A public health crisis is gripping the UK. Improvements in life expectancy have stalled, health inequalities have widened, obesity and alcohol misuse are placing an increasing strain on health services and urban air pollution is now widely recognised as a serious health hazard. COVID-19 revealed the weaknesses of the UK's public health system, once thought to be among the best in the world. Against this background, this book examines the organisational and political barriers to an effective public health system showcased through the UK. It urges that what is needed is a new social contract, in which health policy is truly public.
Sharing the costs of ill health is the mark of a civilised society. However, every society has limited healthcare resources, and must therefore make finely balanced decisions on how best to allocate them. The National Institute for Health and Clinical Excellence (NICE) has been responsible for the UK's health resource allocation for a decade. To inform its decisions, a Citizens Council of 30 members of the general public was established by NICE to gauge the underlying values of the society it serves. A number of national and international organisations and governments have asked NICE to share its experiences in establishing and running the Citizens Council, and encouraging and supporting patient involvement. As part of NICE's response, this book provides an up to date 'position statement' on the Citizens Council, an exploration of how patients interact with NICE and how their views are taken into account, and a national and international perspective on new issues facing the interaction between patients, the public and healthcare provision. 'Reading this volume will enable you, the reader, to assess how well NICE is acting as a means of fostering responsible public choice. I hope you profit from its chapters as much as I have.' - Albert Weale in his Foreword
The shift of services from acute hospitals to general practice requires clinicians to become actively involved in the process of change. This book sets out to demonstrate that with careful planning, implementation and evaluation of this process, problems can be avoided and the quality of service enhanced. The authors demonstrate a clear understanding of the practical issues involved and their evident enthusiasm for the opportunities now available will stimulate innovation in hospital staff, the health care team in general practice and NHS managers responsible for the delivery of a more efficient and responsible service.
A public health crisis is gripping the UK. Improvements in life expectancy have stalled, health inequalities have widened, obesity and alcohol misuse are placing an increasing strain on health services and urban air pollution is now widely recognised as a serious health hazard. COVID-19 revealed the weaknesses of the UK's public health system, once thought to be among the best in the world. Against this background, this book examines the organisational and political barriers to an effective public health system showcased through the UK. It urges that what is needed is a new social contract, in which health policy is truly public.
Sharing the costs of ill health is the mark of a civilised society. However, every society has limited healthcare resources, and must therefore make finely balanced decisions on how best to allocate them. The National Institute for Health and Clinical Excellence (NICE) has been responsible for the UK's health resource allocation for a decade. To inform its decisions, a Citizens Council of 30 members of the general public was established by NICE to gauge the underlying values of the society it serves. A number of national and international organisations and governments have asked NICE to share its experiences in establishing and running the Citizens Council, and encouraging and supporting patient involvement. As part of NICE's response, this book provides an up to date 'position statement' on the Citizens Council, an exploration of how patients interact with NICE and how their views are taken into account, and a national and international perspective on new issues facing the interaction between patients, the public and healthcare provision. 'Reading this volume will enable you, the reader, to assess how well NICE is acting as a means of fostering responsible public choice. I hope you profit from its chapters as much as I have.' - Albert Weale in his Foreword
The shift of services from acute hospitals to general practice requires clinicians to become actively involved in the process of change. This book sets out to demonstrate that with careful planning, implementation and evaluation of this process, problems can be avoided and the quality of service enhanced. The authors demonstrate a clear understanding of the practical issues involved and their evident enthusiasm for the opportunities now available will stimulate innovation in hospital staff, the health care team in general practice and NHS managers responsible for the delivery of a more efficient and responsible service.
The Ministry of Defence does not comment upon submarine operations' is the standard response of officialdom to enquiries about the most secretive and mysterious of Britain's armed forces, the Royal Navy Submarine Service. Written with unprecedented co-operation from the Service itself and privileged access to documents and personnel, The Silent Deep is the first authoritative history of the Submarine Service from the end of the Second World War to the present. It gives the most complete account yet published of the development of Britain's submarine fleet, its capabilities, its weapons, its infrastructure, its operations and above all - from the testimony of many submariners and the first-hand witness of the authors - what life is like on board for the denizens of the silent deep. Dramatic episodes are revealed for the first time: how HMS Warspite gathered intelligence against the Soviet Navy's latest ballistic-missile-carrying submarine in the late 1960s; how HMS Sovereign made what is probably the longest-ever trail of a Soviet (or Russian) submarine in 1978; how HMS Trafalgar followed an exceptionally quiet Soviet 'Victor III', probably commanded by a Captain known as 'the Prince of Darkness', in 1986. It also includes the first full account of submarine activities during the Falklands War. But it was not all victories: confrontations with Soviet submarines led to collisions, and the extent of losses to UK and NATO submarine technology from Cold War spy scandals are also made more plain here than ever before. In 1990 the Cold War ended - but not for the Submarine Service. Since June 1969, it has been the last line of national defence, with the awesome responsibility of carrying Britain's nuclear deterrent. The story from Polaris to Trident - and now 'Successor' - is a central theme of the book. In the year that it is published, Russian submarines have once again been detected off the UK's shores. As Britain comes to decide whether to renew its submarine-carried nuclear deterrent, The Silent Deep provides an essential historical perspective.
Dreadnought to Daring is an absorbing and highly readable summary of a century of naval thinking which has been written by some of the leading lights in contemporary naval history. Founded in 1912 by some of the Royal Navys brightest officers, the quarterly Naval Review has never been subject to official censorship, and its naval members do not need official permission to write for it, so it has always provided an independent, lively and at times outspoken forum for service debate. In broad terms it has covered contemporary operations, principles of naval warfare, history, and anecdotes which record the lighter side of naval life, but sometimes with a bite to them. A correspondence section provides an important barometer of service opinion, while extensive book reviews, written by those with real knowledge of the subject, carry considerable weight. For these reasons the Naval Review is widely regarded as a journal of record. In return for its freedom, circulation is restricted to members and membership to serving or retired officers. However, this volume will give the interested public an insight into its activities, past and present. Intended both to celebrate and to analyse the impact of the journal over its 100-year history, it comprises a series of specially commissioned articles, divided chronologically and thematically, devoted to subjects that have been of importance to the naval community as reflected in the pages of the journal. It concludes with an assessment of how well the Naval Review has succeeded in its founders aim and what influence it has had on policy.
There were no medical oncologists until a few decades ago. In the early 1960s, not only were there no such specialists, many practitioners regarded the treatment of terminally-ill cancer patients with heroic courses of chemotherapy as highly questionable. Physicians loath to assign patients randomly to competing treatments also expressed their outright opposition to the randomized clinical trials that were then relatively rare. And yet today these trials form the basis of medical oncology. How did such a spectacular change occur? How did medical oncology move from a non-entity and in some regards a reviled practice to the central position it now occupies in modern medicine? Cancer on Trial answers these questions by exploring how practitioners established a new style of practice, at the center of which lies the cancer clinical trial.
Mosby’s Dictionary of Medicine, Nursing & Health Professions has been acclaimed by students and educators for its clarity, comprehensiveness and currency. Now in its second edition, a thorough revision of this definitive reference for the ANZ region enhances the classic Mosby dictionary features and sees in its over 2000 pages: precise and clear entries, plus encyclopaedic entries of significant terms; generous illustrations and apt use of tables a detailed colour atlas of anatomy enhances the comprehension of anatomical terms local spelling conventions and phonetic pronunciation guides fully revised etymologies Online resources include a regional spellchecker, a printable colour atlas, all images from the text, and 18 valuable appendices, 9 of which appear in the main text. encyclopaedic definitions comprehensive entries for numerous fully updated drugs over 2400 high quality full-colour illustrations and photographs to enhance and clarify definitions of terms regionalised spellchecker over 300 new drug entries over 500 new images, including uniquely Australian sourced images for illustrating terms of particular local relevance a total of 73 new and updated tables to provide key reference information to supplement definitions revised to update and refine existing material and incorporate many new terms, tables and illustrations to ensure currency and relevance all appendices have been updated to include the latest information new terms include Swine influenza, Hendra disease, Nipah virus, Avian influenza, Multi-drug resistant TB and Vancomycin resistant enterococcus plus many, many more
Harnessing the Bohemian takes a fresh and interdisciplinary perspective on the intractable problem of shrinking populations and resources in remote/rural communities. It challenges the conventional wisdom of community development theories and practices and envisages more central roles for the creative disciplines in revitalising futures planning. It argues that the evolution of technologies, the emergence of creative economies, the increasing demand for creative products, and the emergence of new creative talent are continually changing community expectations and opportunities. Consequentially, fresh arguments and new ideas must be developed to stimulate more creative and innovative approaches to community development. Recognising that creativity and innovation exist across all community sectors, this book proposes practical new approaches that harness the creative capital of all community stakeholders.
A wide-ranging meditation on belonging and citizenship through the story of two squirrel species in Britain. Squirrel Nation is a history of Britain’s two species of squirrel over the past two hundred years: the much-loved, though rare, red squirrel and the less-desirable, though more populous, grey squirrel. A common resident of British gardens and parks, the grey squirrel was introduced from North America in the late nineteenth century and remains something of a foreign interloper. By examining this species’ rapid spread across Britain, Peter Coates explores timely issues of belonging, nationalism, and citizenship in Britain today. Ultimately, though people are swift to draw distinctions between British squirrels and squirrels in Britain, Squirrel Nation shows that Britain’s two squirrel species have much more in common than at first appears.
The UK government is introducing reforms to the internal health care market in the UK National Health Service which seek to address concerns such as these, and this book comprises a series of commentaries on their plans from a group of leading health economists. Authors examine the contribution of economics to the debate on the reforms, while seeking to make the analysis accessible to a general audience.
Veterinary Virology deals with basic biomedical virology and the clinical discipline of infectious diseases. The book discusses the principles of virology as effecting future developments in the search for preventive and management of infectious diseases in animals, whether singly or as a whole herd or flock. Part I explains the principles of animal virology including the structure, composition, classification, nomenclature, cultivation, and assay of viruses. This part also discusses viral genetics, replication, and evolution (including mutation and genetic engineering). The book also reviews the pathogenesis of viruses, host resistance and susceptibility, as well as the mechanisms of persistent infections and tumor induction. Part II deals with viruses found in domestic animals; this part also explains in detail the properties, replication methods, pathogenesis, immunity, diagnosis, and control of some common viruses. The book discusses some other families of viruses of which no members are yet known as to have caused serious or important diseases in animals. Veterinarians, immunologists, virologists, molecular researchers, students, and academicians in the discipline of virology and cellular biology, as well as livestock owners will find this book helpful.
Thoroughly amended and updated throughout, the fourth edition reflects the many developments that have affected the industry, with a particular emphasis on the full impact of the global banking and sovereign debt crises. This edition also features new material discussing the increased airline mergers and acquisitions (M&A) activity of recent years, and considers the likelihood of further consolidation in the future.
This book examines the quest to promote the health and vigour of individuals and populations in Denmark and England. Based on a detailed account of obesity control and mental recovery programs, the book shows that these interventions are supported by a form of optimistic vitalism that seems to have no political limitations.
The opening battles on the Western Front marked a watershed in military history. A dramatic, almost Napoleonic war of movement quickly gave way to static, attritional warfare in which modern weaponry had forced the combatants to take to the earth. Some of the last cavalry charges took place in the same theatre in which armoured cars, motorcycles and aeroplanes were beginning to make their presence felt.??These dramatic developments were recorded in graphic detail by soldiers who were eyewitnesses to them. There is a freshness and immediacy to their accounts which Matthew Richardson exploits in this thoroughgoing reassessment of the 1914 campaign. ??His vivid narrative emphasises the perspective of the private soldiers and the junior officers of the British Army, the men at the sharp end of the fighting.??This title has full colour plates containing over 100 illustrations.??Britain At War Magazine Book of the Month February 2014
This book provides a step-by-step guide to understanding and treating psychogenic voice disorder by combining speech and language therapy with skills drawn from the field of cognitive behaviour therapy (CBT). Beginning with a new classification of psychogenic voice disorder, the authors then provide a description of the CBT model and give helpful and systematic guidelines on using this approach in combination with speech and language therapy skills. They provide invaluable guidance on how to extend the standard voice case history to include a psychosocial assessment, and how to apply symptomatic voice therapy principles and techniques for this patient population. Later chapters show how to assess and work with patients suffering from symptoms of anxiety and lowered mood, and how to understand and respond to various forms of psychopathology that may present in association with voice disorder. Finally, detailed case studies illustrate how an experienced therapist might respond to individual assessment and treatment challenges.
This is the first comprehensive guide to the design of behavioral randomized clinical trials (RCT) for chronic diseases. It includes the scientific foundations for behavioral trial methods, problems that have been encountered in past behavioral trials, advances in design that have evolved, and promising trends and opportunities for the future. The value of this book lies in its potential to foster an ability to “speak the language of medicine” through the conduct of high-quality behavioral clinical trials that match the rigor commonly seen in double-blind drug trials. It is relevant for testing any treatment aimed at improving a behavioral, social, psychosocial, environmental, or policy-level risk factor for a chronic disease including, for example, obesity, sedentary behavior, adherence to treatment, psychosocial stress, food deserts, and fragmented care. Outcomes of interest are those that are of clinical significance in the treatment of chronic diseases, including standard risk factors such as cholesterol, blood pressure, and glucose, and clinical outcomes such as hospitalizations, functional limitations, excess morbidity, quality of life, and mortality. This link between behavior and chronic disease requires innovative clinical trial methods not only from the behavioral sciences but also from medicine, epidemiology, and biostatistics. This integration does not exist in any current book, or in any training program, in either the behavioral sciences or medicine.
Much evidence suggests that the US does not achieve good value for its health care spending. This book provides a unique perspective on this problem by considering the economic, social, political, and ethical factors that contribute to it, and by seeking to show how experience can guide better policy making in the future.
Using practical examples this book demonstrates how a theoretical model for shared care operates in practice to deliver improved health outcomes within limited resources. It shows how clinically-led initiatives can influence health care commissioning strategies and how the implementation of the model meets the needs of clinicians purchasers and providers. The model and evaluation protocols advocated here provide a firm foundation for the development of shared care in the future.
Revised and updated in its third edition, this internationally renowned and respected book provides the essentials to understanding all areas of airline finance. Designed to address each of the distinct areas of financial management in an air transport industry context, it also shows how these fit together, while each chapter and topic provides a detailed resource which can be also consulted separately. Thoroughly amended and updated throughout, the third edition reflects the many developments that have affected the industry since 2001. It features several important new topics, including Low Cost Carriers (LCCs), fuel hedging and US Chapter 11 provisions.
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