The NHS plan

Dixon, Jennifer; Dewar, Steve

doi:10.1136/bmj.321.7257.315

Cited by 234 publications

(9 citation statements)

References 1 publication

(1 reference statement)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For many years, the historically low level of GDP spent on health care in England was regarded as a sign of efficiency in delivering a high quality and universal health care system [ 10 ]. Rising demand for care and increasing costs of care were approached without fundamentally increasing this share of investment.…”

Section: Investment Through Greater Public Fundingmentioning

confidence: 99%

See 1 more Smart Citation

Creating an integrated public sector? Labour's plans for the modernisation of the English health care system

Goodwin¹

2002

Int J Integr Care

View full text Add to dashboard Cite

The current Labour Government has embarked on radical public sector reform in England. A so-called ‘Modernisation Agenda’ has been developed that is encapsulated in the NHS Plan—a document that details a long-term vision for health care. This plan involves a five-fold strategy: investment through greater public funding; quality assurance; improving access; service integration and inter-professional working; and providing a public health focus.The principles of Labour's vision have been broadly supported. However, achieving its aims appears reliant on two key factors. First, appropriate resources are required to create capacity, particularly management capacity, to enable new functions to develop. Second, promoting access and service integration requires the development of significant co-ordination, collaboration and networking between agencies and individuals. This is particularly important for health and social care professionals. Their historically separate professions suggest that a significant period of change management is required to allow new roles and partnerships to evolve.In an attempt to secure delivery of its goals, however, the Government has placed the emphasis on further organisational restructuring. In doing so, the Government may have missed the key challenges faced in delivering its NHS Plan. As this paper argues, cultural and behavioural change is probably a far more appropriate and important requirement for success than a centrally directed approach that emphasises the rearrangement of structural furniture.

show abstract

Section: Investment Through Greater Public Fundingmentioning

confidence: 99%

“…The NHS Plan is broadly supported across the NHS. Indeed, some observers have suggested that the Plan is ‘as good as it gets’ since it sets out enduring principles on which change should be based and promises a significant injection of money sustained over five years [ 10 , 58 ].…”

Section: Implementing the Nhs Plan – Barriers From Further Organisatimentioning

confidence: 99%

Creating an integrated public sector? Labour's plans for the modernisation of the English health care system

Goodwin¹

2002

Int J Integr Care

View full text Add to dashboard Cite

show abstract

“…However, disappointing for some is the government's decision to reject the recommendation by the Royal Commission on Long Term Care to fund all personal care as well. 1 A report in the Lancet points out that although 35 000 people will benefit from free nursing care, around a further 100 000 would have benefited from NHS funding of personal care. 3…”

Section: Who Gets What?mentioning

confidence: 99%

The NHS plan: a mixed blessing

2000

Pharmacoecon. Outcomes News

View full text Add to dashboard Cite

of King's Fund, England. 1 They add that, for now, 'this is probably as good as it gets'.Despite its impressive scope, Dixon and Dewar believe that the way in which the plan will be delivered is confusing. In addition to the formation of a single Modernisation Agency **which they say 'makes sense' there will be a new Modernisation Board, and the UK Department of Health is to create ≥ 10 task forces that will help implement the plan in key areas such as coronary heart disease. Not only is there is confusion over how the agency, board and task forces will work together, but also how these groups will relate to local NHS organisations, they add.

show abstract

“…Type 2 diabetes mellitus (T2DM), hypertension and hyperlipidemia are chronic conditions that can result in severe complications 1,2 , including cardiovascular disease (CVD), the leading cause of death worldwide 3,4 . Unfortunately, a large number of patients with these conditions remain undiagnosed.…”

mentioning

confidence: 99%

Screening for chronic conditions with reproductive factors using a machine learning based approach

Tian

Dong

Chan

et al. 2020

Sci Rep

View full text Add to dashboard Cite

A large proportion of cases with chronic conditions including diabetes or pre-diabetes, hypertension and dyslipidemia remain undiagnosed. to include reproductive factors (Rf) might be able to improve current screening guidelines by providing extra effectiveness. The objective is to study the relationships between Rfs and chronic conditions' biomarkers. A cross-sectional study was conducted. Demographics, RFs and metabolic biomarkers were collected. The relationship of the metabolic biomarkers were shown by correlation analysis. principal component analysis (pcA) and autoencoder were compared by cross-validation. The better one was adopted to extract a single marker, the general chronic condition (GCC), to represent the body's chronic conditions. Multivariate linear regression was performed to explore the relationship between GCC and RFs. In total, 1,656 postmenopausal females were included. A multi-layer autoencoder outperformed pcA in the dimensionality reduction performance. The extracted variable by autoencoder, GCC, was verified to be representative of three chronic conditions (AUC for patoglycemia, hypertension and dyslipidemia were 0.844, 0.824 and 0.805 respectively). Linear regression showed that earlier age at menarche (OR = 0.9976) and shorter reproductive life span (oR = 0.9895) were associated with higher GCC. Autoencoder performed well in the dimensionality reduction of clinical metabolic biomarkers. Due to high accessibility and effectiveness, RFs have potential to be included in screening tools for general chronic conditions and could enhance current screening guidelines.

show abstract

The NHS plan

Cited by 234 publications

References 1 publication

Creating an integrated public sector? Labour's plans for the modernisation of the English health care system

Creating an integrated public sector? Labour's plans for the modernisation of the English health care system

The NHS plan: a mixed blessing

Screening for chronic conditions with reproductive factors using a machine learning based approach

Contact Info

Product

Resources

About