National Trust's Books

Securing the future financial sustainability of the NHS

Department of Health

By: Great Britain: National Audit Office

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Securing the future financial sustainability of the NHS

Department of Health

By: Great Britain: National Audit Office

Although in 2011-12 there was a surplus of £2.1 billion across the NHS as a whole, there is also some financial distress, particularly in some hospital trusts. In the long term, achieving financially sustainable healthcare is likely to mean changes to how and where people access services, and some local commissioners are already consulting on and developing plans to do this. Currently, some organisations have relied on additional financial support from within the NHS. 10 NHS trusts, 21 NHS foundation trusts, and three Primary Care Trusts (PCTs) have reported a combined deficit of £356 million. There are four foundation trusts and 17 NHS trusts which between 2006-07 and 2011-12 needed injections of working capital from the Department of Health totalling £1 billion. The Department anticipates that NHS trusts and NHS foundation trusts are likely to need around £300 million more public dividend capital in 2012-13. 51 per cent of PCTs reported concern about the financial sustainability of their healthcare providers. Previously, PCTs and Strategic Health Authorities (SHAs) have been able to support otherwise weak providers. It is not yet clear whether clinical commissioning groups and the NHS Commissioning Board will agree to provide financial support to providers in this way. The NAO concludes that it is hard to see how continuing to give financial support to organisations in difficulty will be a sustainable way of reconciling growing demand for healthcare with the size of efficiency gains required within the NHS

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The Stationery Office

Published Date

ISBN 10

0102977208

ISBN 13

9780102977202

Learning from the Science of Cognition and Perception for Decision Making

Proceedings of a Workshop

By: National Academies of Sciences, Engineering, and Medicine,Division of Behavioral and Social Sciences and Education,Board on Behavioral, Cognitive, and Sensory Sciences

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Learning from the Science of Cognition and Perception for Decision Making

Proceedings of a Workshop

By: National Academies of Sciences, Engineering, and Medicine,Division of Behavioral and Social Sciences and Education,Board on Behavioral, Cognitive, and Sensory Sciences

Beginning in October 2017, the National Academies of Sciences, Engineering, and Medicine organized a set of workshops designed to gather information for the Decadal Survey of Social and Behavioral Sciences for Applications to National Security. The fourth workshop focused on the science of cognition and perception, and this publication summarizes the presentations and discussions from this workshop.

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National Academies Press

Published Date

ISBN 10

0309476372

ISBN 13

9780309476379

Dialogue for Development

Festschrift Dedicated to Professor Jai B.P. Sinha

By: National Academy of Psychology (India). Congress

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Dialogue for Development

Festschrift Dedicated to Professor Jai B.P. Sinha

By: National Academy of Psychology (India). Congress

Papers presented at the 16th Congress of the National Academy of Psychology, held at Mumbai in 2006.

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386

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Concept Publishing Company

Published Date

ISBN 10

8180697576

ISBN 13

9788180697579

Joining forces to deliver improved stroke care

By: Jess Hudson,Great Britain: National Audit Office,Colin Ross,Karen Taylor

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Joining forces to deliver improved stroke care

By: Jess Hudson,Great Britain: National Audit Office,Colin Ross,Karen Taylor

For many years, stroke was viewed as an inevitable consequence of getting old. For stroke patients there seemed little to be done, except making them more comfortable.Things have begun to change, moving towards better treatment and care for stroke through specialist services and key interventions, such as stroke units, immediate scanning, thrombolysis and Early Supported Discharge.The publication of the NAO report 'Reducing Brain Damage: Faster Access to Better Stroke Care (HC 452)' in November 2005 highlighted how these developments can improve the efficiency and effectiveness of stroke care. As a result, the Department of Health is working to develop a comprehensive national stroke strategy, crossing prevention, urgent care, hospital care, community support and social care.This publication 'Joining Forces to Deliver Improved Stroke Care' sets out recommendations from expert project groups for a new national stroke care strategy, while also examining key messages and examples of good practice arising from the October 2006 'Joining Forces to Deliver Improved Stroke Care' conference hosted by the NAO

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100

Publisher

The Stationery Office

Published Date

ISBN 10

0348100167

ISBN 13

9780348100167

Long-Term Institutional Management of U.S. Department of Energy Legacy Waste Sites

By: National Research Council,Commission on Geosciences, Environment, and Resources,Board on Radioactive Waste Management,Committee on the Remediation of Buried and Tank Wastes

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Long-Term Institutional Management of U.S. Department of Energy Legacy Waste Sites

By: National Research Council,Commission on Geosciences, Environment, and Resources,Board on Radioactive Waste Management,Committee on the Remediation of Buried and Tank Wastes

It is now becoming clear that relatively few U.S. Department of Energy (DOE) waste sites will be cleaned up to the point where they can be released for unrestricted use. "Long-term stewardship" (activities to protect human health and the environment from hazards that may remain at its sites after cessation of remediation) will be required for over 100 of the 144 waste sites under DOE control (U.S. Department of Energy, 1999). After stabilizing wastes that remain on site and containing them as well as is feasible, DOE intends to rely on stewardship for as long as hazards persistâ€"in many cases, indefinitely. Physical containment barriers, the management systems upon which their long-term reliability depends, and institutional controls intended to prevent exposure of people and the environment to the remaining site hazards, will have to be maintained at some DOE sites for an indefinite period of time. The Committee on Remediation of Buried and Tank Wastes finds that much regarding DOE's intended reliance on long-term stewardship is at this point problematic. The details of long-term stewardship planning are yet to be specified, the adequacy of funding is not assured, and there is no convincing evidence that institutional controls and other stewardship measures are reliable over the long term. Scientific understanding of the factors that govern the long-term behavior of residual contaminants in the environment is not adequate. Yet, the likelihood that institutional management measures will fail at some point is relatively high, underscoring the need to assure that decisions made in the near term are based on the best available science. Improving institutional capabilities can be expected to be every bit as difficult as improving scientific and technical ones, but without improved understanding of why and how institutions succeed and fail, the follow-through necessary to assure that long-term stewardship remains effective cannot reliably be counted on to occur. Long-Term Institutional Management of U.S. Department of Energy Legacy Waste Sites examines the capabilities and limitations of the scientific, technical, and human and institutional systems that compose the measures that DOE expects to put into place at potentially hazardous, residually contaminated sites.

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179

Publisher

National Academies Press

Published Date

ISBN 10

0309071860

ISBN 13

9780309071864

Book's by National Trust

Securing the future financial sustainability of the NHS

Securing the future financial sustainability of the NHS

Learning from the Science of Cognition and Perception for Decision Making

Learning from the Science of Cognition and Perception for Decision Making

Dialogue for Development

Dialogue for Development

Joining forces to deliver improved stroke care

Joining forces to deliver improved stroke care

Long-Term Institutional Management of U.S. Department of Energy Legacy Waste Sites

Long-Term Institutional Management of U.S. Department of Energy Legacy Waste Sites

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