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National Health Service (NHS) histopathology laboratories are ideally placed to bank cadaveric and surplus surgical tissue to supply the needs of research organisations, whether in the NHS, universities or the commercial sector. This review outlines the constraints to setting up a human tissue bank in an NHS histopathology laboratory, identifies the controls required and answers the question: is it ethical and legal?
Since the creation of the British National Health Service in 1948, it has provided a full range of medical services free at the point of demand. By the mid 1980s, the National Health Service was perceived as suffering from a chronic crisis of an increasingly limited supply of medical resources but unlimited demand. The response of the Conservative government was to attempt to increase efficiency by introducing competitive dynamics with the creation of an internal market within the National Health Service. Health-care providers were to compete effectively with one another by price and quality. In this article, the author examines the prospects and problems inherent in such an internal market. The creation of fundholding general practitioners is scrutinized within the context of ideologic and financial goals of the British government and the potential consequences for patients.
This paper will outline the current changes being imposed on the National Health Service. The literature on change management will be employed to propose some guidelines for health service managers. The National Health Service (NHS) spent much of the 1980s and 1990s learning about the transition from administration to management and must now make the transition from management to leadership. The emphasis is now focused less on doing and more on being.
This paper estimates the cost to the National Health Service of decisions made by a trainee general practitioner during two consecutive weeks. By extrapolation of the cost of these actions (issuing prescriptions, issuing National Insurance certificates, requesting investigations, and initiating hospital referrals), the annual cost of a general practitioner in the National Health Service is at least pound43,000.