac care a high priority. The publication in 2000 of the National Service Framework for Coronary Heart Disease and the NHS Plan set out national standards for the management of suspected heart attack, including challenging targets for reducing treatment delays for administration of thrombolytic therapy. This paper discusses the background, evidence...

BACKGROUND The Quality and Outcomes Framework (QOF) has contributed to modest improvements in chronic illness care in the UK. US policymakers have proposed similar pay-for-performance (P4P) approaches to improve care. Since previous studies have not compared chronic illness care quality in US and UK primary care practices prior to the QOF, the relative preparedness of practices to respond to P4...

Solutions to the global challenge of physical inactivity have tended to focus on interventions at an individual level, when evidence shows that wider factors, including the social and physical environment, play a major part in influencing health-related behaviour. A multidisciplinary perspective is needed to rewrite the research agenda on physical activity if population-level public health bene...

BACKGROUND Publication and outcome reporting bias is often caused by researchers selectively choosing which scientific results and outcomes to publish. This behaviour is ethically significant as it distorts the literature used for future scientific or clinical decision-making. This study investigates the practicalities of using ethics applications submitted to a UK National Health Service (NHS)...

Recognising the historical development of systemic theory and practice from its radical roots, I reflect on my positioning as a therapist within National Health Service (NHS) in UK 2020, describe journey family into community based activism which seeks to directly address structural inequality. The concept Poverty Truth Commissions are examined through lens, outline design influences set up loc...

Received 8 February 2012 Accepted 9 August 2012 Background There is a live moral debate in the UK over the independence of specialised private and non-profit abortion clinics – notably Marie Stopes and the British Pregnancy Advisory Service (BPAS) – that are licensed to provide state-funded abortion services, including pre-abortion counselling to discuss options and future contraceptive methods...

Over recent years, there has been a decrease in the number of applicants for the increased number of places on occupational therapy courses (College of Occupational Therapists [COT] 1998, 1999, 2000, 2001, 2002a). This assumes greater importance because the National Health Service (NHS) is committed to significant increases in the numbers of health professionals to be educated (Department of He...