National Health Service (England)

1617:(PHE) states that one in four hospital patients smoke tobacco products, higher than the proportion in the general population, and smoking causes 96,000 deaths per year in England and twenty times the number of smoking-related illnesses. PHE wants hospitals to help smokers quit. Few patients who smoke are referred to a hospital or community-based cessation program. During their hospital stay, over a quarter of patients were not asked if they smoked and nearly three-quarters of smokers were not asked if they wanted to stop. PHE states smoking patients should be offered specialized help to stop nicotine replacement therapy. Frank Ryan, a psychologist said, "It's really about refocusing our efforts and motivating our service users and staff to quit. And of course, whatever investment we make in smoking cessation programs, there's a payback many times more in terms of the health benefits and even factors such as attendance at work, because it's workers who smoke tend to have more absent spells from work." The numbers of smokers getting help to quit has fallen due to cuts in funding for smoking cessation care, though the 174: 1640:

they were satisfied with their treatment; 87% of GP users were satisfied with their GP; 87% of hospital outpatients were satisfied with the service they received; and 70% of Accident and Emergency department users reported being satisfied. Despite this some patients complain about being unable to see a GP at once when they feel their condition requires prompt attention. When asked whether they agreed with the question "My local NHS is providing me with a good service" 67% of those surveyed agreed with it, and 51% agreed with the statement "The NHS is providing a good service." The reason for this disparity between personal experience and overall perceptions is not clear; however, researchers at

1012:(IFS), compared to the increase necessary to keep up with a rising population that is also ageing, spending will fall by 1.3% from 2009–10 to 2019–20. George Stoye, senior research economist of the IFS, and said the annual increases since 2009-10 were "the lowest rate of increase over any similar period since the mid-1950s, since when the long-run annual growth rate has been 4.1%". This has led to cuts to some services, despite the overall increase in funding. In 2017, funding increased by 1.3% while demand rose by 5%. Ted Baker, Chief Inspector of Hospitals has said that the NHS is still running the model it had in the 1960s and 1970s and has not modernised due to lack of investment. The 331: 163: 613:

time causing anxiety to the women and possible danger to them and their babies. This is because there are too few midwives. Neonatal mortality rose from 2.6 deaths for every 1,000 births in 2015 to 2.7 deaths per 1,000 births in 2016. Infant mortality (deaths during the first year of life) rose from 3.7 to 3.8 per 1,000 live births during the same period. Assaults on NHS staff have increased, there were 56,435 recorded physical assaults on staff in 2016–2017, 9.7% more than the 51,447 the year before. Low staffing levels and delays in patients being treated are blamed for this.

342: 1042:, GPs, and private providers. PCTs disbursed funds to them on an agreed tariff or contract basis, on guidelines set out by the Department of Health. The PCTs budget from the Department of Health was calculated on a formula basis relating to population and specific local needs. They were supposed to "break-even" – that is, not show a deficit on their budgets at the end of the financial year. Failure to meet financial objectives could result in the dismissal and replacement of a trust's board of directors, although such dismissals are enormously expensive for the NHS. 1807:

moving ahead of the others consistently across the available indicators of performance. There have been improvements in all four countries in life expectancy and rates of mortality amenable to health care. Despite the hotly contested policy differences between the four countries, there was little evidence, where there was comparable data, of any significant differences in outcomes. The authors also complained about the increasingly limited set of comparable data on the four health systems of the UK. Medical school places are set to increase by 25% from 2018.

47: 1561:

patient interactions out of 121 million where information from a previous visit could not be accessed. Half the Trusts using Electronic Medical Records use one of three systems and at least those three should be able to share information. A tenth of Trusts used multiple systems in the same hospital. Leigh Warren who participated in the research said, "Hospitals and GPs often don't have the right information about the right patient in the right place at the right time. This can lead to errors and accidents that can threaten patients' lives."

1645:

to just 13% saying the national press is favourable), and also that the national press is the least reliable source of information (50% rating it not very or not at all reliable, compared to 36% believing the press was reliable) . Newspapers were reported as being less favourable and also less reliable than the broadcast media. The most reliable sources of information were considered leaflets from GPs and information from friends (both 77% reported as reliable) and medical professionals (75% considered reliable).

1506:(NHSIA) was established by an Act of Parliament in 1999 to bring together four NHS IT and Information bodies (NHS Telecoms, Family Health Service (FHS), NHS Centre for Coding and Classification (CCC) and NHS Information Management Group (IMG)) to work together to deliver IT infrastructure and information solutions to the NHS in England. A 2002 plan was for NHSIA to implement four national IT projects: Basic infrastructure, Electronic records, Electronic prescribing, and Electronic booking, modeled after the large 1468:, an increasing number of hospitals were built (or rebuilt) by private sector consortia; hospitals may have both medical services such as ISTCs and non-medical services such as catering provided under long-term contracts by the private sector. A study by a consultancy company for the Department of Health shows that every £200 million spent on privately financed hospitals will result in the loss of 1000 doctors and nurses. The first PFI hospitals contain some 28 percent fewer beds than the ones they replaced. 5655: 154: 1590:, campaigning for the privacy of health data, said: "Patients should know how their data is used. There should be no surprises. While legitimate research for public health benefit is to be encouraged, it must always be consensual, safe, and properly transparent. Do patients know – have they even been told by the one in seven GP practices across England that pass on their clinical details – that their medical histories are being sold to multinational pharma companies in the US and around the world?" 1323:

staff and too few beds'. One Doctor even claimed, regarding masks '"We made our own and bought our own when we could find any—we depended on friends sourcing FFP3 masks, my son's school 3D printing visors,". This research revealed that during the COVID-19 pandemic, NHS employees believed the government had treated them unjustly. The report they released was also believed to be the first of its kind to be ever done where researchers go to the doctors themselves regarding policy-making during the

626:, dentists, optometrists (opticians), and other providers of local health care are almost all self-employed and contract their services back to the NHS. They may operate in partnership with other professionals, own and operate their surgeries and clinics, and employ their staff, including other doctors, etc. However, the NHS does sometimes provide centrally employed healthcare professionals and facilities in areas where there is insufficient provision by self-employed professionals. 448:. The Act has also become associated with the perception of increased private provision of NHS services. In reality, the provision of NHS services by private companies long precedes this legislation, but there are concerns that the new role of the healthcare regulator ('Monitor') could lead to increased use of private-sector competition, balancing care options between private companies, charities, and NHS organizations. NHS trusts responded to the 1344:) in the NHS to replace the previous system of consensus management. This was outlined in the Griffiths Report of 1983. This recommended the appointment of general managers in the NHS with whom responsibility should lie. The report also recommended that clinicians be better involved in management. Financial pressures continued to place strain on the NHS. In 1987, an additional £101 million was provided by the government to the NHS. In 1988 1177:) a hospital treating the victims of a road traffic accident was entitled to limited compensation (under the 1930 Act before any amendment, up to £25 per person treated) from the insurers of driver(s) of the vehicle(s) involved, but were not compelled to do so and often did not do so; the charge was in turn covered by the then legally required element of those drivers' motor vehicle insurance (commonly known as 1386:

Association (WPA, 0.9%) captured nearly the entire market in the early 1980s, a situation which would continue into the early 1990s. The early players became advocates for political changes to encourage switching to private healthcare, such as tax deductions for private health insurance premiums. At times they were also critical of what they saw as overcharging of private patients by UK hospitals.

630: 1830:

December 2022 over 7 million people were on a hospital waiting list in England, 1 in 8 English people. Many had waited for months. This was the largest number since the start of records. 37,837 patients waited over 12 hours for hospital admission after it had been decided to admit them in November 2022, 255% more than in 2021 and 3,303% more than in November 2019.

1308:

whistleblower on performance review, providing no assistance to them, starting a review process that can take months or years, possibly leading to mental health problems, and bullying and victimization by other staff. This process rarely ended with being redeployed in an organization, instead resulting in retirement, dismissal, or alternative employment.

400:, the welfare state, the mixed economy, supplies both of public and private housing and close regulation of the economy. There was one major exception: the National Health Service, which was widely popular and had wide support inside the Conservative Party. In 1982, Prime Minister Margaret Thatcher promised Britons that the NHS is "safe in our hands." 1139:(PCTs) responsibility for commissioning NHS dental services in response to local needs, and using NHS contracts to influence where dental practices were located, and in 2006 a new contract was introduced following Department of Health recommendations on how to cash limit NHS primary care dentistry. Professional bodies such as the 1390:

and risk creating a two-tier system in health care. The NHS at times resisted this change, for its part, attempted to block these developments, levying "top-up fees" on NHS services where patients also received private health care. WPA claimed to have received legal advice saying such payments were unlawful.

1560:

Twenty-one different electronic systems were used in the NHS in England to record data on patients in 2019. These systems do not communicate well with each other so a risk doctors are treating a patient will not know everything they need to know to treat the patient effectively. There were 11 million

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when a driver held only that amount of insurance). As the initial bill went to the driver rather than the insurer, even when a charge was imposed it was often not passed on to the liable insurer. It was common to take no further action in such cases, as there was no practical financial incentive (and

1164:

For those who qualify through need, the sight test is free, and a voucher system is employed to pay for or reduce the cost of lenses. There is a free spectacles frame and most opticians keep a selection of low-cost items. For those who already receive certain means-tested benefits, or who otherwise

1130:

The position of dentistry within the NHS has been contested frequently. At the inception of the NHS, three branches of dental service were established: local health authority dental service; general practitioner service; and hospital dental service. Dental treatment was initially free at the point of

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Because the NHS is not funded by a contributory insurance scheme in the ordinary sense and most patients pay nothing for their treatment there is thus no billing to the treated person nor any insurer or sickness fund as is common in many other countries. This saves hugely on administration costs that

851:

The NHS plays a unique role in the training of new doctors in England, with approximately 8,000 places for student doctors each year, all of which are attached to an NHS University Hospital trust. After completing medical school, these new doctors must go on to complete a two-year foundation training

1806:

produced a report comparing the performance of the NHS in the four countries of the UK since devolution in 1999. They included data for the North East of England as an area more similar to the devolved areas than the rest of England. They found that there was little evidence that any one country was

1389:

Around 2007 companies launched insurance plans which provided a health "top-up" cover meant to supplement NHS treatment, including reimbursement for cancer drugs which the NHS had not approved for use. This led to criticism, among other things, that the products would undermine the values of the NHS

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accepted that the review made sense in principle but stated: "It would be scandalous if the government simply hoped to use these plans as an excuse to cut services and starve the NHS of the funding it desperately needs. While the NHS must become more efficient and sustainable for future generations,

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were produced in 2016 as a method of dealing with the service's financial problems. These plans appear to involve loss of services and are highly controversial. The plans are possibly the most far-reaching change to health services for decades and the plans should contribute to redesigning care to

1185:

The Road Traffic (NHS Charges) Act 1999 introduced a standard national scheme for recovery of costs using a tariff based on a single charge for out-patient treatment or a daily charge for in-patient treatment; these charges again ultimately fell upon insurers. This scheme did not however fully cover

1644:

found high-profile media spectacles may function as part of a wider 'blame business', in which the media, lawyers and regulators have vested interests. The survey found that most people believe that the national press is generally critical of the service (64% reporting it as being critical compared

1322:

In research from BMA, 81% of respondents (NHS workers) believed they were only partly or not at all protected during the third wave. BMA also stated that the British government was unprepared for the Covid-19 outbreak and that the underfunding of the NHS left the UK 'Brutally exposed' with 'too few

1311:

An issue identified by the report was the use of "gagging clauses" involved in settlements surrounding the termination of employment of those who whistleblow. While the report found that all the contracts were legal, it noted that the language used was often complicated and legalistic, a culture of

1069:

This means that people generally do not pay anything for their doctor visits, nursing services, surgical procedures or appliances, consumables such as medications and bandages, plasters, medical tests, and investigations, x-rays, CT or MRI scans, or other diagnostic services. Hospital inpatient and

612:

In the year ending in March 2017, there were 1.187 million staff in England's NHS, 1.9% more than in March 2016. There were 34,260 unfilled nursing and midwifery posts in England by September 2017, this was the highest level since records began. 23% of women giving birth were left alone part of the

1829:

Following the start of the COVID-19 pandemic, there was a dramatic increase in the backlog of people waiting for treatment. The BMI said "the backlog in secondary care consists of the care that the NHS would normally have delivered but which was disrupted as COVID-19 impacted service delivery". In

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found that the NHS tops the list of "things that makes us most proud to be British" at 48%. An independent survey conducted in 2004 found that users of the NHS often expressed very high levels of satisfaction about their personal experience of the medical services. Of hospital inpatients, 92% said

1585:

Information on millions of NHS patients in England was sold to international pharmaceutical companies, in the US and other nations for research, adding to concerns over USA ambitions to access remunerative parts of the NHS after Brexit. There is concern over a lack of transparency and clarity over

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the equipment and products that it uses and dentistry, eye care, pharmacy, and most GP practices are provided by the private sector, the outsourcing of hospital health care has always been controversial. The involvement of private companies regularly draws the suspicion of NHS staff, the media and

1146:

NHS dentistry charges as of April 2017 were: £20.60 for an examination; £56.30 for a filling or extraction; and £244.30 for more complex procedures such as crowns, dentures, or bridges. As of 2007, less than half of dentists' income came from treating patients under NHS coverage; about 52% of

1100:

Prescriptions for medication in England and Wales are subject to a fixed charge per item for up to three months' supply, regardless of the actual cost of the medicine. Some people qualify for free prescriptions. Higher charges apply to medical appliances. Pharmacies or other dispensing contractors

1598:

Waiting times for routine surgery have fallen substantially since 2000. As of July 2019, the median wait for planned care in England is under 8 weeks. The number of people waiting over 12 months has fallen from over 200,000 in the 1980s to under 2000 in 2019. However the number of patients on the

1532:

Despite problems with internal IT programs, the NHS has broken new ground in providing health information to the public via the Internet. In June 2007 www.nhs.uk was relaunched under the banner "NHS Choices" as a comprehensive health information service for the public now known simply as "The NHS

1201:

Car parking charges are a minor source of revenue for the NHS, with most hospitals deriving about 0.25% of their budget from them. The level of fees is controlled individually by each trust. In 2006 car park fees contributed £78 million towards hospital budgets. Patient groups are opposed to such

1004:

The population of England is aging, which has led to an increase in health demand and funding. From 2011 to 2018, the population of England increased by about 6%. The number of patients admitted to hospital in an emergency went up by 15%. There were 542,435 emergency hospital admissions in

3117:

This is stronger than population growth over the same period (0.8% per year) and therefore real per-capita spending will increase by 3.5%. However, after accounting for changes to the age structure of the population, real age-adjusted per-capita spending will be slightly below 2009–10 levels in

1417:

Several factors drove these reforms; they include the rising costs of medical technology and medicines, the desire to improve standards and "patient choice", an aging population, and a desire to contain government expenditure. (Since the National Health Services in Wales, Scotland, and Northern

1210:

There are over 300 official NHS charities in England and Wales. Collectively, they hold assets over £2 billion and have an annual income of over £300 million. Some NHS charities have their independent board of trustees whilst in other cases the relevant NHS trust acts as a corporate

1536:

In a break with the norm for government sites, www.nhs.uk allows users to add public comments giving their views on individual hospitals and to add comments to the articles it carries. It also enables users to compare hospitals for treatment via a "scorecard". In April 2009 it became the first

1134:

Dentists are private contractors to the NHS, which means practitioners must purchase and maintain the practice premises, equip the surgery, and hire staff to provide an NHS dental service. The contract between the NHS and dentists determines what work is provided for under the NHS, payments to

1705:

The absence of identity/residence checks on patients at clinics and hospitals allows people who ordinarily reside overseas to travel to the UK to obtain free treatment, at the expense of the UK taxpayer. A report published in 2007 estimates that the NHS bill for treatment of so-called 'health

1541:

daily health news analysis service, which critically appraises media stories and the science behind them, was declared Best Innovation in Medical Communication in the prestigious BMJ Group Awards 2009. and in a 2015 case study was found to provide highly accurate and detailed information when

1752:

Concerning assessing, maintaining, and improving the quality of healthcare, in common with many other developed countries, the UK government has separated the roles of suppliers of healthcare and assessors of the quality of its delivery. Quality is assessed by independent bodies such as the

1104:

As of March 2023 the NHS prescription charge in England was £9.35 per item (in Scotland, Wales and Northern Ireland there is no charge for items prescribed on the NHS). People over sixty, children under sixteen (or under nineteen if in full-time education), patients with certain medical

358:, published in 1937, had fomented extensive debate about the severe inadequacies of healthcare. The author's innovative ideas were not only essential to the conception of the NHS but in fact, his best-selling novels are said to have greatly contributed to the Labour Party's victory in 1945. 1385:

Along with the push to privatize the delivery of NHS services came. a growing interest in private medical care and private insurance with which to pay for it. Three companies, the British Union Provident Association (BUPA, 76.4%), Private Patient's Plan (PPP, 19.7%), and Western Provident

1285:

said many current transformation plans involve shifting or closing services. Gainsbury added, "Our research finds that, in a lot of these kinds of reconfigurations, you don't save very much money – all that happens is the patient has to go to the next hospital down the road. They're more

1572:

systems by the end of 2023 and that the remaining 10% of trusts without them must be in the implementation phase by December 2023. He wants 80% of social care providers to have a digital record in place by March 2024. He also said he wanted 75% of adults in England to have downloaded the

1307:

of care due to fear or low expectations, and that some staff who raised concerns had bad experiences and suffered unjustifiable consequences which the report described as "shocking". There is a culture of bullying towards those who raise concerns. This response may consist of placing the

1105:

conditions, and those with low incomes, are exempt from charges, subject to penalties for claiming exemption when not entitled. Those who require repeated prescriptions may purchase a single-charge pre-payment certificate that allows unlimited prescriptions during its period of validity.

1249:'s January 2015 report on the Coalition Government's 2012 reforms concluded that while marketization had increased, claims of mass privatization were exaggerated. Private firms provide services in areas such as community service, general practice and mental health care. An article in 376:

Healthcare before the war had been an unsatisfactory mix of private, municipal, and charity schemes. Bevan decided that the way forward was a national system rather than a system operated by local authorities. He proposed that each resident of the UK would be signed up to a specific

856:. Most go on to complete their foundation training years in an NHS hospital although some may opt for alternative employers such as the armed forces. Most NHS staff, including non-clinical staff and GPs (although most GPs are self-employed), are eligible to join the 1413:

Labour came to power in 1997 with the promise to remove the "internal market" and abolish fundholding. However, in his second term, Blair renounced this direction. He pursued measures to strengthen the internal market as part of his plan to "modernize" the NHS.

1373:

defined this "internal market", whereby health authorities ceased to run hospitals but "purchased" care from their own or other authorities' hospitals. Certain GPs became "fund holders" and were able to purchase care for their patients. The "providers" became

1670:

In 2008 there was a decreasing availability of NHS dentistry following a new government contract and a trend towards dentists accepting private patients only, with 1 in 10 dentists having left the NHS. However, in 2014 the number of NHS dental patients

408:

The NHS was established within the differing nations of the United Kingdom through differing legislation, and as such there has never been a singular British healthcare system, instead there are 4 health services in the United Kingdom; NHS England, the

879:

should receive a 1% pay rise for 2021–2022, citing the 'uncertain' financial situation and the current low inflation. This is estimated to cost £500 million a year, as almost half of the NHS's budget goes on staffing costs (at £56.1 billion). The

1189:

Since January 2007, the NHS must claim back the cost of treatment, and ambulance services, for those who have been paid personal injury compensation. In the last year of the scheme immediately preceding 2007, over £128 million was reclaimed.

253:), available to legal UK residents regardless of nationality (but not non-resident British citizens), can access the full breadth of critical and non-critical medical care, without payment except for some specific NHS services, for example 248:

is popularly considered the NHS's founder, despite never formally being referred to as such. In practice, "free at the point of use" normally means that anyone legitimately and fully registered with the system (i.e. in possession of an

1517:(NPfIT) was announced by the Department of Health. It was widely seen as a failure, and blamed for delaying the implementation of IT in the service. Even in 2020, it appeared most of the 1.38 million NHS computers were still using 464:

The NHS was born out of a long-held ideal that good healthcare should be available to all, regardless of wealth. At its launch by the then minister of health, Aneurin Bevan, on 5 July 1948, it had at its heart three core principles:

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similarly criticized the proposal as 'reprehensible' and claimed that it goes against a government 'promise' made in 2020 to give NHS workers a 2.1% pay rise, which was voted for in a long-term spending plan in January 2020 but the

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England in October 2018, 5.8% more than in October 2017. Health spending in England is expected to rise from £112 billion in 2009/10 to £127 billion in 2019/20 (in real terms), and spending per head will increase by 3.5%.

235:

Free healthcare at the point of use comes from the core principles at the founding of the National Health Service. The 1942 Beveridge cross-party report established the principles of the NHS which was implemented by the

5636:

Geoffrey Rivett (1998) From Cradle to Grave, 50 years of the NHS. Kings Fund, 1998, Covers both clinical developments in the 50 years and financial/political/organizational ones. kept up to date at www.nhshistory.net

892:

has criticized the pay rise, calling it 'pitiful' and said that nurses should be getting 12.5% more; it has also agreed to set up a £35m fund to support members in the event of a strike. Other unions have threatened

4762:

Taylor, Joseph W.; Long, Marie; Ashley, Elizabeth; Denning, Alex; Gout, Beatrice; Hansen, Kayleigh; Huws, Thomas; Jennings, Leifa; Quinn, Sinead; Sarkies, Patrick; Wojtowicz, Alex; Newton, Philip M. (17 June 2015).

1457:(ISTCs) urged the government to restore the NHS to a service based on public provision, not private ownership; co-operation, not competition; integration, not fragmentation; and public service, not private profits. 1312:

fear deterred public interest disclosures even when they were not in breach of contract, and that the terms were often unnecessarily restrictive, for example by making the existence of the agreement confidential.

1818:. In some places, there was no access at all to consultant neurologists or nurses. The number of new consultant adult neurology outpatient appointments varied between 2,531 per 100,000 resident population in 3830: 1556:

Eleven of the NHS hospitals in the West London Cancer Network were linked using the IOCOM Grid System in 2009. This helped increase collaboration and meeting attendance and even improved clinical decisions.

1255:

suggested that the private sector tends to choose to deliver the services that are the most profitable, additionally, because the private sector does not have intensive care facilities if things go wrong.

1131:

use; however charges were introduced in 1951 for dentures – leading to the resignation of the architect of the NHS and Minister for Labour, Aneurin Bevan in March 1951 – and in 1952 for other treatments.

479:

These three principles have guided the development of the NHS for more than half a century and remain. However, in July 2000, a full-scale modernization program was launched and new principles were added.

296:

was enacted on 5 July 1948. Private health care has continued parallel to the NHS, paid for largely by private insurance: it is used by about 8% of the population, generally as an add-on to NHS services.

1433:, strict financial budgeting, revised job specifications, reintroduction of "fundholding" (under the description "practice-based commissioning"), closure of surplus facilities and emphasis on rigorous 1143:

have complained that the 2006 contract changes introduced a remuneration system which fails to incentivize disease prevention, leading to declining patient outcomes and that radical reform was needed.

4125: 844:

A 2012 analysis by the BBC estimated that the NHS across the whole UK has 1.7 million staff, which made it fifth on the list of the world's largest employers (well above Indian Railways). In 2015 the

5282: 1016:(BMA) has called for £10bn more annually for the NHS to get in line with what other advanced European nations spend on health. In June 2018 ahead of the NHS' 70th Anniversary then Prime Minister 1049:. The NHS budget is largely in the hands of a new body, NHS England. NHS England commissions specialist services and primary care. Acute services and community care are commissioned by local 1772:

700 hospital patients suffered harm in serious incidents due to treatment delays in part of 2015–16, 1,027 hospital patients suffered similar harm in 2016-17 and this rose to 1,515 in 2017–18.

616:

Nearly all hospital doctors and nurses in England are employed by the NHS and work in NHS-run hospitals, with teams of more junior hospital doctors (most of whom are in training) being led by

425:, which sets out the legal rights and responsibilities of the NHS, its staff, and users of the service, and makes additional non-binding pledges regarding many key aspects of its operations. 2732: 2070: 1112:, whose limited budgets include responsibility for the difference between medicine costs and the low, fixed prescription charge. This has led to disputes whether some expensive drugs (e.g., 1026:

describes the process of setting the NHS budget as far too random - "decided on the back of headlines, elections and anniversaries rather than on rational calculations of demand and cost."

3499: 1268:

manage increased patient demand. Some A&E units will close, concentrating hospital care in fewer places. Nearly two-thirds of senior doctors fear the plans will worsen patient care.

1211:

trustee. Charitable funds are typically used for medical research, larger items of medical equipment, aesthetic and environmental improvements, or services that increase patient comfort.

421:, which were run by the respective UK government ministries for each home nation before falling under the control of devolved governments in 1999. In 2009, NHS England agreed to a formal 1838:

The NHS provides mental health services free of charge but normally requires a referral from a GP first. Services that do not need a referral include psychological therapies through the

5038: 945:

At the end of 2021, there were 99,000 vacancies in the English NHS. 39,000 more nurses were needed, together with 1,400 more anesthetists, 1,900 more radiologists, and 2,500 more GPs.

2531: 1487:

In the 1980s and 90s, NHS IT spent money on several failed IT projects. The Wessex project, in the 1980s, attempted to standardize IT systems across a regional health authority. The

1202:

charges. This contrasts with Scotland where car park charges were mostly scrapped from the beginning of 2009 and with Wales where car park charges were scrapped at the end of 2011.

1449:

agreement aimed to provide harmonized pay and career progression. These changes have given rise to controversy within the medical professions, the news media, and the public. The

989:

to commission services. The bill became law in March 2012 with a government majority of 88 and following more than 1,000 amendments in the House of Commons and the House of Lords.

3732: 228:

to all legal English residents and residents from other regions of the UK, with most services free at the point of use for most people. The NHS also conducts research through the

5329: 1762: 848:

reported that there were 587,647 non-clinical staff in the English NHS. 17% worked supporting clinical staff. 2% in cleaning and 14% administrative. 16,211 were finance staff.

1418:

Ireland are not controlled by the UK government, these reforms have increased the differences between the National Health Services in different parts of the United Kingdom. See

620:, each of whom is trained to provide expert advice and treatment within a specific specialty. From 2017, NHS doctors must reveal how much money they make from private practice. 932: 1286:

inconvenienced... but it rarely saves the money that's needed." By contrast, NHS England claims that the plans bring joined-up care closer to home. Senior Liberal Democrat MP

1275:

closures and a reduction in the number of beds in many areas among other changes. There is concern that hospital beds are being closed without increased community provision.

597:

www.nhs.uk is the primary public-facing NHS website, providing comprehensive official information on services, treatments, conditions, healthy living and current health topics

1842:

initiative, and treatment for those with drug and alcohol problems. The NHS also provides online services that help patients find the resources most relevant to their needs.

1370: 1214:

In addition to official NHS charities, many other charities raise funds that are spent through the NHS, particularly in connection with medical research and capital appeals.

931:

similarly argued that the decision was due to an assessment of what was affordable due to the pandemic and that NHS staff was excluded from a wider public sector pay freeze.

3714: 2820: 1630: 1271:

Consultation will start over cost saving, streamlining, and some service reduction in the National Health Service. The streamlining will lead to ward closures including

1245:

Outsourcing and privatization have increased in recent years, with NHS spending on the private sector rising from £4.1 billion in 2009–10 to £8.7 billion in 2015–16. The

553:, giving them an independent legal status and greater financial freedoms. The following types of NHS trusts and foundation trusts provide NHS services in specific areas: 5688: 2133: 1618: 1291:

redesigning of care models will only get us so far – and no experts believe the Conservative doctrine that an extra £8bn funding by 2020 will be anywhere near enough."

325: 4656: 3819: 385:

and the list system for general practice. Patients would have access to all medical, dental, and nursing care they needed without having to pay for it at the time.

229: 3945: 1074:

might otherwise involve complex consumable tracking and usage procedures at the patient level and concomitant invoicing, reconciliation, and bad debt processing.

173: 918: 313: 120: 1667:, booking appointments and elective surgery, and a national care records service. The program ran into delays and overspending before it was finally abandoned. 1070:

outpatient services are free, both medical and mental health services. Funding for these services is provided through general taxation and not a specific tax.

3672: 4572: 4406: 4126:"The UK Government 'failed in its duty of care' to doctors and the healthcare workforce in its handling of the pandemic, says BMA - BMA media center - BMA" 1839: 3360: 2446: 864:

scheme. Among the current challenges with recruiting staff are pay, work pressure, and difficulty recruiting and retaining staff from EU countries due to

5754: 5744: 414: 2408: 549:

Several types of organizations are commissioned to provide NHS services, including NHS trusts and private sector companies. Many NHS trusts have become

5723: 1464:

government, whilst leaving services free at the point of use, encouraged outsourcing of medical services and support to the private sector. Under the

3917: 1814:'s Neurology Intelligence Network based on hospital outpatient data for 2012–13 showed that there was significant variation in access to services by 5439: 3388:

Department of Health: Reforming NHS Dentistry – Thirtieth Report of Session 2004-05; Report, Together with Formal Minutes, Oral and Written Evidence

2290: 2061: 3879: 1108:

The high and rising costs of some medicines, especially some types of cancer treatment, means that prescriptions can present a heavy burden to the

5759: 3777: 914: 269:. These charges are usually lower than equivalent services provided by a private provider and many are free to vulnerable or low-income patients. 166: 5585: 3412: 2637: 5352: 4732: 1529:, the organization set up to manage NHS information technology was supervising the migration and has the power to impose sanctions on laggards. 1135:

dentists, and charges to patients. The contract is regularly revised – in 2003, the Government announced major changes to NHS dentistry, giving

2427: 1264: 998: 1702:

medicines, which are not supported by scientific research. £4 million of funding was given in 2010. The NHS ceased funding homeopathy in 2017.

884:

estimated that nurses' pay would be £2,500 less than in 2010, paramedics' pay would be £3,330 less and porters' pay would be £850 less due to

5681: 5630: 4983: 4576: 4161: 3992: 3196: 3017: 1674:

There have been several high-profile scandals within the NHS. In the past three decades, there have been scandals at acute hospitals such as

445: 4932: 5544: 1929: 1730: 907: 903: 872: 527: 309: 221: 133: 3150: 1101:

are reimbursed for the actual cost of the medicines through NHS Prescription Services, a division of the NHS Business Services Authority.

330: 3214: 2974: 2217: 5320: 1599:

waiting list has risen recently as constrained funding, hospital beds and staffing growth has not kept up with increasing patient need.

1454: 177: 5261: 3743: 3133: 432:

came into effect in April 2013, giving GP-led groups responsibility for commissioning most local NHS services. Starting in April 2013,

3477: 1161:

From 1 April 2007, the NHS Sight Test Fee (in England) was £19.32, and there were 13.1 million NHS sight tests carried out in the UK.

3646: 1613:

Smoking is the greatest cause of avoidable illness and death in England and costs the NHS £2.5 billion a year and the economy £11bn.

5611: 3396: 3249: 2939: 1226: 511:

Respect the confidentiality of individual patients and provide open access to information about services, treatment, and performance

162: 2957: 2779: 2387: 2145: 1315:

Surgeon Peter Duffy wrote about his experiences of whistleblowing following an avoidable death in an independently published book,

4548: 2811: 1695:

stated: "An NHS trust has spent more than £12,000 on private treatment for hospital staff because its waiting times are too long."

1020:

announced extra funding for the NHS worth an average real terms increase of 3.4% a year, reaching £20.5 billion extra in 2023/24.

5674: 5003: 3348: 1862: 1542:

compared to other sources In 2012, NHS England launched the NHS Apps Library, listing apps that had been reviewed by clinicians.

997:

The total budget of the Department of Health in England in 2017/18 was £124.7 billion. £13.8 billion was spent on medicines. The

925: 293: 985:. It claimed to shift power from the center to GPs and patients, moving somewhere between £60 and £80 billion into the hands of 2499: 1222: 1193:

From April 2019 £725 is payable for outpatient treatment, £891 per day for inpatient treatment and £219 per ambulance journey.

1046: 961: 535: 521: 429: 5403: 1156: 3373: 2715: 2694: 1709:

Negative media coverage about the NHS commonly focuses on staff shortages and the consequences on patients' health and care.

546:(CCGs) across England. The CCGs commission most services in their areas, including hospital and community-based healthcare. 3861: 2733:"The Department of Health and Social Care's written evidence to the NHS Pay Review Body (NHSPRB) for the 2021/22 Pay Round" 1867: 1738: 1660: 1608: 5235: 1984: 1815: 1050: 1009: 986: 543: 437: 422: 5300: 4463: 967: 213: 3739: 3521: 2358: 1758: 1450: 1430: 1013: 193: 5457: 5384: 1537:

official site to publish hospital death rates (Hospital Standardised Mortality Rates) for the whole of England. Its

4909: 2675: 1510:

tele-nurse and healthcare website program. The NHSIA functions were divided into other organizations by April 2005.

341: 5749: 5615: 5519: 1746: 1465: 1300: 1140: 982: 370: 4957: 4869: 4847: 2010: 4529: 1683: 1569: 1514: 1503: 530:(DHSC), which takes political responsibility for the service. Resource allocation and oversight was delegated to 5633:( Authoritative analysis of policy making (political not clinical)in the NHS from its birth to the end of 2009) 4602: 1882: 1819: 1675: 1488: 1083: 889: 600: 567: 4345: 1641: 913:

defended the 1% pay rise, stating that the government was giving workers "as much as we can" in light of the

5697: 3039: 2337: 1793: 1766: 1734: 1403: 973:

on health reform, published in July 2010, set out a significant reorganization of the NHS. The white paper,

853: 564:

and specialist care in around 1,600 NHS hospitals (some trusts run between 2 and 8 different hospital sites)

490:

Shape its services around the needs and preferences of individual patients, their families, and their carers

381:(GP) as the point of entry into the system, building on the foundations laid in 1912 by the introduction of 209: 201: 46: 3265: 2035: 3956: 3796: 1877: 1780:

stated during 2017-18 the NHS was short of 93,000 staff, which included 10,000 doctors and 37,000 nurses.

1686:

during the first decade of the 21st century highlighted poor care and high mortality rates among patients.

1664: 1471:

The NHS was also required to take on pro-active socially "directive" policies, for example, in respect of

845: 586: 2294: 1545:

In 2018, the NHS announced they would abandon the name NHS Choices, and in the future, call the site the

2904: 1811: 1754: 1742: 1679: 1614: 1174: 881: 841:

Note that due to methodological changes, the 1978 figure is not directly comparable with later figures.

316:. The Department of Health and Social Care had a £110 billion budget in 2013–14, most spent on the NHS. 1904: 1721:

found just 8% of people surveyed in England thought the government plans for the NHS were appropriate.

337:. As health minister from 1945 to 1951, he spearheaded the establishment of the National Health Service 561: 5362: 4776: 4740: 4631: 2999: 2268: 1956: 1438: 1095: 897:

and warned that the proposal could lead to staff quitting their jobs, worsening staffing issues. The

623: 550: 539: 378: 305: 262: 94: 3692: 3581: 2316: 1652:

Some extremely expensive treatments may be available in some areas but not in others, the so-called

1366:, which was to shape the structure and organization of health services for most of the next decade. 1691: 1434: 578: 449: 354: 4765:"When Medical News Comes from Press Releases—A Case Study of Pancreatic Cancer and Processed Meat" 3429: 17: 4107: 4050: 2905:"Britain's Labour calls government's health pay offer "reprehensible", steps up budget criticism" 1857: 1495:

was an attempt to develop a new electronic language of health, later scheduled to be replaced by

1136: 1109: 1035: 978: 857: 433: 393: 382: 301: 217: 5147:"Reactivity and reactions to regulatory transparency in medicine, psychotherapy and counselling" 1930:"NHS Workforce Statistics - April 2024 (Including selected provisional statistics for May 2024)" 1182:

often a financial disincentive due to potential legal costs) for individual hospitals to do so.

4696: 5626: 5607: 5169: 5127: 4804: 4511: 4503: 4416: 4387: 4327: 4278: 4230: 4212: 4157: 4130:

The British Medical Association is the trade union and professional body for doctors in the UK

4099: 4091: 4042: 4034: 3988: 3825: 3620: 3392: 3245: 2935: 1803: 1718: 1446: 1399: 1348: 1324: 939: 898: 241: 3984:

Whistle in the Wind: Life, Death, Detriment and Dismissal in the NHS. a Whistleblower's Story

2092: 5161: 5119: 4794: 4784: 4495: 4379: 4317: 4309: 4268: 4260: 4220: 4081: 4070:"Covid-19: Doctors' wellbeing must be "critical priority" after pandemic mistakes, says BMA" 4024: 4013:"Covid-19: Doctors' wellbeing must be "critical priority" after pandemic mistakes, says BMA" 3109: 1872: 1852: 1653: 1382:. Increasing competition may have been statistically associated with poor patient outcomes. 1379: 1272: 1225:

was approved by the government before being found illegal. The idea continued to become the

928: 366: 2183: 3650: 3304: 3084: 1777: 1472: 1398:

These innovations, especially the "fund holder" option, were condemned at the time by the

1251: 300:

The NHS is largely funded from general taxation, with a small amount being contributed by

237: 5654: 4368:"Most disputes between insurers and doctors relate to incorrect coding, conference hears" 3349:

Dentistry and National Health Service Act A SOCIALIST MEDICAL ASSOCIATION MEMORANDUM 1947

2599: 2195: 2113: 1053:(CCGs) led by GPs. From April 2021 all CCGs have become part of Integrated Care Systems. 153: 4780: 3279: 4870:"IOCOM Offers Innovative Visual Communication Solution to UK'S National Health Service" 4799: 4764: 4598: 4322: 4297: 4273: 4248: 4225: 4200: 1799: 1345: 1279: 1246: 582: 557: 281: 266: 205: 4573:"New generation surgery-centres to carry out thousands more NHS operations every year" 1970: 1729:

There are many regulatory bodies with a role in the NHS, both government-based (e.g.,

5738: 5478: 4606: 4111: 4054: 1304: 1125: 949: 910: 894: 334: 285: 245: 216:. Primarily funded by the government from general taxation (plus a small amount from 116: 5165: 4353:

Financial Times (quoted in Seely, Anthony, Tax relief for private medical insurance)

2178:

Rudolf Klein, "Why Britain's conservatives support a socialist health care system."

373:

established in 1939 gave a taste of what a National Health Service might look like.

5713: 5462: 5007: 3865: 3062: 2961: 2699: 2392: 1745:). Independent accreditation groups exist within the UK, such as the public sector 1423: 935: 921: 410: 397: 349: 273: 3606: 542:) and some specialist services, and allocates funding to 211 geographically based 436:(PCTs) began to be replaced by general practitioner (GP)-led organizations called 5089: 4789: 3982: 3386: 2958:

Revealed: NHS planning to draft thousands of volunteers as it faces winter crisis

30:

This article is about the health service in England. For its oversight body, see

5213: 5188: 4441: 4177: 3880:"NHS plans closures and radical cuts to combat growing deficit in health budget" 3551: 3452: 3326: 2842: 2521:

Includes midwives, ambulance staff, scientific, therapeutic, and technical staff

1934: 1789: 1773: 1565: 1352: 1287: 1238: 1023: 1017: 970: 629: 531: 441: 389: 31: 4499: 4153:

Reorganising the National Health Service: An Evaluation of the Griffiths Report

2555: 1165:

qualify, participating opticians use tables to find the amount of the subsidy.

5440:

Public support for UK government's handling of NHS in England drops to new low

5123: 5046: 4313: 1699: 1636: 1525:

until 14 January 2021 before the migration to Windows 10 could be completed.

1507: 1461: 1442: 1282: 1039: 617: 572: 396:, wherein the major political parties largely agreed on the central themes of 250: 225: 5568: 5501: 5422: 5239: 5020: 4890: 4507: 4483: 4420: 4391: 4264: 4216: 4095: 4038: 3898: 3759: 3166: 2656: 2622: 2464: 5718: 5357: 4411: 4367: 4151: 4012: 1823: 1522: 1518: 1496: 1492: 1419: 1407: 1375: 1113: 917:

and that he was "massively grateful" to the health and social care workers.

885: 418: 289: 258: 5173: 5131: 4808: 4515: 4407:"Insurance policy promises to supply the cancer drugs NHS will not pay for" 4103: 4046: 3844: 3351:". Socialist Medical Association. 17 June 1947. Retrieved 29 December 2013. 2242: 2062:"70 years of the NHS: how Aneurin Bevan created our beloved health service" 1521:, which was released in 2009, and additional support had to be arranged by 496:

Work continuously to improve the quality of services and to minimize errors

5666: 5458:"Leaked figures reveal more patients coming to harm as NHS standards fall" 4331: 4282: 4234: 1303:, it was concluded that some staff in England felt unable or unwilling to 452:—which involved making £20 billion in savings across the service by 2015. 5443: 3182: 277: 254: 3500:"Totals for England, Scotland and Wales – 1 April 2006 to 31 March 2007" 3085:"Winter pressure fears after highest ever emergency hospital admissions" 3677: 2875: 1574: 1550: 1476: 1218: 1034:

From 2003 to 2013 the principal fundholders in the NHS system were the

977:, with implications for all health organizations in the NHS abolishing 876: 861: 197: 83: 4958:"Statistics » Consultant-led Referral to Treatment Waiting Times" 4383: 4086: 4069: 4029: 3733:"Survey of the general public's views on NHS system reform in England" 1362:

were produced. These outlined the introduction of what was termed the

5353:"NHS bill for treatment of 'health tourists' soars to more than £62m" 5108:"Medical regulation, spectacular transparency and the blame business" 3215:"NHS to get extra £384 million per week after Brexit Government says" 3134:"Hospital waiting lists 'will rise above 5 million' as targets slide" 2577: 2388:"Parts of NHS England only able to fill one in 400 nursing vacancies" 1441:. Some new services were developed to help manage demand, including 1429:

Reforms included (amongst other actions) the laying down of detailed

1001:

reports annually on the summarised consolidated accounts of the NHS.

865: 362: 2748: 2093:"UK Dentist Prices – Compare NHS and Private Dental Treatment Costs" 440:(CCGs). Under the new system, a new NHS Commissioning Board, called 5107: 4822: 2812:"Tory minister 'pleasantly surprised' by 1% pay rise for NHS staff" 2447:"Rise in attacks on NHS workers blamed on lack of staff and delays" 460:

The principal NHS website states the following as core principles:

3820:"How the creeping privatization of healthcare is damaging the NHS" 2638:"NHS staff 'quitting to work in supermarkets because of poor pay'" 2578:"Inquiry on Maximising the Contribution of NHS Non-Clinical Staff" 1714: 508:

Help to keep people healthy and work to reduce health inequalities

483:

The main aims of the additional principles are that the NHS will:

340: 329: 272:

The NHS provides the majority of healthcare in England, including

172: 161: 3916:

Walker, Peter; Stewart, Heather; Taylor, Diane (26 August 2016).

2409:"NHS leaves one in four mothers alone during labor or childbirth" 1765:(NICE). Responsibility for assessing quality transferred to the 392:

represented a systematic, decisive rejection and reversal of the

5385:"Short-staffed NHS failing on bowel cancer detection in England" 1526: 1066:

The vast majority of NHS services are free at the point of use.

5670: 5021:"NHS 'tobacco-free' campaign launched by Public Health England" 4201:"Private health insurance in Britain: public opting out of NHS" 3183:"NHS 'not fit for 21st Century', says chief hospital inspector" 2716:"NHS winter crisis fears grow after thousands of EU staff quit" 1587: 1410:

the NHS became a major feature of Labour's election campaigns.

1340:

The 1980s saw the introduction of modern management processes (

526:

The English NHS is controlled by the UK government through the

5661:

From Cradle to Grave – the first 50 years of the NHS 1998–2007

5572: 5423:"NHS staff shortages 'mean patients dying alone' in hospitals" 5093: 5039:"Six in ten prefer to be British than of any country on earth" 4984:"NHS cancels 14% of operations at last minute, research finds" 4895: 3763: 3197:"BMA calls for extra £10bn a year for NHS in Hammond's budget" 3170: 2428:"Concern at rising infant mortality rate in England and Wales" 2359:"NHS Workforce Statistics: March 2017, Provisional Statistics" 2114:"Optician and Eye Care Prices – Compare the Cost of Eye Tests" 1045:

In April 2013 a new system was established as a result of the

502:

Use public funds for healthcare devoted solely to NHS patients

308:. The UK government department responsible for the NHS is the 5660: 3797:"The NHS under the coalition government Part one: NHS reform" 2876:"NHS 1% pay rise is 'as much as we can give' - Boris Johnson" 345:

Leaflet concerning the launch of the NHS in England and Wales

3376:". British Dental Association. 2018. Retrieved 15 April 2019 2600:"www.study-medicine.co.uk British Medical School Statistics" 2218:"NHS Constitution for England. Department of Health website" 1351:

announced a review of the NHS. From this review in 1989 two

180:, another large NHS hospital in England, which has 1213 beds 593:

Some services are provided at a national level, including:

538:. NHS England commissions primary care services (including 5623:

The New Politics of the NHS: From creation to reinvention.

5321:"High Court backs NHS decision to stop funding homeopathy" 4657:"Most NHS computers running decade-old version of Windows" 3760:

Patients 'could have been harmed' after Capita outsourcing

2269:"The NHS in England – About the NHS – NHS core principles" 505:

Work with others to ensure a seamless service for patients

169:, which with 1237 beds is one of the largest NHS hospitals 5520:"Patients face postcode access to neurology appointments" 5479:"The four health systems of the UK: How do they compare?" 4714: 3151:"NHS accused of keeping secret its plans to cut services" 475:

That it is based on clinical need, not the ability to pay

5663:

the contemporary chapter dealing with the NHS in England

5404:"Charities call for NHS to stop rationing critical care" 5145:

McGivern, Gerry; Fischer, Michael D. (1 February 2012).

3862:

Senior doctors warn of hospital closures in NHS shake-up

3391:. House of Commons: Committee of Public Accounts. 2005. 2146:"Immigration health surcharge: information for migrants" 3522:"NHS Charges: Increase for accidents from 1 April 2019" 493:

Respond to the different needs of different populations

304:

payments and from fees levied by recent changes in the

5648: 5004:

Smokers forced to quit on their own after funding cuts

4465:

Priority setting: managing individual funding requests

3715:"BMA – Privatisation and independent sector providers" 3167:

The worst is yet to come for the NHS - hospital chiefs

2695:"NHS chief tells ministers: face up to the pay crisis" 2623:"NHS 'haemorrhaging' nurses as 33,000 leave each year" 2465:"NHS doctors told to declare income from private work" 1971:"Am I entitled to NHS treatment when I visit England?" 952:

stated there were 133,000 NHS vacancies in late 2022.

365:

service was one of the fundamental assumptions in the

144: 4933:"Patient data from GP surgeries sold to US companies" 4678: 3363:, Hansard Volume 487: debated on Monday 23 April 1951 2953: 2951: 2735:, Department of Health and Social Care, 4 March 2021. 2657:"General election 2017: NHS pay cap 'must be lifted'" 1763:

National Institute for Health and Clinical Excellence

1568:

declared that at least 90% of NHS trusts should have

1147:

dentists' income was from treating private patients.

868:. and there are fears that doctors could also leave. 3918:"NHS plans 'not just about closures', bosses insist" 3582:"Hospitals making £78m a year from car park charges" 2843:"Nurses' union anger over 'pitiful' 1% NHS pay rise" 2494: 2492: 2490: 2488: 2486: 2484: 2482: 2480: 2478: 1698:

The NHS has been criticized in the past for funding

942:

would "honour whatever the review body recommends".

933:

Shadow Secretary of State for Health and Social Care

875:

made a non-binding recommendation that NHS staff in

5062: 5060: 5058: 5056: 4537:. UK House of Commons. 22 January 2009. p. 69. 3413:

NHS dentistry: New plans will not bring real reform

3128: 3126: 2780:"Anger grows at offer of 1% pay rise for NHS staff" 2237: 2235: 1663:, which was designed to provide infrastructure for 1371:

National Health Service and Community Care Act 1990

139: 129: 109: 101: 89: 79: 61: 56: 5319: 4156:(Second ed.). Stanmore: Social Organisation. 3878:Stewart, Heather; Taylor, Diane (26 August 2016). 3818: 3065:. Vol. 40, no. 7. London Review of Books 2810: 2060: 1631:Criticism of the National Health Service (England) 1378:, which encouraged competition but also increased 5283:NHS trust spends £12,000 treating staff privately 3778:"How much is the government privatizing the NHS?" 3305:"Prescription costs scrapped in Northern Ireland" 1985:"Best Research for Best Health: The Next Chapter" 1619:National Institute for Health and Care Excellence 1221:were also common for fundraising, and in 1988, a 1082:Eligibility for NHS services is based on having 860:—which, from 1 April 2015, is an average-salary 575:, providing both health and social care services 326:History of the National Health Service (England) 3545: 3543: 3541: 3539: 2693:Helm, Toby; Denis Campbell (24 November 2019). 462: 230:National Institute for Health and Care Research 3453:"Call for dentists' NHS-work quota | BBC" 5682: 5618:and other new finance initiatives in the NHS) 5604:NHS plc: the privatisation of our healthcare. 5477:Bevan, Gwyn; Mays, Nicholas (11 April 2014). 5112:Journal of Health Organization and Management 4910:"Javid sets new targets for NHS digitisation" 4006: 4004: 3575: 3573: 2196:"NHS Wales – About Us: History & Context" 919:Secretary of State for Health and Social Care 314:Secretary of State for Health and Social Care 121:Secretary of State for Health and Social Care 8: 3649:. Assoc-nhs-charities.org.uk. Archived from 3018:"Clinical leaders: Pharma on the front line" 2994: 2992: 2749:"NHS pay rise: How much will staff be paid?" 2291:"Bulletin for CCGs: Issue 31, 28 March 2013" 1706:tourists' was £30m, 0.03% of the total cost. 1491:was to be a computer-aided dispatch system. 852:program to become fully registered with the 39: 27:Publicly-funded healthcare system in England 5106:McGivern, Gerry; Michael D Fischer (2010). 3040:"NHS (England) Summarised Accounts 2006-07" 2975:"Equity and excellence: liberating the NHS" 2512:Figures for 2010 are for March of that year 1840:Improving Access to Psychological Therapies 1586:the data and how it is used. Phil Booth of 1402:. Opposition to what was claimed to be the 1038:(PCTs), which commissioned healthcare from 5689: 5675: 5667: 5653: 4912:. Health Service Journal. 24 February 2022 4891:NHS e-health systems 'risk patient safety' 4625: 4623: 4298:"Private practice: answer or irrelevance?" 4249:"Private medicine: the NHS's safety valve" 3552:"NHS car park charges – a necessary evil?" 3268:. Health Service Journal. 25 January 2008. 3087:. Pharmaceutical Journal. 13 November 2018 2580:. Health Service Journal. 14 November 2016 152: 45: 5724:Health and Social Care (Northern Ireland) 4798: 4788: 4679:"NHS Choices – Your health, your choices" 4659:. Health Service Journal. 13 January 2020 4321: 4272: 4224: 4085: 4028: 3430:"Help with dental charges - Health Costs" 1426:for descriptions of their developments). 1186:the costs of treatment in serious cases. 975:Equity and excellence: liberating the NHS 487:Provide a comprehensive range of services 5090:Millions miss out on seven-day GP access 3845:"Could plans for NHS shake-up collapse?" 2556:"Which is the world's biggest employer?" 1761:set by the Department of Health and the 1725:Quality of healthcare, and accreditation 1549:. This coincided with the launch of the 636: 628: 581:, specialising in managing and treating 472:That it is free at the point of delivery 212:system in the world after the Brazilian 5569:The NHS backlog: Who are the 7 million? 5502:"Student doctor numbers to rise by 25%" 4482:Sikora, K.; James, N. (February 2009). 3939: 3937: 3935: 3933: 3931: 3897:Bloch-Budzier, Sarah (26 August 2016). 3000:"The NHS budget and how it has changed" 1957:"The NHS budget and how it has changed" 1896: 1265:Sustainability and transformation plans 1260:Sustainability and transformation plans 1057:Free services and contributory services 167:Norfolk and Norwich University Hospital 5586:"How to access mental health services" 5539: 5537: 5301:"Truth behind NHS's homeopathy budget" 4999: 4997: 3647:"Association of NHS Charities website" 3104: 3102: 3020:. Health Service Journal. 27 June 2014 2676:"Record numbers of EU nurses quit NHS" 1989:National Institute for Health Research 906:considered to be not legally binding. 633:Staff in NHS England from 2010 - 2017. 38: 5351:Elliott, Francis (3 September 2007). 5238:. GMTV. 26 April 2006. Archived from 3374:Celebrating 70 years of NHS dentistry 2899: 2897: 2870: 2868: 2866: 2864: 2805: 2803: 2801: 2774: 2772: 2770: 2743: 2741: 2317:"The Structure of the NHS in England" 1741:), and non-governmental-based (e.g., 1680:Bristol Royal Infirmary Heart Scandal 1336:Changes under the Thatcher government 7: 5332:from the original on 12 January 2022 5262:"More patients seen by NHS dentists" 4982:Campbell, Denis (7 September 2018). 4471:. NHS Confederation. 1 January 2008. 4205:Canadian Medical Association Journal 2714:Savage, Michael (24 November 2019). 1905:"NHS Identity Guidelines | NHS logo" 1731:Department of Health and Social Care 1648:Some examples of criticism include: 1455:Independent Sector Treatment Centres 1299:In an independent review in 2016 by 1173:Under older legislation (mainly the 873:Department of Health and Social Care 528:Department of Health and Social Care 310:Department of Health and Social Care 222:Department of Health and Social Care 220:contributions), and overseen by the 134:Department of Health and Social Care 5421:Triggle, Nick (29 September 2017). 4848:"Launch of NHS app marks a new era" 4603:"Private Affluence, Public Rip-Off" 4442:"Insurance firms eye top-up market" 3899:"NHS cuts 'planned across England'" 3673:"National Health Service (Lottery)" 3621:"Welsh NHS scraps car park charges" 3244:. London: Swift Press. p. 68. 2934:. London: Swift Press. p. 59. 2407:Campbell, Denis (30 January 2018). 2386:Campbell, Denis (23 January 2018). 1794:National Health Service#Performance 1116:) should be prescribed by the NHS. 469:That it meets the needs of everyone 178:Queen Elizabeth Hospital Birmingham 5402:Mason, Rowena (18 February 2017). 5214:"Dentist shortage hits 'millions'" 4715:"NHS Choices Behind the Headlines" 4259:(6769): 164–165. 19 January 1991. 3833:from the original on 18 June 2022. 3776:Campbell, Denis (15 August 2016). 3280:"Help with NHS prescription costs" 1394:Changes under the Blair government 25: 18:National Health Service in England 5755:Organizations established in 1948 5745:National Health Service (England) 5709:National Health Service (England) 5189:"Why some drugs are not worth it" 5187:Triggle, Nick (9 November 2005). 4850:. Computer Weekly. 1 October 2018 3607:NHS car parking charges abolished 3478:"NHS Injury Cost Recovery scheme" 3327:"Q&A: The Herceptin judgment" 3195:Siddique, Haroon (5 March 2017). 2823:from the original on 18 June 2022 2621:Triggle, Nick (17 January 2018). 2445:Campbell, Denis (17 April 2018). 2426:Campbell, Denis (15 March 2018). 2073:from the original on 18 June 2022 1625:Public satisfaction and criticism 1062:Services free at the point of use 603:provide various types of services 194:publicly funded healthcare system 5500:Triggle, Nick (4 October 2016). 5456:Campbell, Denis (28 July 2018). 4630:Guardian Staff (25 April 2002). 4484:"Top-up Payments in Cancer Care" 3695:. The King's Fund. 19 March 2015 2674:Boffey, Daniel (18 March 2017). 1863:Healthcare in the United Kingdom 926:Secretary of State for Education 294:National Health Service Act 1946 5318:Donnelly, Laura (5 June 2018). 5166:10.1016/j.socscimed.2011.09.035 4366:Siva, Nayanah (30 March 2009). 4178:"NHS competition 'costs lives'" 3678:Parliamentary Debates (Hansard) 3580:Charter, David (18 July 2006). 3284:NHS Business Services Authority 3266:"Anger over C difficile payoff" 1223:National Health Service Lottery 1047:Health and Social Care Act 2012 962:Health and Social Care Act 2012 536:Health and Social Care Act 2012 522:Health and Social Care Act 2012 430:Health and Social Care Act 2012 5760:1948 establishments in England 4931:Helm, Toby (7 December 2019). 4405:Hawkes, Nigel (9 April 2024). 4296:Maynard, Alan (16 June 1984). 3795:Ham, Chris (6 February 2015). 3693:"Is the NHS being privatised?" 3550:Triggle, Nick (3 March 2008). 3419:. Retrieved 21 September 2022. 3185:, BBC News, 30 September 2017. 3042:. Nao.org.uk. 11 December 2007 2636:Campbell, Denis (7 May 2017). 2165:R. Samuel, "North and South," 1305:raise concerns about standards 1157:Eye care in the United Kingdom 534:, an arms-length body, by the 1: 5154:Social Science & Medicine 4531:Top Up Fees: Written Evidence 4346:"Over 60s will switch to NHS" 4068:Limb, Matthew (23 May 2022). 4011:Limb, Matthew (23 May 2022). 3981:Duffy, Peter (24 July 2019). 3742:. 1 June 2007. Archived from 3451:Triggle, Nick (3 June 2007). 3361:Mr. Aneurin Bevan (Statement) 1868:List of NHS trusts in England 1749:and the private sector CHKS. 1739:Nursing and Midwifery Council 1713:In November 2022 a survey by 1689:A 14 October 2008 article in 1684:The Stafford Hospital Scandal 1609:Smoking in the United Kingdom 1515:NHS National Programme for IT 1233:Outsourcing and privatisation 1086:, regardless of nationality. 1051:clinical commissioning groups 544:clinical commissioning groups 438:clinical commissioning groups 4790:10.1371/journal.pone.0127848 4632:"Blair's £40bn gamble on IT" 3061:Meek, James (5 April 2018). 2655:Triggle, Nick (8 May 2017). 2338:"NHS Authorities and Trusts" 2198:. NHS Wales. 23 October 2006 1816:clinical commissioning group 1010:Institute for Fiscal Studies 987:clinical commissioning group 983:strategic health authorities 444:, oversees the NHS from the 5545:"NHS backlog data analysis" 5522:. On Medica. 28 August 2015 4444:. BBC News. 7 November 2008 4180:. BBC News. 29 January 2003 3987:. Independently Published. 3619:David Rose (3 March 2008). 2533:Royal Commission on the NHS 1451:British Medical Association 1331:NHS policies and programmes 1237:Although the NHS routinely 1169:Injury cost recovery scheme 1014:British Medical Association 499:Support and value its staff 208:. It is the second largest 5776: 5602:Allyson M Pollock (2004), 4500:10.1016/j.clon.2008.11.002 4150:Manfred Davidmann (1985). 3627:. London: Times Newspapers 3609:BBC News, 2 September 2008 3588:. London: Times Newspapers 2169:17.12 (22 June 1995): 3-6. 1787: 1747:Trent Accreditation Scheme 1628: 1606: 1466:Private Finance Initiative 1179:Road Traffic Act insurance 1154: 1141:British Dental Association 1123: 1093: 1008:However, according to the 959: 601:Special health authorities 585:, including by the use of 519: 371:Emergency Hospital Service 323: 51:Logo of the NHS in England 29: 5704: 5264:. MDDUS. 13 February 2014 5124:10.1108/14777261011088683 5071:. UK Department of Health 4899:, accessed 14 March 2020. 4314:10.1136/bmj.288.6433.1849 4199:Gray, C. (5 April 1980). 3329:. BBC News. 12 April 2006 3118:2019–20 (a fall of 1.3%). 3110:"IFS: UK health spending" 1661:National Programme for IT 1570:electronic patient record 1504:NHS Information Authority 568:ambulance services trusts 44: 5361:. London. Archived from 4265:10.1136/bmj.302.6769.164 3524:. Lexology. 7 March 2019 3307:. BBC News. 1 April 2010 2009:Archives, The National. 1883:NHS Volunteer Responders 1676:Alder Hey organs scandal 1489:London Ambulance Service 1084:ordinary resident status 1030:The commissioning system 890:Royal College of Nursing 5698:National Health Service 4549:"BMA document on ISTCs" 4302:British Medical Journal 4253:British Medical Journal 3944:Sir Robert Francis QC. 2271:. Nhs.uk. 23 March 2009 2015:nationalarchives.gov.uk 1767:Care Quality Commission 1735:General Medical Council 1278:Sally Gainsbury of the 854:General Medical Council 352:'s controversial novel 210:single-payer healthcare 202:National Health Service 186:National Health Service 40:National Health Service 5588:. NHS. 14 August 2018. 5236:"NHS Dentist shortage" 5216:. BBC. 16 January 2008 2602:. Study-medicine.co.uk 2500:"NHS Staff Headcounts" 2167:London Review of Books 2036:"The Birth of the NHS" 1878:School health services 1834:Mental health services 1822:to 165 per 100,000 in 1776:blames understaffing. 1665:electronic prescribing 1621:recommends such help. 1483:Information technology 1453:in a 2009 document on 968:coalition government's 846:Health Service Journal 634: 587:involuntary commitment 560:administer hospitals, 481: 346: 338: 214:Sistema Único de Saúde 200:, and one of the four 181: 170: 67:; 76 years ago 5625:Radcliffe Publishing 5621:Rudolf Klein (2010), 3946:"Freedom to speak up" 3240:Hunt, Jeremy (2022). 2930:Hunt, Jeremy (2022). 1812:Public Health England 1755:Healthcare Commission 1642:King's College London 1615:Public Health England 1607:Further information: 1175:Road Traffic Act 1930 999:National Audit Office 882:Trades Union Congress 632: 624:General practitioners 551:NHS foundation trusts 344: 333: 176: 165: 105:£190.3 billion (2022) 4577:Department of Health 3749:on 27 February 2008. 2558:. BBC. 20 March 2012 2471:. 20 September 2016. 2011:"Origins of the NHS" 1539:Behind the Headlines 1439:corporate governance 1356:Working for Patients 1151:NHS Optical Services 1096:Prescription charges 1090:Prescription charges 904:Department of Health 579:mental health trusts 446:Department of Health 415:HSC Northern Ireland 306:Immigration Act 2014 282:long-term healthcare 244:Minister for Health 110:Minister responsible 5326:The Daily Telegraph 5287:The Daily Telegraph 5049:. 9 September 2016. 5027:. 26 February 2017. 4781:2015PLoSO..1027848T 4308:(6433): 1849–1851. 3962:on 18 February 2015 3851:. 17 November 2016. 3653:on 4 September 2011 2182:4#1 (1985): 41-58. 2134:The Daily Telegraph 1692:The Daily Telegraph 1317:Whistle In the Wind 1137:primary care trusts 1110:primary care trusts 1036:primary care trusts 979:primary care trusts 871:In March 2021, the 450:Nicholson challenge 434:primary care trusts 224:, the NHS provides 41: 5391:. 28 January 2020. 5289:, 14 October 2008. 4962:www.england.nhs.uk 4823:"NHS Apps Library" 2243:"The changing NHS" 1909:www.england.nhs.uk 1858:Health forecasting 1376:independent trusts 1342:General Management 858:NHS Pension Scheme 635: 394:post-war consensus 383:National Insurance 347: 339: 302:National Insurance 218:National Insurance 182: 171: 5750:Health in England 5732: 5731: 5631:978-1-84619-409-2 5614:(Polemic against 5069:"NHS 2004 survey" 4703:. 14 August 2018. 4685:. 15 August 2018. 4601:(10 March 2002). 4579:. 3 December 2002 4488:Clinical Oncology 4384:10.1136/bmj.b1333 4163:978-0-85192-046-7 4087:10.1136/bmj.o1284 4030:10.1136/bmj.o1284 3994:978-1-0822-3196-4 3826:Independent.co.uk 2536:. HMSO. July 1979 1804:Health Foundation 1719:Health Foundation 1635:A 2016 survey by 1603:Smoking cessation 1564:In February 2022 1447:Agenda for Change 1431:service standards 1380:local differences 1360:Caring for People 1349:Margaret Thatcher 1325:COVID-19 pandemic 948:Miriam Deakin of 915:COVID-19 pandemic 839: 838: 562:treatment centers 350:A. J. Cronin 238:Labour government 160: 159: 130:Parent department 16:(Redirected from 5767: 5691: 5684: 5677: 5668: 5657: 5652: 5651: 5649:Official website 5590: 5589: 5582: 5576: 5566: 5560: 5559: 5557: 5555: 5541: 5532: 5531: 5529: 5527: 5516: 5510: 5509: 5497: 5491: 5490: 5488: 5486: 5481:. 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NHS Choices 3431: 3425: 3422: 3418: 3414: 3408: 3405: 3400: 3398:9780215025241 3394: 3390: 3389: 3382: 3379: 3375: 3369: 3366: 3362: 3357: 3354: 3350: 3344: 3341: 3328: 3322: 3319: 3306: 3300: 3297: 3285: 3281: 3275: 3272: 3267: 3261: 3258: 3253: 3251:9781800751224 3247: 3243: 3236: 3233: 3220: 3216: 3210: 3207: 3202: 3198: 3191: 3188: 3184: 3179: 3176: 3173: 3172: 3168: 3163: 3160: 3156: 3152: 3147: 3144: 3140:. 3 May 2017. 3139: 3135: 3129: 3127: 3123: 3119: 3115:. p. 8. 3111: 3105: 3103: 3099: 3086: 3080: 3077: 3064: 3057: 3054: 3041: 3035: 3032: 3019: 3013: 3010: 3005: 3001: 2995: 2993: 2989: 2976: 2970: 2967: 2964: 2963: 2959: 2954: 2952: 2948: 2943: 2941:9781800751224 2937: 2933: 2926: 2923: 2910: 2906: 2900: 2898: 2894: 2881: 2877: 2871: 2869: 2867: 2865: 2861: 2848: 2844: 2838: 2835: 2822: 2818: 2813: 2806: 2804: 2802: 2798: 2785: 2781: 2775: 2773: 2771: 2767: 2754: 2750: 2744: 2742: 2738: 2734: 2729: 2726: 2721: 2717: 2710: 2707: 2702: 2701: 2696: 2689: 2686: 2681: 2677: 2670: 2667: 2662: 2658: 2651: 2648: 2643: 2639: 2632: 2629: 2624: 2617: 2614: 2601: 2595: 2592: 2579: 2573: 2570: 2557: 2551: 2548: 2535: 2534: 2527: 2524: 2518: 2515: 2509: 2506: 2501: 2495: 2493: 2491: 2489: 2487: 2485: 2483: 2481: 2479: 2475: 2470: 2466: 2460: 2457: 2452: 2448: 2441: 2438: 2433: 2429: 2422: 2419: 2414: 2410: 2403: 2400: 2395: 2394: 2389: 2382: 2379: 2367: 2360: 2354: 2351: 2339: 2333: 2330: 2318: 2312: 2309: 2296: 2292: 2286: 2283: 2270: 2264: 2261: 2248: 2244: 2238: 2236: 2232: 2219: 2213: 2210: 2197: 2191: 2188: 2185: 2181: 2175: 2172: 2168: 2162: 2159: 2147: 2141: 2138: 2135: 2130: 2127: 2115: 2109: 2106: 2094: 2088: 2085: 2072: 2068: 2063: 2056: 2053: 2041: 2037: 2031: 2028: 2016: 2012: 2005: 2002: 1990: 1986: 1980: 1977: 1972: 1966: 1963: 1958: 1952: 1949: 1937: 1936: 1931: 1925: 1922: 1910: 1906: 1900: 1897: 1890: 1884: 1881: 1879: 1876: 1874: 1871: 1869: 1866: 1864: 1861: 1859: 1856: 1854: 1851: 1850: 1845: 1843: 1841: 1833: 1831: 1827: 1825: 1821: 1817: 1813: 1808: 1805: 1801: 1795: 1791: 1783: 1781: 1779: 1775: 1770: 1768: 1764: 1760: 1757:according to 1756: 1750: 1748: 1744: 1740: 1736: 1732: 1724: 1722: 1720: 1716: 1708: 1704: 1701: 1697: 1694: 1693: 1688: 1685: 1681: 1677: 1673: 1669: 1666: 1662: 1658: 1655: 1651: 1650: 1649: 1646: 1643: 1638: 1632: 1624: 1622: 1620: 1616: 1610: 1602: 1600: 1593: 1591: 1589: 1580: 1578: 1576: 1571: 1567: 1562: 1558: 1554: 1552: 1548: 1543: 1540: 1534: 1530: 1528: 1524: 1520: 1516: 1513:In 2002, the 1511: 1509: 1505: 1500: 1498: 1494: 1490: 1482: 1480: 1478: 1474: 1469: 1467: 1463: 1458: 1456: 1452: 1448: 1444: 1440: 1436: 1432: 1427: 1425: 1421: 1415: 1411: 1409: 1406:intention to 1405: 1401: 1393: 1391: 1387: 1383: 1381: 1377: 1372: 1367: 1365: 1361: 1357: 1354: 1350: 1347: 1343: 1335: 1330: 1328: 1326: 1320: 1318: 1313: 1309: 1306: 1302: 1294: 1292: 1289: 1284: 1281: 1276: 1274: 1269: 1266: 1259: 1257: 1254: 1253: 1248: 1243: 1240: 1232: 1230: 1228: 1224: 1220: 1215: 1212: 1205: 1203: 1196: 1194: 1191: 1187: 1183: 1180: 1176: 1168: 1166: 1162: 1158: 1150: 1148: 1144: 1142: 1138: 1132: 1127: 1126:NHS dentistry 1120:NHS dentistry 1119: 1117: 1115: 1111: 1106: 1102: 1097: 1089: 1087: 1085: 1077: 1075: 1071: 1067: 1061: 1056: 1054: 1052: 1048: 1043: 1041: 1037: 1029: 1027: 1025: 1021: 1019: 1015: 1011: 1006: 1002: 1000: 992: 990: 988: 984: 980: 976: 972: 969: 963: 955: 953: 951: 950:NHS Providers 946: 943: 941: 937: 934: 930: 927: 923: 920: 916: 912: 911:Boris Johnson 909: 905: 900: 896: 891: 887: 883: 878: 874: 869: 867: 863: 859: 855: 849: 847: 842: 834: 831: 828: 825: 822: 819: 818: 814: 811: 808: 805: 802: 799: 798: 794: 791: 788: 785: 782: 779: 778: 774: 771: 768: 765: 762: 759: 758: 754: 751: 748: 745: 742: 739: 738: 734: 731: 728: 725: 722: 719: 718: 714: 711: 708: 705: 702: 699: 698: 694: 691: 688: 685: 682: 679: 678: 674: 671: 668: 665: 662: 659: 658: 654: 651: 648: 645: 642: 639: 638: 631: 627: 625: 621: 619: 614: 607: 602: 599: 596: 595: 594: 588: 584: 580: 577: 574: 571: 569: 566: 563: 559: 556: 555: 554: 552: 547: 545: 541: 537: 533: 529: 523: 515: 510: 507: 504: 501: 498: 495: 492: 489: 486: 485: 484: 480: 474: 471: 468: 467: 466: 461: 455: 453: 451: 447: 443: 439: 435: 431: 426: 424: 420: 416: 412: 403: 401: 399: 395: 391: 386: 384: 380: 374: 372: 368: 364: 359: 357: 356: 351: 343: 336: 335:Aneurin Bevan 332: 327: 319: 317: 315: 311: 307: 303: 298: 295: 291: 287: 286:ophthalmology 283: 279: 275: 270: 268: 264: 263:prescriptions 260: 256: 252: 247: 246:Aneurin Bevan 243: 239: 233: 231: 227: 223: 219: 215: 211: 207: 203: 199: 195: 191: 187: 179: 175: 168: 164: 155: 150: 142: 138: 135: 132: 128: 122: 118: 117:Wes Streeting 115: 114: 112: 108: 104: 102:Annual budget 100: 96: 92: 88: 85: 82: 78: 64: 60: 55: 48: 43: 37: 33: 19: 5714:NHS Scotland 5708: 5622: 5603: 5580: 5571: 5564: 5552:. Retrieved 5548: 5524:. Retrieved 5514: 5505: 5495: 5483:. Retrieved 5472: 5463:The Observer 5461: 5451: 5442: 5435: 5426: 5416: 5408:The Observer 5407: 5397: 5389:The Guardian 5388: 5379: 5367:. Retrieved 5363:the original 5356: 5346: 5334:. Retrieved 5325: 5313: 5305:channel4.com 5304: 5294: 5286: 5278: 5266:. Retrieved 5256: 5244:. Retrieved 5240:the original 5230: 5218:. Retrieved 5208: 5196:. Retrieved 5192: 5182: 5157: 5153: 5140: 5115: 5111: 5101: 5092: 5085: 5073:. Retrieved 5067:IPSOS-Mori. 5042: 5033: 5024: 5015: 5008:The Observer 5006: 4988:The Guardian 4987: 4977: 4967:30 September 4965:. Retrieved 4961: 4952: 4940:. Retrieved 4937:The Observer 4936: 4926: 4914:. Retrieved 4904: 4894: 4886: 4874:. Retrieved 4864: 4852:. Retrieved 4842: 4830:. Retrieved 4826: 4817: 4772: 4768: 4757: 4745:. Retrieved 4741:the original 4736: 4727: 4718: 4709: 4700: 4691: 4682: 4673: 4661:. Retrieved 4651: 4639:. Retrieved 4636:The Guardian 4635: 4610:. Retrieved 4593: 4583:15 September 4581:. 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Retrieved 1908: 1899: 1837: 1828: 1809: 1798:In 2014 the 1797: 1771: 1751: 1728: 1712: 1690: 1647: 1634: 1612: 1597: 1584: 1581:Sale of data 1563: 1559: 1555: 1546: 1544: 1538: 1535: 1531: 1512: 1501: 1486: 1470: 1459: 1428: 1424:NHS Scotland 1416: 1412: 1404:Conservative 1400:Labour Party 1397: 1388: 1384: 1368: 1363: 1359: 1355: 1353:white papers 1341: 1339: 1321: 1316: 1314: 1310: 1298: 1277: 1270: 1263: 1250: 1244: 1242:the public. 1236: 1216: 1213: 1209: 1200: 1192: 1188: 1184: 1178: 1172: 1163: 1160: 1145: 1133: 1129: 1107: 1103: 1099: 1081: 1072: 1068: 1065: 1044: 1033: 1022: 1007: 1003: 996: 974: 965: 956:2012 reforms 947: 944: 936:Jon Ashworth 922:Matt Hancock 899:Labour Party 870: 850: 843: 840: 622: 615: 611: 592: 558:acute trusts 548: 525: 482: 478: 463: 459: 427: 411:NHS Scotland 407: 404:Organisation 398:Keynesianism 387: 375: 360: 353: 348: 299: 274:primary care 271: 234: 189: 185: 183: 97:(April 2024) 80:Jurisdiction 36: 5554:12 December 5526:1 September 5246:28 February 5220:28 February 4719:nhs.uk/news 4663:25 February 4612:7 September 4135:29 December 3803:22 February 3631:10 February 3091:22 December 2977:. Dh.gov.uk 2625:. BBC News. 2606:8 September 2371:16 November 2220:. Dh.gov.uk 2040:Historic UK 1994:29 December 1935:NHS England 1914:11 November 1790:NHS targets 1784:Performance 1774:Norman Lamb 1700:homeopathic 1566:Sajid Javid 1547:NHS website 1288:Norman Lamb 1247:King's Fund 1078:Eligibility 1024:Jeremy Hunt 1018:Theresa May 971:white paper 618:consultants 573:Care trusts 532:NHS England 442:NHS England 390:Thatcherism 361:A national 355:The Citadel 259:dental care 32:NHS England 5739:Categories 5485:20 October 5047:Ipsos MORI 4876:20 October 4494:(1): 1–5. 4448:7 November 3966:15 January 3719:bma.org.uk 3699:11 October 2584:15 January 2119:12 January 2098:12 January 1891:References 1788:See also: 1671:increased. 1637:Ipsos MORI 1533:Website". 1508:NHS Direct 1443:NHS Direct 1283:think tank 1239:outsources 1040:NHS trusts 835:1,187,125 815:1,164,471 795:1,143,102 775:1,126,947 755:1,123,529 735:1,128,140 715:1,158,920 695:1,168,750 251:NHS number 226:healthcare 93:1,345,015 72:1948-07-05 5719:NHS Wales 5369:14 August 5358:The Times 5336:26 August 4854:8 October 4508:0936-6555 4421:0140-0460 4412:The Times 4392:0959-8138 4378:: b1333. 4217:0008-4409 4112:248989862 4096:1756-1833 4080:: o1284. 4055:248989862 4039:1756-1833 4023:: o1284. 3625:The Times 3586:The Times 3063:"NHS SOS" 2077:9 January 2045:9 January 2020:9 January 1973:. nhs.uk. 1941:20 August 1885:(England) 1824:Doncaster 1759:standards 1523:Microsoft 1519:Windows 7 1497:SNOMED CT 1493:Read code 1420:NHS Wales 1408:privatise 1219:lotteries 1217:Regional 1114:Herceptin 886:inflation 516:Structure 419:NHS Wales 290:dentistry 255:eye tests 240:in 1948. 192:) is the 90:Employees 5506:BBC News 5444:Sky News 5330:Archived 5193:BBC News 5174:22104085 5132:21155435 5025:BBC News 4942:14 March 4916:21 April 4872:. 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