<b>Objective</b> To evaluate the impact and cost effectiveness of a programme to transform adult critical care throughout England initiated in late 2000. <b>Design</b> Evaluation trends inputs, processes, outcomes during 1998-2000 compared with last quarter 2000-6. <b>Setting</b> 96 units England. <b>Participants</b> 349 817 admissions units. <b>Interventions</b> Adoption key elements modernisation increases capacity. Units were categorised according when they adopted <b>Main outcome...

The extent to which government should partner with business interests such as the alcohol, food, and other industries in order improve public health is a subject of ongoing debate. A common approach involves developing voluntary agreements industry or allowing them self-regulate. In England, most recent example this was Public Health Responsibility Deal (RD), public⁻private partnership launched 2011 under then Conservative-led coalition government. RD organised around series that aim bring...

For more than a decade the English NHS has pursued integrated care through three national pilot programmes. The independent evaluators of these programmes here identify several common themes that inform development care.The shared aim better coordination between hospital and community-based health services social care. Each programme recruited local sites designed specific interventions to support inter-professional inter-organisational collaboration.The pilots were highly heterogenous...

Abstract Background and Aims The Public Health Responsibility Deal (RD) in England is a public–private partnership involving voluntary pledges between industry, government other organizations, with the aim of improving public health. This paper aims to evaluate what action resulted from RD alcohol pledges. Methods We analysed publically available data on organizations’ plans progress towards achieving key RD. assessed extent which activities pledged by signatories could have been brought...

In the United Kingdom, alcohol warning labels are subject of a voluntary agreement between industry and government. 2011, as part Public Health Responsibility Deal in England, pledged to ensure that 80% products would have clear, legible health labelling, although an analysis commissioned by Portman found only 57.1% met best practice. We assessed what proportion now contain required information, its clarity placement.Survey labelling data.United Kingdom.Analysis Kingdom's 100 top-selling...

The evidence underpinning integrated care remains uncertain, with numerous examples of evaluations finding little robust intended impacts on health or reporting conflicting results. Reasons for this include problems the design and implementation initiatives issues themselves, such as lack suitable comparator poorly defined outcome measures. In interactive workshop we will focus outcomes associated care, drawing from our own experience participants. Discussions aim to strengthen collective...

The Public Health Responsibility Deal (RD) in England was launched 2011 as a public–private partnership which aims to 'tap into the potential for businesses and other influential organisations make significant contribution improving public health by helping us create this environment'. It has come under criticism from advocates others, who have suggested that it will be ineffective or perhaps even harmful. Like many policies, there also been demands know whether 'works'. We conducted scoping...

Purpose Integrating health and social care is a priority in England, although there little evidence that previous initiatives have reduced hospital admissions or costs. In total, 25 Integrated Care Pioneers been established to drive change “at scale pace”. The early phases of the evaluation (April 2014-June 2016) aimed identify their objectives, plans activities, assess extent which they overcome barriers integration. longer term, authors will whether integrated leads improved outcomes...

The exploitation of migrant workers ranks high on global political agendas including the Sustainable Development Goals. Research exploited workers, using assessment tools where is defined by professional experts, indicates serious health concerns and needs. Yet, are rarely asked about their understanding a phenomenon they may experience. Our study aimed to conceptualise 'labour exploitation' from perspective employed in manual low-skilled jobs.

Background It has been argued that the alcohol industry uses corporate social responsibility activities to influence policy and undermine public health, every opportunity should be taken scrutinise such activities. This study analyses a controversial Diageo-funded 'responsible drinking' campaign ("Stop out of Control Drinking", or SOOCD) in Ireland. The aims identify how its advisory board members frame define (i) alcohol-related harms, their causes, (ii) possible solutions. Methods...

Local initiatives to reduce alcohol harms are common. One UK approach, Community Alcohol Partnerships (CAPs), involves partnerships between the industry and local government, focussing on misuse anti-social behaviour (ASB) among young people. This study aimed assess evidence of effectiveness CAPs. We searched CAP websites documents, databases, contacted CAPs identify evaluations summarize their findings. appraised these against four methodological criteria: (i) reporting pre–post data; (ii)...

Chest drains are often used in the medical management of pleural effusions and pneumothorax. However, real risks chest not fully recognised.1 Over three years (January 2005 to March 2008) healthcare staff reported 12 deaths 15 cases severe harm from drain insertion National Patient Safety Agency (NPSA) England Wales. True rates patients likely be substantially higher, given that known under-report incidents (as is case with other voluntary reporting systems).2 Incidents were agency a range...

The Public Health Responsibility Deal (RD) is a public-private partnership in England involving voluntary pledges between government, and business other public organizations to improve health. One such pledge refers the reduction of trans fatty acids (TFAs) food supply by either pledging not use artificial TFAs or TFA removal. This paper evaluates RD's effectiveness at encouraging signatory remove artificially produced from their products.We analysed publically available data submitted RD...

Shortages in nursing staff have led to recruitment campaigns targeting nurses who left the profession. The present study explored reasons why career-break decide for or against a return practice, as well perceptions of following return. Semistructured interviews were conducted with 24 had returned recently profession and 28 on ‘career break’. Findings revealed that those did so when their personal circumstances allowed, half bank order work flexible, family-friendly hours. Some non-returners...

The Public Health Responsibility Deal (RD) in England is a public–private partnership between government, industry and other stakeholders aiming to improve public health four key areas: food, alcohol, at work physical activity. Wider literature shows that engages framing of policy problems, solutions its role favourable interests. As part an evaluation the RD, we conducted media analysis explore how spokespersons (from commercial enterprises, trade associations social aspects/public...

Abstract Background Policy-makers expect that integration of health and social care will improve user carer experience reduce avoidable hospital use. We evaluate the impact on emergency admissions two large nationally-initiated service programmes in England: Pioneer (November 2013 to March 2018) Vanguard (January 2015 programmes. The latter had far greater financial expert support from central agencies. Methods Of 206 Clinical Commissioning Groups (CCGs) England, 51(25%) were involved...

Abstract A high proportion of people who receive care in medium secure forensic psychiatry services have co-morbid drug and/or alcohol problems. Substance misuse is an important issue the management patients and may also be implicated relapse, re-offending, re-admission after discharge. Little known about capability staff to manage patients' substance misuse. Survey questionnaires, developed following depth interviews a focus group, were sent managers 28 National Health Service-managed units...