450 research outputs found
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Managing escalating demand for public services in a time of financial austerity: a case study of family interventions
No full textThe UK (along with many other countries) is facing the challenges of financial austerity with little or no growth in public funding for the foreseeable future. This creates particular challenges for public services as economic downturns often increase the demand for public services at a time when resources are constrained. A particular service of this type is the provision of support to ‘troubled’ families through what are termed family interventions, in one local authority area, and the impact of financial austerity on those services. It considers the strategic options available for dealing with the dilemma of increasing demand and declining resources, and assesses the implications of implementing these options. It also considers the key factors which inhibit the development and implementation of such approaches, in order to provide a starting point for developing a practical strategy for dealing with the challenges ahead. Finally, it considers how the findings related to family interventions can be applied to other services in a similar situation of increasing demand and decreasing resources
sj-jpg-2-inc-10.1177_17511437231202898 – Supplemental material for Dynamic dosing for continuous renal replacement therapy: Service evaluation of the safety and effectiveness of titrating dose to biochemistry
No full textSupplemental material, sj-jpg-2-inc-10.1177_17511437231202898 for Dynamic dosing for continuous renal replacement therapy: Service evaluation of the safety and effectiveness of titrating dose to biochemistry by Jack C Eldridge, Aroon Bhardwaj Shah, Susana Lucena-Amaro, Christopher J Kirwan, John R Prowle and Yize I Wan in Journal of the Intensive Care Society</p
sj-jpg-3-inc-10.1177_17511437231202898 – Supplemental material for Dynamic dosing for continuous renal replacement therapy: Service evaluation of the safety and effectiveness of titrating dose to biochemistry
No full textSupplemental material, sj-jpg-3-inc-10.1177_17511437231202898 for Dynamic dosing for continuous renal replacement therapy: Service evaluation of the safety and effectiveness of titrating dose to biochemistry by Jack C Eldridge, Aroon Bhardwaj Shah, Susana Lucena-Amaro, Christopher J Kirwan, John R Prowle and Yize I Wan in Journal of the Intensive Care Society</p
sj-docx-1-inc-10.1177_17511437231202898 – Supplemental material for Dynamic dosing for continuous renal replacement therapy: Service evaluation of the safety and effectiveness of titrating dose to biochemistry
No full textSupplemental material, sj-docx-1-inc-10.1177_17511437231202898 for Dynamic dosing for continuous renal replacement therapy: Service evaluation of the safety and effectiveness of titrating dose to biochemistry by Jack C Eldridge, Aroon Bhardwaj Shah, Susana Lucena-Amaro, Christopher J Kirwan, John R Prowle and Yize I Wan in Journal of the Intensive Care Society</p
Standardizing end points in perioperative trials: Towards a core and extended outcome set
No full textCOMPAC-StEP Group members include: J. Bartoszko, W. S. Beattie, R. Bellomo, D. Buggy, L. Cabrini, J. Canet, T. Cook, D. J. Cooper, T. Corcoran, P. J. Devereaux, R. Eckenhoff, L. Evered, T. J. Gan, T. Gin, H. Grocott, G. Haller, S. Howell, M. Jayarajah, C. Kalkman, K. Karkouti, B. Kavanagh, A. Klein, G. Landoni, K. Leslie, D. R. McIlroy, D. Mazer, A. Moller, M. Mythen, M. Neuman, M. Neuman, R. Pearse, P. Peyton, J. Prowle, T. Richards, D. A. Scott, D. Sessler, A. Shaw, T. Short, M. Shulman, B. Silbert, M. Singer, J. R. Sneyd, D. Story, D. van Dijk, and W. van Klei
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Performance in NHS trusts: benchmarking and improving performance
No full textRecommended from our members
The importance of strategic financial leadership in the UK public sector in a time of financial austerity
No full textGiven the severity of financial pressures on public authorities, this report is concerned with how finance managers in public services are coping with the demands placed on them and how they can demonstrate improved value by providing more effective strategic financial leadership. It considers how they are applying managerial approaches and solutions to the challenges of austerity and the role that the public sector finance function can play in this process
Recent Trials in Critical Care Nephrology
No full textSeveral large observational studies or randomized controlled trials in the field of critical care nephrology have been completed and reported, or recently completed or have recently begun recruitment. These studies provide important information to guide our appreciation of current practice and consider new potentially effective intervention for the prevention or attenuation of acute kidney injury or suggest new avenues for the use of renal replacement therapy (RRT) in the treatment of sepsis. In particular, two studies, the ATN study and the RENAL study (both multicenter randomized controlled trials of >1,000 patients) provide, for the first time, level I evidence to guide the practice of RRT in critically ill patients and to better define the optimal intensity of such RAT in this setting. Clinicians practicing in the field of critical care nephrology need to be aware of these trials, their details, their findings or design or current recruitment rate and likely time of completion to continue to offer their patients the highest level of evidence-based medical care. Copyright (C) 2010 S. Karger AG, Base
Re-balancing the roles of public and private health sectors in Wales
No full textIn 1989 the UK implemented a form of political devolution to Wales, Scotland and Northern Ireland such that certain public policy areas, including health, became the responsibility of devolved Parliament or Assemblies and not the London based Parliament and Government. In the case of Wales, the Welsh Government is faced with a series of daunting challenges in relation to the future provision of health care but, unlike the situation in England, has rejected any significant increase in the involvement of the private sector in health care provision. The magnitude of the challenges faced in coping with the impacts of financial austerity on the Welsh health budget suggest there may be a role for the private sector to play in relation to the provision of health care in Wales. This paper explores those potential roles concerning: the supply of services to the NHS in Wales, the supply of health services to the Welsh population and the financing of Welsh health services
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