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Presents comments on the impact of white paper on the National Health Service (NHS) of Great Britain. Assertions on the significance and focus of the paper in specialist services; Comments on the significance of chapters four, five and six of the paper; Account on the effect of the paper on minority groups.

Focuses on the alternative of the white paper regarding the improvement of the effectiveness of clinical care in the National Health Service in Great Britain. Definition of quality of care; Increase of the annual rate of medical care expenditure; Standardization of diagnostic methods.

Examines the reaction of general practitioners towards the proposals contained in the white paper 'Working for Patients' in Great Britain. Rejection of the proposals by general practitioners; Criticisms on the implementation of fixed budgets for specified surgical operations; Concerns on the cost effectiveness of the National Health Service.

Focuses on the growth and restructuring of the National Health Service (NHS). Impact of medical insurance and hospital independent revenues; Role of the NHS as the catalysts; Collaboration of top companies for better hospitals.

Focuses on the funding of the National Health Service in Great Britain. Response of the government to the problem of NHS crisis in 1987 to 1988 period; Proposals for efficient NHS; Significance of white paper on the performance of medical professionals; Need of measures of patient satisfaction to medical services.

Reports on the move of doctors not to cooperate in the implementation on proposal to reform National Health Services (NHS) in Great Britain. Arguments to persuade government and public on impracticality of proposal; Failure on acknowledging NHS problem; Impairment of the ability of hospital authorities to coordinate services effectively.

Focuses on the campaign against the white paper related to patient care in the National Health Service in Great Britain. Debate on the proposals by the British Medical Association council; Discussions on the letter from the chief medical officer; Implications of the white paper to professional awareness.

Focuses on the publication of the working papers of the National Health Service (NHS) in Great Britain. Renegotatiation of the contracts of general practitioners; Implementation of the NHS review; Role of the Department of Health in the distribution of the working papers to general practitioners.

Reports on the plans of the restructuring of the National Health Service (NHS) in Great Britain. Effects of the plans on health authorities, hospital managers and family doctors; Speculations of the changes on the NHS Management Board; Uncertainty of the decisions of NHS Chief Executive Duncan Nichol.

Presents the response related to the government's white paper proposals for the National Health Services in Great Britain. Scrutiny on the composition of self-governing hospitals and general practitioners' budgets; Interrelations of the program with two-tier system in the medical field; Need to prioritize primary care for elderly and the sick.

Reports on professional organizations' welcoming of proposals in the December 1997 white paper on the National Health Service (NHS) in England. Promotion of clinical and cost effectiveness of treatments by the National Institute for Clinical Excellence; Support for the dismantling of the internal market; Need for more capital investments if services were to be improved.

Presents a letter for Health Secretary Frank Dobson pertaining to ideas on how to improve the National Health Service (NHS) in Great Britain. View on the machinery of the health authority; Suggestion on how to change the culture within the NHS.

Discusses the British government's ten year plan for the National Health Service on the . Focus of the programme; Key feature of the programme; Aim of the plan. INSET: Key components of the ten year plan....

Focuses on the rejection of the general practitioners of the government's National Health Service (NHS) in Great Britain. Rejection of the government's proposal for general practitioners; Views regarding the white paper of the NHS; Compatibility of the concepts of the white paper with the principles of the NHS.

Editorial. Discusses the National Health Service (NHS) in the United Kingdom. Emphasis of NHS reform proposals; Responsibility of primary care groups; What was intended for primary care groups; Clarification requested by the General Medical Services Committee from the federal government.

Reports on the activities of the British Medical Association. Concern of medical academics over white paper; Future of general practice training; Opposition of junior doctors to the National Health Service (NHS); Emphasis on the organizational change of NHS.

Focuses on a review by the National Health Service (NHS) on its research and development priorities in the interface between primary and secondary care. Research paper `Research for Health'; Criteria of research and development potential; Setting up the advisory group; Determination of 21 priority topics. INSET: Summary points..

This article discusses a 2006 white paper from Great Britain's Department of Health which recommended a major transfer of National Health Service functions to the community. This transfer would move as many as 15 million outpatient attendances to community settings. The paper also named a variety of clinical activities and procedures that could be performed outside the acute hospital setting.

The article presents the author's views on the future of primary care in Great Britain. The author reviews how a proposed new white paper on health and community services in England is expected to affect public, patients, and health professionals. The concept of patients' values and the role of general practitioners in reducing health inequalities are analyzed. It is the author's view that Great Britain's health system should aim to be patient centred, safe, accountable and of consistently high quality.

The article presents a clinical review of directory information and navigation around the health care system. Directory information is the information used by patients and professionals to find their way around the health care system. The information needs to be accurate, up to date, and available nationally. Suggested are given to the British National Health Service for the creation of a directory and database for less money than it spends on paper directories.

Assesses the white paper report of the government on National Health Services (NHS) in Great Britain. Comments on the vagueness of proposals; Impact of NHS destabilization on privatization moves; Effect of white paper inadequacy on recognition of meritorious features.

Focuses on the role of white paper, 'The Health of the Nation,' in improving the health of the people in Great Britain. Need for health promotion and health education; Plan of the National Health Service Management Executive to implement the white paper; Effects of poverty on health.

Opinion. Comments on the 1997 white paper which proposes changes in the United Kingdom's National Health Service (NHS). Role of the NHS according to the white paper; Where responsibility is placed to address the health impact of social inequalities; What this responsibility illustrates.

Opinion. Examines the implications of the 1997 white paper concerning the United Kingdom National Health Service, for accountability within the service. Directions which accountability take in the white paper; Impact which these forms may have on management style of health services; Risks of planning based on functional rather than structural mechanisms.

Editorial. Reports that the British government is working on a white paper to be published by the end of 1997 outlining its plans for replacing the National Health Service (NIS) market. Three central questions that must be addressed by the white paper.

Editorial. Comments on the published white paper concerning the future of the National Health Service (NHS) in Great Britain. Content of the white paper; Contentious part of the white paper; Reaction from opposition parties; Challenge in health services facing policy makers.

Focuses on the anomaly on the continuation of merit awards in the National Health Service trusts in Great Britain. System of distinction of the merit awards; Changes on the system of the merit award proposed by the white paper report; Criticisms against the merit awards.

The article reports on the Royal College of Surgeons' consultation paper "Delivering High-Quality Surgical Services for the Future." The group recommended that surgeons in England and Wales form a network and work as teams in a specific area, rather than for the individual NHS hospital trusts. The consultation paper also focused on surgical training standards. The College's president, Bernard Ribeiro, comments on health service policy.

Presents information on the green paper, which was issued by the British government to be superimposed on the National Health Service (NHS) entitled `A First Class Service: Quality in the New NHS.' Aims of the green paper; Inspector general of the NHS to conduct spot checks; Introduction of performance assessments and patient surveys; Additional duties of clinical governance.

The article considers the difficulties implementing the British government's new white paper on the future of primary, community and social care. The plan heralds more emphasis on preventive care, a greater selection of services, reduced health inequalities and more support for long term care patients. Patients will gain more power within the National Health Service. Questions remain over the means by which this comprehensive plan will be implemented. Implementation will depend on competition, new financial incentives and strengthened commissioning.

Editorial. Presents an announcement by the British Medical Journal Publishing Group (BMJ) of the creation of some controls on bmj.com which will have some users paying for some content. Decision made as revenues decrease from fewer paper subscriptions due to the currently free access website and as job advertisers use the National Health Service web site and UK Pharmaceuticals advertise less; Plan which will allow BMA members and users of the World Bank's low to lower middle income countries free access in addition to keeping the studentbmg.com site free; Timetable and exemptions from new fee schedule.

Focuses on a so-called white-paper published regarding genetics by the National Health Service of Great Britain. Ideas needed for medical care changes.

Editorial. Comments on the paper 'Delivering the NHS Plan,' which discusses the government's strategy for Great Britain's National Health Service. Commitment to a tax based system that provides free care to all; Plans to create institutions to set, monitor, and ensure national service standards; Earned autonomy of local organisations.

Comments on a paper in this issue by Feachem et al which found that the per capita costs in the National Health Service (NHS) of Great Britain and Kaiser Permanente are similar, and that the performance of Kaiser is better. How hospitals in the United States have fewer days of hospital admission per capita than the NHS; View that the systems differ in their capacity to configure care according to the needs of the patient; Superior patient management of Kaiser.

Comments on the controversies involving the National Health Services and the British Medical Association in Great Britain. Conflict between the two agencies regarding the paper 'Working for Patients'; Aims of the document; Effect of uncertainty regarding implementation of a new health system on doctors and other health professionals.

Focuses on the need to improve available information on health services in Great Britain. Concern on the poor quality of information on clinical activity in National Health Services hospitals; Confirmation of three principal reasons in the white paper; Recognition of problem on improbable timetable.

Editorial. Focuses on the paper by C.B.J. Woodman and colleagues which provided data from the National Health Service (NHS) breast screening program on cancers diagnosed three years after a negative screen. Influence of a Swedish two county study on the screening program's protocol; Reduction of the rate of interval cancers through two view mammography and a shorter screening interval.

The article discusses three reports on the future of medical care in Great Britain namely, "Future Direction of Health Care," from the National Association of Health Authorities and Trusts, "Future Health Care Options," released by the Institute of Health Services Management and the survey of health policy makers. The first paper focused on how the National Health Service (NHS) deliver health care in the nation. The second report gave out suggestions for medical care such as social insurance and local taxation.

Presents information on Great Britain's National Health Service (NHS) in relation to the white paper's introduction of NHS Direct 24 hour helpline. Detailed information on this helpline; Benefits of this; Reasons for its inception.

Presents information on the proposed financing provisions of the National Health Service (NHS) as spcified within the English government's white paper. Detailed information on these provisions; Effects of them on the NHS; Reference to the spending review.

Editorial. Talks about the contents of the white paper `The New NHS.' Pledge of British Labour government to abolish the reform of the National Health Service (NHS) carried out by the Conservative government in 1991; Main change concerning primary care; Change related to health authorities; Change related to NHS trusts.

Medical news briefs from around the world are presented. The American Psychiatric Association issued a position paper prohibiting participation of psychiatrists in the interrogation of prisoners. The European Union will investigate pricing of cigarettes in Austria. A group of doctors and scientists in Great Britain have written to National Health Service trusts asking them to stop funding alternative treatments.

The article reports on a briefing paper issued by the National Health Service Confederation of Great Britain that argues that although the number of beds in NHS hospitals is falling, the amount of health care being provided has not been reduced. According to Gill Morgan, chief executive of the confederation, the changes seen in the NHS obey to changes in the world, and changes in the needs of patients. Patients are treated faster and more efficiently now.

The article discusses efforts by Great Britain to provide more General Practitioner care in place of acute hospitals for citizens. The plan, titled "Our Health, Our Care, Our Say" includes simplifying registering with physicians and organizational changes. Secretary of state for health, Patricia Hewitt, wants 5% of the National Health Service budget moved from secondary to primary care in the next ten years. INSET: New measures proposed in the white paper.

Presents medical news briefs. Two cases of West Nile virus which have been confirmed in Irish travelers to Portugal; SARS whistleblower who has been released from prison in China; Fresh outbreak of bird flu in Indonesia; Approval for 20 NHS trusts to become foundation trusts; Implementation of a register of abusers of the elderly in the health care system which will not extend to the NHS staff; Need for peer review to be explained to the public for better understanding of scientific papers.

Reports that British health secretary John Reid has promised further funds to increase palliative care at home if the National Health Service can present evidence on cost effectiveness. Research showing that people prefer to die at home; Paper written by economist David Taylor calling for primary care trusts to audit quality of death as a method of reducing health inequalities; Reference to an online survey conducted by the British Medical Journal that asked people where they would prefer to die.

Discusses reduced targets for NHS by the health secretary John Reid. Consultation paper launched this week proposing 24 broad quality objectives for the NHS to replace the hundreds of standards, targets, and guidance rules currently in existence; Status of star rating system for hospitals; Comments by Reid on the plan; Seven key areas that the plan will cover.

Presents a commentary on the annual dinner of the Medical Curling Club in Scotland. Conversation among guests about the National Health Services paper 'Partnership for Care;' Details of the comments made about the health care profession.

Comments on a paper in this issue by Feachem et al which compared the value of Kaiser Permanente with the National Health Service (NHS) of Great Britain. Finding that Kaiser had two-thirds the hospital use of NHS; Increased availability and accessibility of specialists at Kaiser; Competition of the health care market in California; Ways in which the health care system of Britain may become more efficient.

Comments on the paper by Frankel and colleagues on prospects for the successful management of health care in Great Britain within the National Health Service in this issue of the 'British Medical Journal.' Concept of demand, which is problematic; Discussion of the criticism of the rationing debate by the authors of the article; Opinion that the authors have a narrow understanding of rationing; Conclusion.