Residential special education, market forces and integration: caught between a rock and hard place? by Robin Jackson

“…The reforms implemented following the introduction of market forces, and the 'commercialisation' of care which followed the National Health Service and Community Care Act (1990), brought about far-reaching changes to the provision and financing of health and social care in the United Kingdom. …”

S-Adenosyl-L-Methionine Augmentation in Patients with Stage II Treatment-Resistant Major Depressive Disorder: An Open Label, Fixed Dose, Single-Blind Study by Domenico De Berardis, Stefano Marini, Nicola Serroni, Gabriella Rapini, Felice Iasevoli, Alessandro Valchera, Maria Signorelli, Eugenio Aguglia, Giampaolo Perna, Anatolia Salone, Giuseppe Di Iorio, Giovanni Martinotti, Massimo Di Giannantonio

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Why is ethnicity a risk factor for postpartum haemorrhage? by Hashviniya Sekar, Karen Joash

“…Despite free maternity healthcare in the UK National Health Service, women with an ethnic minority background giving birth have an increased risk of PPH, even when other characteristics of the mother, the baby and the care received are considered. …”
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“Three Sides to Every Story”: Living the Patient, Carer and Staff Experience of COVID by Helen Hurst, Sarah M. Ramsey

“…In 2020, the UK’s National Health Service (NHS) braced itself for the challenge of the COVID pandemic. …”
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Novel Procedures for Evaluating Autism Online in a Culturally Diverse Population of Children: Protocol for a Mixed Methods Pathway Development Study by Venus Mirzaei, Jeanne Wolstencroft, Georgia Lockwood Estrin, Eleanor Buckley, Shermina Sayani, Panos Katakis, Reena Anand, Tessa Squire, Eleanor Short, Paige Frankson, David Skuse, Michelle Heys

“…The study will take place in a socio-economically deprived, ethnically diverse inner-London Borough within a community-based child health National health service responsible for the Autism assessment of children and young people up to the age of 13 years. …”
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Health-care Resource Requirements and Potential Financial Consequences of an Environmentally Driven Switch in Respiratory Inhaler Use in England by Darsuh Attar-Zadeh, Harriet Lewis, Martina Orlovic

“…**Objective:** To assess the potential financial impact of patients with asthma or chronic obstructive pulmonary disease (COPD) switching from pMDIs to dry powder inhalers (DPIs) in a representative primary care network (PCN) population of 50 000 and the English National Health Service (NHS). **Methods:** Epidemiological data were combined with current inhaler use patterns to estimate the resources and costs associated with this transition, varying patient acceptance scenarios. …”
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Managing diabetes in the psychiatric in-patient setting: knowledge, attitudes and skills of healthcare professionals by Zoe Goff, Vishal Sharma, Ioana Varvari

“…Aims and method There is currently a lack of monitoring and standardisation of diabetes care in the National Health Service (NHS) psychiatric in-patient setting. …”
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‘Why Don't We Get Counselling?’: Comparing NICE Guidelines for Morphological and Genetic Cancer Risk Diagnoses by Elspeth Davies

“…ABSTRACT Background In the UK's National Health Service (NHS), there is specific psychosocial care offered to people with genetic cancer risk conditions but not morphological cancer risk conditions. …”
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Defining and measuring suspicion of sepsis: an analysis of routine data by Charles Vincent, Bethan Page, Matthew Inada-Kim, Imran Maqsood

“…Objectives To define the target population of patients who have suspicion of sepsis (SOS) and to provide a basis for assessing the burden of SOS, and the evaluation of sepsis guidelines and improvement programmes.Design Retrospective analysis of routinely collected hospital administrative data.Setting Secondary care, eight National Health Service (NHS) Acute Trusts.Participants Hospital Episode Statistics data for 2013–2014 was used to identify all admissions with a primary diagnosis listed in the ‘suspicion of sepsis’ (SOS) coding set. …”
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THE EFFECTIVENESS OF ACUPUNCTURE ON ORTHOPAEDIC PAIN WITHIN A VOCATIONAL REHABILITATION SETTING by Laran Chetty

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Social network analysis in healthcare settings: a systematic scoping review. by Duncan Chambers, Paul Wilson, Carl Thompson, Melissa Harden

“…We are utilising SNA to inform the development and implementation of tailored behaviour-change interventions to improve the uptake of evidence into practice in the English National Health Service. To inform this work, we conducted a systematic scoping review to identify and evaluate the use of SNA as part of an intervention to support the implementation of change in healthcare settings.…”
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Tailoring Healthy Workplace Interventions to Local Healthcare Settings: A Complexity Theory-Informed Workplace of Well-Being Framework by Sarah L. Brand, Lora E. Fleming, Katrina M. Wyatt

“…We use the results of applying the WoW framework to one workplace, a UK National Health Service ward, to describe the utility of this approach in informing design of setting-appropriate healthy workplace interventions that create workplaces conducive to healthy behaviour change.…”
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The connection between climate change and perinatal mental health by Jennifer L. Barkin, Jennifer L. Barkin, Sanne van Rhijn, Sanne van Rhijn, Chloe M. Johnson

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How current law and policy supports providers of NHS healthcare in England to respond to patient harm: A scoping review protocol. by Naomi Assame, Susan Greenhalgh, John Tingle, Julie Wright, Gillian Yeowell

“…<h4>Introduction</h4>Harm arising from National Health Service (NHS) healthcare results in significant human cost for the patient, those who care for them, and the medical staff involved. …”
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Minority ethnicity patient satisfaction and experience: results of the National Cancer Patient Experience Survey in England by Henrik Moller, Richard J Pinder, Jamie Ferguson

“…Objectives This study sought to explore the differential patient satisfaction reported by patients with cancer who are from ethnic minority backgrounds, examining patient-reported experience of interacting with medical and nursing staff.Setting As a secondary analysis, we collated data collected over two consecutive annual rounds of the National Cancer Patient Experience Survey (NCPES) from September 2012 to November 2013.Participants There were 138 878 responses from 155 hospital trusts across the National Health Service in England, representing a response rate of 63.9% based on the total identified cohort of patients receiving cancer care over those 2 years.Outcomes We used the results of the annual survey, which sought to assess overall patient satisfaction along with patient experience of interacting with clinical nurse specialists, hospital doctors and ward nurses.Results Ethnic minority patients reported lower satisfaction and less positive experiences of care overall. …”
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Flow-Mediated Dilatation: Learning Curve Study with a Novice Operator by Arko S. Dhar, Marie Fisk, Carmel M. McEniery, Domonkos Cseh

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Cost Effectiveness of TNF-α Inhibitors in Rheumatoid Arthritis by Cynthia Said, Bernard Coleiro, Maurice Zarb Adami, Lilian M. Azzopardi, Anthony Serracino Inglott

“…Such data is useful information in the light of convincing policy makers, in terms of providing access to the medications to individual patients on national health service schemes.…”
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Development and Implementation of a Comprehensive Quality Assurance Program at a Community Endoscopy Facility by Robert J Hilsden, Alaa Rostom, Catherine Dubé, Darlene Pontifex, S Elizabeth McGregor, Ronald J Bridges

“…The Global Rating Scale, a quality assessment and improvement tool developed for the gastrointestinal endoscopy services of the United Kingdom’s National Health Service, was used as the framework to develop the QA program. …”
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Determining the level of data sharing, and number of publications, from research databases that have been given a favourable opinion by UK research ethics committees by Samantha Trace, Mike Bracher, Simon E Kolstoe

“…Objective To determine data sharing and number of publications coming from research databases that have been given a favourable opinion by UK National Health Service (NHS) Research Ethics Committees (RECs).Design Cohort study.Inclusion criteria &amp; setting All research databases listed on the UK Health Research Authority’s Assessment Review Portal (HARP) that had received a favourable ethics opinion as of January 2018.Main outcome measures Publications and data access requests are either listed on HARP or notified through subsequent email correspondence.Results Out of 354 eligible databases, 34% had granted access requests and 40% had produced at least one peer-reviewed paper or conference abstract/talk. …”
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Impact on staff of providing non-invasive advanced respiratory support during the COVID-19 pandemic: a qualitative study in an acute hospital by David Wenzel, Christina Faull, Eleanor Wilson, Lucy Bleazard

“…Objectives To explore the experiences of healthcare workers providing non-invasive advanced respiratory support (NARS) to critically unwell patients with COVID-19.Design A qualitative study drawing on a social constructionist perspective using thematic analysis of semistructured interviews.Setting A single acute UK National Health Service Trust across two hospital sites.Participants Multidisciplinary team members in acute, respiratory and palliative medicine.Results 21 nurses, doctors (juniors and consultants) and physiotherapists described the provision of NARS to critically unwell COVID-19 patients as extremely challenging. …”
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