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This memorandum contains the replies received from the Department of Health to a series of questions tabled by the Select Committee, on a wide range of issues grouped under the headings of: current issues including NHS staffing; salaries and wages of non-NHS staff; retirement projections, dental and medical staff payscales; also included are; general expenditure issues; NHS resources and activity; personal social services resources and activity; capital expenditure and investment and questions on the departmental annual report
This is the first edition of the Construction Statistics Annual presenting a comprehensive set of statistics on the UK construction industry, current as of Summer 2000. In previous years the corresponding information was presented as the Digest of Data for the Construction Industry and as the construction part of Housing and Construction Statistics, but it replaces these and brings the material together in a single volume. This 2000 Edition of the Construction Statistics Annual gives a broad perspective of statistical trends in the construction industry in Great Britain through the last decade together with some international comparisons and features on leading initiatives which may influence the future. This new compendium provides essential, official, in-depth statistical analysis for planners, researchers, economists and construction managers.
NHS Charges : Third report of session 2005-06, Vol. 3: Oral and written Evidence
The authoritative guide for dietetic students and both new and experienced dietitians – endorsed by the British Dietetic Association Now in its sixth edition, the bestselling Manual of Dietetic Practice has been thoroughly revised and updated to include the most recent developments and research on the topic. Published on behalf of the British Dietetic Association, this comprehensive resource covers the entire dietetics curriculum, and is an ideal reference text for healthcare professionals to develop their expertise and specialist skills in the realm of dietetic practice. This important guide includes: The latest developments and scientific evidence in the field New data on nutrition and health surveillance programs Revised and updated evidence-based guidelines for dietetic practice An exploration of how Public Health England has influenced the field Practical advice on public health interventions and monitoring A companion website with helpful materials to support and develop learning Written for dietitians, clinical nutritionists, and other healthcare professionals by leading dietitians and other professionals, the Manual of Dietetic Practice continues to provide a crucial resource for experts and novices alike.
The board of Peterborough and Stamford NHS Trust failed to recognize in 2007 that a PFI scheme to build a new hospital, Peterborough City Hospital, would place considerable strain on its finances for years to come. The then board compounded the decision to proceed with the scheme, which it could not afford, with a failure to monitor other changes affecting its income and costs between 2007 and 2011. In 2011-12, the in-year deficit was £46 million and the Trust is predicting an in-year deficit of more than £50 million in 2012-13. Monitor, the regulator of foundation trusts, raised well-founded concerns about the scheme's affordability with the Trust Board and the Department, however neither addressed these concerns fully before approval of the business case. Despite its earlier views, the regulator rated the Trust as a very low financial risk, reflecting its reported financial position but this risk rating did not reflect the future impact of the PFI development. Monitor had a number of opportunities to intervene before finally placing the Trust in breach of its terms in October 2011 but concluded that an intervention would not necessarily improve or change the outcome positively. The level of healthcare undertaken by the Trust is also greater than envisaged in the PFI business case, which assumed a 14 per cent drop in outpatient activity whereas this increased by 21 per cent. In addition, NHS Peterborough, the Trust's main commissioner, which has been in financial difficulty itself, has used national and local performance indicators to withhold payments for activity undertaken by the Trust
A unique blend of integrated video and book content, How to Operate provides a comprehensive, multimedia training resource for medical students, junior doctors, MRCS candidates and surgeons in training. The three DVDs present over 40 of the most common general, urological, ENT and orthopaedic surgical procedures, complete with step-by-step commentary from experienced surgical consultants. At key points during each procedure, the frame freezes so that anatomical structures and pathology are ‘drawn’ onto the frame for clarity and to reinforce learning. The 10 hours of video is supported by an accompanying book containing an introduction to each procedure, a thorough explanation of the operation mirroring the video with relevant video stills, and bullet point summaries which can be used as OSCE-style checklists. With a foreword by John Black, President of the Royal College of Surgeons, How to Operate is a truly comprehensive learning resource for all budding surgeons. All you need to become a surgeon is here – scalpel not included!
Based on his experiences of helping to fight cuts and closures in Suffolk, Michael Mandelstam delivers a damning verdict on the mismanagement of the NHS at national, regional and local level. He charts the widespread cutbacks and closures, both rural and urban, to clinics, A&E services, beds, wards and scores of community hospitals. He outlines how humane care, particularly for older people, is compromised by the ruthless determination of NHS management to increase patient throughput and hit government-set targets. The author highlights how the chaotic change to the NHS is being driven by concealed agendas - including privatisation of the NHS, obsessive interference from central government as well as selective use, if not abandonment, of evidence-based practice. Seriously flawed and damaging decisions are the result, affecting the population at large as well as those most vulnerable - older people with chronic and complex needs, people with physical or learning disabilities and people with mental health problems. Above all, he exposes the scandalous lack of transparency and accountability behind changes that threaten to destroy the NHS.
The best available estimates suggest that annually there are at least 300,000 cases of hospital acquired infection, causing 5,000 deaths and costing the NHS £1 billion. This report follows on from a report by the Comptroller and Auditor General ( HC 876 2003-04, ISBN 0102929157) and examines the progress made by the Department of Health and NHS trusts in reducing the risks. It looks at three main areas: the extent and impact of hospital acquired infection; improving knowledge of and compliance with good infection control practice; improving infection control systems and management processes. The conclusion is that progress has been patchy, with a lack of urgency on several key issues such as ward cleanliness and hand hygiene. Progress has also been hampered by a lack of data, a national mandatory surveillance programme and evidence of the effectiveness of different intervention strategies