Search Results

1 - 10 of 210 items :

Clear All
Economics of NHS Cost-Saving and its Morality on the ‘Living Dead’

References (n/d). Psalm 46: 1. Available at: . 1. (Accessed: 2nd April, 2018). Emmanuel, E.J and Emmanuel, L.L. (1994). The economics of dying--the illusion of cost savings at the end of life. New England Journal of medicine, Vol. 330(8): pp. 540-544. Gilbert BJ, Clarke E, Leaver L. (2014). Morality and markets in the NHS. International Journal of Health Policy Management, Vol. 3(7): pp. 371–376. DOI: 10.15171/ijhpm.2014.123. Health Knowledge (n/d). Health Economics. Available at: https

Open access
Dinesh Bhugra: a personal history of Psychiatry

Training Scheme and the Academic Unit was run by two senior lecturers. It was a separate unit with active teaching. Academic teaching was in the academic department and research was left to individual trainees’ interest. I was interested in research and was well supported by academics. The rest of the postings were in the two asylums. The experience was extremely valuable. The wards were large with Victorian-style dormitories and huge grounds surrounded by accommodation for the staff. This was in 1981. Griffith reforms of the NHS had just been introduced. The doctors

Open access
Evaluation of a shortened course of tranexamic acid for patients with inherited bleeding disorders following dental procedures

recommendations. Haemophilia 2009; 15(3): 639-58. 12. British National Formulary, 2017. Available from (accessed: 9 May 2017). 13. Nuvvula S, Gaddam KR, Kamatham R. Efficacy of tranexamic acid mouthwash as an alternative for factor replacement in gingival bleeding during dental scaling in cases of hemophilia: a randomized clinical trial. Contemp Clin Dent 2014; 5(1): 49-53. doi 10.4103/0976-237X.128663. 14. NHS Health Research Authority. Defining research, 2013. Available from: www.hra.nhs

Open access
A dental care pathway for children with inherited bleeding disorders


Royal London Hospital is a major referral centre for children with inherited bleeding disorders (IBD). Dental caries and periodontal disease can be prevented, which is especially important in these children to avoid invasive treatment. For this reason a care pathway has been established, focusing on appropriate prevention advice and treatment A Paediatric Dental Specialist attends the monthly Paediatric Haematology clinics. Children are screened for untreated dental decay and preventive dental advice is given verbally along with a patient information leaflet. At the clinic, a letter is sent out to the patient’s general dental practitioner (GDP). Nonregistered patients are directed to NHS Choices website to find a local NHS GDP. Liaison of GDPs with both haematology and hospital paediatric dental services is actively encouraged to support the provision of dental care within the primary care setting, particularly routine preventive care. Depending on the severity of the bleeding diathesis and the degree of invasive dental treatment required, the GDP may undertake simple treatment or, in more complex cases, may arrange a referral to the Royal London Dental Hospital. A consultation process takes place between paediatric dentist, paediatric haematologist and specialist nurse to determine the most appropriate haematological cover for each patient. This will depend on the severity of the bleeding disorder, the complexity of dental treatment and the need for local anaesthesia. The date of the dental visits and the haemostatic cover are requested via the electronic patient record so that it is accessible to all clinicians involved in their care without the need to retrieve their paper notes. This pathway encourages active involvement of the patients’ GDP and allows the patient to be treated as safely as possible in a timely manner. The care pathway has helped to formalise dental treatment for children with IBD and to improve every health care professional’s understanding of their role in this care.

Open access
Nurse-led telephone review service for mild inherited bleeding disorders improves attendance rates, frees hospital resources and is highly rated by patients

relationship. J Gen Intern Med 1999; 14(suppl 1): S34-40. 6. NHS Five Year Forward View. October 2014. Available at: (accessed 29 June 2018). 7. Khair K, Barker C, Bedford M, et al. A core competency framework for haemophilia nurses in the UK . The Journal of Haemophilia Practice 2014; 1: 32-6. 8. NHS Digital. Hospital outpatient activity, 2016-2017. 28 November 2017. Available at: https://digital.nhs

Open access
Women with haemophilia: more than just carriers

. Srivastava A, Brewer AK, MauserXBunschoten EP, et al. Guidelines for the management of hemophilia. Haemophilia 2013; 19Y1Z: e1X47. 8. Eckhardt CL, van Velzen AS, Peters M, et al. Factor VIII gene YF8Z mutation and risk of inhibitor development in nonsevere hemophilia A. Blood 2013; 122: 1954X62. 9. NHD User Manual. National Haemophilia Database, 2013. Available at: accessed 16 August 2013Z. 10. Soucie JM, Evatt B, Jackson D. Occurrence of Hemophilia in the United States

Open access
Management of severe haemophilia A during surgery: case report

REFERENCES 1. Coppola A, Windyga J, Tufano A, et al. Treatment for preventing bleeding in people with haemophilia or other congenital bleeding disorders undergoing surgery. Cochrane Database Syst Rev 2015; 2: CD009961. doi: 10.1002/14651858. CD009961.pub2. 2. Neufeld EJ, Solimeno L, Quon D, et al. Perioperative management of haemophilia B: a critical appraisal of the evidence and current practices. Haemophilia 2017; 23: 821–31. 3. Hampshire Hospital NHS Foundation Trust. Haemophilia treatment plan for abdominal surgery. Clinical guidelines

Open access
Different Viewpoints: International Perspectives On Newborn Screening/Različita Gledišta: Međunarodne Perspektive U Vezi Sa Testiranjem Novorođenčadi

National Screening Committee. Criteria for appraising the viability, effectiveness and appropriateness of a screening programme. /criteria (accessed 14th March 2014) 5. Oerton J, Khalid JM, Besley G, Dalton RN, Downing M, Green A, et al. Newborn screening for medium chain acyl-CoA dehydrogenase deficiency in England: prevalence, predictive value and test validity based on 1.5 million screened babies. J Med Screen 2011; 18: 173-81. 6. American College of Medical Genetics. Newborn screen ing: towards a uniform

Open access
Caregiver burden in haemophilia: results from a single UK centre

Hemophilia, 3rd edn. Oxford: Wiley Blackwell Publishing Ltd; 2014, 478-88. 13. Department of Health. Equity and excellence: liberating the NHS. London: HMSO; 2010. Available from (accessed 15 December 2016). 14. Szende A, Oppe M, Devlin N (eds). EQ-5D Value Sets: Inventory, Comparative Review and User Guide. Doordrecht: Springer; 2010. 15. Ware J Jr, Kosinski M, Keller SD. SF-36 Physical and Mental Health Summary Scales: A User

Open access
Living with mild haemophilia and care after a bleed – a qualitative study

Health. The NHS Constitution: The NHS belongs to us all. London: DOH, 2013. Available at (accessed 1 June 2014). 22. NHS England. High quality care now and in the future. NHS England, 2013. Available at: (accessed 1 June 2014). 23. Armon K, Stephenson T, Gabriel V, et al. Determining the common medical presenting problems to an accident and emergency department. Arch Dis Child 2001; 84

Open access