A programme bringing together primary care trust non-executives and local counsellors from the same patch changed participants' perceptions of each other. PCT non-executives and counsellors were convinced of the benefits of joint working, but unsure how to go about it. Knowledge of each other's worlds was initially poor. Annual structured visits between PCTs and local authorities should be encouraged.
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Cardiol Ther
December 2024
Cardiology Department, Princess of Wales Hospital, Bridgend, UK.
Anthropol Med
October 2024
Newcastle Business School, Northumbria University, Newcastle upon Tyne, UK.
As people, particularly those ageing and living with disabilities, struggle with how care is enacted, integrated care has gained policy purchase in the United Kingdom. Despite integration's apparent popularity, its contribution to improved care for people has been questioned, exposing uncertainties about its associated benefits. Nonetheless, over decades a remarkably consistent approach to integrated care has advanced partnerships between the NHS and local government.
View Article and Find Full Text PDFCochrane Database Syst Rev
December 2023
Department of Women's and Children's Health, University of Liverpool, Liverpool, UK.
Int J Stroke
October 2023
Departments of Anaesthesiology and Critical Care and Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Background: Prehospital care including recognition of stroke symptoms by the public and professionals combined with an efficient and effective emergency medical service (EMS) is essential to increase access to effective acute stroke care. We undertook a survey to document the status of stroke prehospital care globally.
Methods: A survey was distributed via email to the World Stroke Organization (WSO) members.
Cost Eff Resour Alloc
November 2022
Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock place, London, WC1H 9SH, UK.
Background: Numerous studies have shown the effectiveness of testing for hepatitis B (HBV) and hepatitis C (HCV) in emergency departments (ED), due to the elevated prevalence amongst attendees. The aim of this study was to conduct a cost-effectiveness analysis of universal opt-out HBV and HCV testing in EDs based on 2 long-term studies of the real-world effectiveness of testing in 2 large ED's in the UK.
Methods: A Markov model was used to evaluate ED-based HBV and HCV testing versus no ED testing, in addition to current testing practice.
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