BACKGROUND The socio-economic impact of bipolar disorder in the UK is unknown. AIMS To estimate the annual socio-economic burden imposed by bipolar disorder on UK society. METHOD The annual cost of resource use attributable to managing bipolar disorder was calculated. Indirect societal costs were also calculated. RESULTS The annual National Health Service (NHS) cost of managing bipolar di...

Unlike the managerially oriented reforms that have brought auditing and accounting into such prominence in the UK National Health Service (NHS), and which seem alien to the culture of the caring professions, consumerist reforms may seem to complement moves towards the acceptance of wide definitions of health, and towards increasing patient autonomy. The empowerment favoured by those who support...

This paper describes the testing the applicability of Role Based Access Control (RBAC) within an existing medical database in the Oncology Department at St. Bartholomew’s Hospital in London, United Kingdom (UK). We show how role hierarchies and RBAC rules are derived for this particular database, and observe the outcomes of our RBAC implementation. Our work is in line with the UK Government’s i...

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 ...

Each of the following papers gives an account of a different UK clinical ethics committee. The committees vary in the length of time they have been established, and also in the main focus of their work. The accounts discuss the development of the committees and some of the ethical problems that have been brought to them. The issues raised will be relevant for other National Health Service (NHS)...

NE Thames Regional Genetics Service, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK TDL Genetics, The Doctors Laboratory, London, UK UCL Institute of Child Health, London, UK University College Hospital NHS Foundation Trust, London, UK Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK *Correspondence to: Lyn S. Chitty. E-mail: [email protected]...

J Fam Plann Reprod Health Care 2006: 32(4) Background At least 50% of pregnancies in the UK are unplanned and approximately one-fifth of conceptions end in legal abortion despite over 70% of women in the age range 16–49 years using some form of contraception.1 Despite free availability of family planning services in the UK, unplanned and unwanted pregnancies remain a public policy issue. It is ...

Worcestershire Royal Hospital, Worcestershire Acute Hospitals NHS Trust, Worcester, UK The University of Manchester, Manchester, UK The University of Manchester, Manchester Academic Health Science Centre, University Hospital South Manchester NHS Foundation Trust, Manchester, UK University Hospital of South Manchester, Manchester, UK Royal Blackburn Hospital, Lancashire, UK Lane Fox Unit, St Tho...

Worcestershire Royal Hospital, Worcestershire Acute Hospitals NHS Trust, Worcester, UK The University of Manchester, Manchester, UK The University of Manchester, Manchester Academic Health Science Centre, University Hospital South Manchester NHS Foundation Trust, Manchester, UK University Hospital of South Manchester, Manchester, UK Royal Blackburn Hospital, Lancashire, UK Lane Fox Unit, St Tho...

The UK National Health Service is subject to variation in demand for medical services, particularly during the winter. Such variations can cause major problems for the management of services to patients. This paper describes System Watch, a real-time system to assist with healthcare planning in NHS Scotland.