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Sample records for england public health

  1. Public health in interwar England and Wales: did it fail?

    PubMed

    Gorsky, Martin

    2008-01-01

    British historians initially saw the interwar period as a "golden age" for public health in local government, with unprecedented preventive and curative powers wielded by Medical Officers of Health (MOsH). In the 1980s Lewis and Webster challenged this reading, arguing that MOsH were overstretched, neglectful of their "watchdog" role and incapable of formulating a new philosophy of preventive medicine. The article first details this critique, then reappraises it in the light of recent demographic work. It then provides a case study of public health administration in South-West England. Its conclusion is that some elements of the Lewis/Webster case now deserve to be revised. PMID:19230339

  2. Public health in interwar England and Wales: did it fail?

    PubMed Central

    Gorsky, Martin

    2008-01-01

    British historians initially saw the interwar period as a «golden age» for public health in local government, with unprecedented preventive and curative powers wielded by Medical Officers of Health (MOsH). In the 1980s Lewis and Webster challenged this reading, arguing that MOsH were overstretched, neglectful of their «watchdog» role and incapable of formulating a new philosophy of preventive medicine. The article first details this critique, then reappraises it in the light of recent demographic work. It then provides a case study of public health administration in South-West England. Its conclusion is that some elements of the Lewis/Webster case now deserve to be revised. PMID:19230339

  3. Freedom and need: The evolution of public strategy for biomedical and health research in England

    PubMed Central

    Shergold, Miriam; Grant, Jonathan

    2008-01-01

    The optimal support of health-related research and development with public money is a complex challenge. Over the last century, policy makers in England have conceived and implemented a variety of models, ranging from independent, curiosity driven research to needs-based state commissions, and promoting different bodies to oversee scientific work. This paper traces these approaches, identifies the principles that drove them, and discusses their role in shaping policy for publicly funded health research, up to the recent launch of a new research strategy by the Department of Health. PMID:18230124

  4. Evidence based public health: A review of the experience of the National Institute of Health and Clinical Excellence (NICE) of developing public health guidance in England.

    PubMed

    Kelly, Michael; Morgan, Antony; Ellis, Simon; Younger, Tricia; Huntley, Jane; Swann, Catherine

    2010-09-01

    This paper describes the application of the principles of evidence based medicine to public health. It recounts the experience of the National Institute for Health and Clinical Excellence in England (NICE) which acquired a remit to develop public health guidance in 2005. Some of the history of the origins of the evidence based approach is described in the writings of Cochrane and others, and the way that this came to be a critical part of the NICE approach to developing clinical cost effectiveness is outlined. The challenge of applying these methods to an evidence base which is social and psychological as well as biomedical is considered. Key problems are identified: the breadth of the evidence base, different analytic levels of explanation, and the length of the causal chain between interventions and outcomes in public health. PMID:20678836

  5. Reduced street lighting at night and health: A rapid appraisal of public views in England and Wales

    PubMed Central

    Green, Judith; Perkins, Chloe; Steinbach, Rebecca; Edwards, Phil

    2015-01-01

    Financial and carbon reduction incentives have prompted many local authorities to reduce street lighting at night. Debate on the public health implications has centred on road accidents, fear of crime and putative health gains from reduced exposure to artificial light. However, little is known about public views of the relationship between reduced street lighting and health. We undertook a rapid appraisal in eight areas of England and Wales using ethnographic data, a household survey and documentary sources. Public concern focused on road safety, fear of crime, mobility and seeing the night sky but, for the majority in areas with interventions, reductions went unnoticed. However, more private concerns tapped into deep-seated anxieties about darkness, modernity ‘going backwards’, and local governance. Pathways linking lighting reductions and health are mediated by place, expectations of how localities should be lit, and trust in local authorities to act in the best interests of local communities. PMID:26057894

  6. Voice or choice? Patient and public involvement in the National Health Service in England under New Labour.

    PubMed

    Forster, Rudolf; Gabe, Jonathan

    2008-01-01

    Involving patients, caregivers, and citizens in health care and health policy has been recommended by international organizations for over a decade. This article focuses on developments in England under New Labour, places them in the context of broader health policy, and assesses them in the light of the limited empirical evidence. The authors consider a range of possible explanations for these developments. They suggest that we need to distinguish between individual and collective forms of patient involvement, and they chart patient and public involvement in England before New Labour and in three distinct phases under New Labour. There has been a significant extension of opportunities for individual patients and the public to communicate their views, albeit with twists and turns in the policy over time. The authors explain these developments in terms of New Labour's ideological attachment to pragmatism and the Third Way, political calculations about the need to reinvigorate political culture, and attempts to enhance cost-effectiveness. Patient and public involvement seems to be here to stay, but whether this will result in greater equity and a real shift in power away from professionals to citizens and patients is another matter. PMID:18459284

  7. Environmental public health tracking: piloting methods for surveillance of environmentally related diseases in England and Wales.

    PubMed

    Saunders, Patrick; Mohammed, Mohammed A

    2009-04-01

    An effective environmental public health tracking system integrates data and intelligence on environmental hazards, exposures, and health outcomes to focus interventions on reducing the impact of environmental contamination on public health. Most work in this area in the UK has focused on assessing data on hazards that are relatively easy to obtain. However, most hazards will present no actual risk and information on exposure is required to make an effective risk assessment. Obtaining exposure data is technically challenging, expensive, and potentially raises ethical concerns. Consequently, the Health Protection Agency is exploring methods for targeting geographical zones for efficient detailed environmental assessment (including exposure assessment). This paper describes and assesses three methods (indirect standardization, statistical process control (SPC) and kernel density contouring) for the surveillance of potentially environmentally related diseases for this purpose. While the evaluation demonstrates the utility of the three methods, particularly SPC, the comparison was limited due to ethical approval issues. PMID:18982414

  8. Public health nutrition in the civil service (England): approaches to tackling obesity.

    PubMed

    Blackshaw, J R

    2016-08-01

    The seriousness and scale of the physical, psychological, economic and societal consequences relating to poor diets, inactivity and obesity is unprecedented. Consequently, the contextual factors underpinning the work of a nutritionist in the civil service are complex and significant; however, there are real opportunities to make a difference and help improve the health of the nation. The present paper describes the delivery of public health nutrition through two work programmes, namely action to support young people develop healthier lifestyle choices and more recently the investigation and deployment of local insights to develop action to tackle obesity. Combining the application of nutrition expertise along with broader skills and approaches has enabled the translation of research and evidence into programmes of work to better the public's health. It is evident that the appropriate evaluation of such approaches has helped to deliver engaging and practical learning opportunities for young people. Furthermore, efforts to build on local intelligence and seek collaborative development can help inform the evidence base and seek to deliver public health approaches, which resonate with how people live their lives. PMID:26947185

  9. Public health professionals' perceptions toward provision of health protection in England: a survey of expectations of Primary Care Trusts and Health Protection Units in the delivery of health protection

    PubMed Central

    Cosford, Paul A; O'Mahony, Mary; Angell, Emma; Bickler, Graham; Crawshaw, Shirley; Glencross, Janet; Horsley, Stephen S; McCloskey, Brian; Puleston, Richard; Seare, Nichola; Tobin, Martin D

    2006-01-01

    Background Effective health protection requires systematised responses with clear accountabilities. In England, Primary Care Trusts and the Health Protection Agency both have statutory responsibilities for health protection. A Memorandum of Understanding identifies responsibilities of both parties, but there is a potential lack of clarity about responsibility for specific health protection functions. We aimed to investigate professionals' perceptions of responsibility for different health protection functions, to inform future guidance for, and organisation of, health protection in England. Methods We sent a postal questionnaire to all health protection professionals in England from the following groups: (a) Directors of Public Health in Primary Care Trusts; (b) Directors of Health Protection Units within the Health Protection Agency; (c) Directors of Public Health in Strategic Health Authorities and; (d) Regional Directors of the Health Protection Agency Results The response rate exceeded 70%. Variations in perceptions of who should be, and who is, delivering health protection functions were observed within, and between, the professional groups (a)-(d). Concordance in views of which organisation should, and which does deliver was high (≥90%) for 6 of 18 health protection functions, but much lower (≤80%) for 6 other functions, including managing the implications of a case of meningitis out of hours, of landfill environmental contamination, vaccination in response to mumps outbreaks, nursing home infection control, monitoring sexually transmitted infections and immunisation training for primary care staff. The proportion of respondents reporting that they felt confident most or all of the time in the safe delivery of a health protection function was strongly correlated with the concordance (r = 0.65, P = 0.0038). Conclusion Whilst we studied professionals' perceptions, rather than actual responses to incidents, our study suggests that there are important areas

  10. Meals described as healthy or unhealthy match public health education in England.

    PubMed

    Laguna-Camacho, Antonio; Booth, David A

    2015-04-01

    Dietary guidelines for the general public aim to lower the incidence of nutrition-related diseases by influencing habitual food choices. Yet little is known about how well the guidelines are matched by the actual practices that people regard as healthy or unhealthy. In the present study, British residents were asked in a cognitive interview to write a description of an occasion when either they ate in an unhealthy way or the eating was healthy. The reported foods and drinks, as well as sort of occasion, location, people present and time of day, were categorised by verbal and semantic similarities. The number of mentions of terms in each category was then contrasted between groups in exact probability tests. Perceived unhealthy and healthy eating occasions differed reliably in the sorts of foods and the contexts reported. There was also full agreement with the national guidelines on eating plenty of fruit and vegetables, eating small amounts of foods and drinks high in fat and/or sugar, drinking plenty of water, and cutting down on alcohol. There was a tendency to regard choices of bread, rice, potatoes, pasta and other starchy foods as healthy. Reported healthy and unhealthy eating did not differ in incidences of meat, fish, eggs, beans and other non-dairy sources of protein or of dairy foods and milk. These results indicate that operationally clear recommendations by health professionals are well understood in this culture but members of the public do not make clear distinctions in the case of foods that can be included in moderate amounts in a healthy diet. PMID:25596040

  11. Can legislation prevent debauchery? Mother gin and public health in 18th-century England.

    PubMed Central

    Warner, J; Her, M; Gmel, G; Rehm, J

    2001-01-01

    The "gin epidemic" of 1720 to 1751 in England was the first time that government intervened in a systematic fashion to regulate and control sales of alcohol. The epidemic therefore provides an opportunity to gauge the effects of multiple legislative interventions over time. Toward that end, we employed time series analysis in conjunction with qualitative methodologies to test the interplay of multiple independent variables, including real wages and taxes, on the consumption of distilled spirits from 1700 through 1771. The results showed that each of the 3 major gin acts was successful in the short term only, consistent with the state's limited resources for enforcement at the local level, and that in each instance consumption actually increased shortly thereafter. This was true even of the Gin Act of 1751, which, contrary to the assumptions of contemporaries and many historians, succeeded by accident rather than by design. The results also suggest that the epidemic followed the inverse U-shaped trajectory of more recent drug scares and that consumption declined only after the more deleterious effects of distilled spirits had been experienced by large numbers of people. PMID:11236401

  12. "Health for All" in England and Brazil?

    PubMed

    Duncan, Peter; Bertolozzi, Maria Rita; Cowley, Sarah; Egry, Emiko Yoshikawa; Chiesa, Anna Maria; de Siqueira França, Francisco Oscar

    2015-01-01

    This article discusses the achievements and challenges that England and Brazil face in relation to their capacity to address inequalities in health through health promotion and public health policies. Using secondary data (policy texts and related documents), this article contextualizes, explains, and critically appraises health promotion and public health efforts for the reduction of inequalities in health in the 2 countries. A historic documentary analysis was undertaken, with hermeneutics as the methodological framework. The global economic crisis has prompted the so-called developed economies of Europe to reconsider their economic and social priorities. England represents a state facing this kind of challenge. Equally, Brazil is assuming new positions not only on the world stage but also in terms of the relationship it has with its citizens and the priorities it has for state welfare. The United Kingdom continues to finance a health care system allowing universal access in the form of the National Health Service, and state concern about the public health task of reducing inequalities has recently been underlined in policy. For Brazil, although there have been recent achievements related to population access to healthcare, challenges continue, especially with regard to the quality of care. PMID:26077860

  13. 77 FR 27440 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-10

    ... National Oceanic and Atmospheric Administration New England Fishery Management Council; Public Meeting...), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council (Council) is... New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will...

  14. Health economic evaluation in England.

    PubMed

    Raftery, James

    2014-01-01

    The 2010 National Health Service Constitution for England specified rights and responsibilities, including health economic evaluation for the National Institute for Health and Care Excellence (NICE) and the Joint Committee on Vaccinations and Immunisations. The National Screening Committee and the Health Protection Agency also provide advice to the Government based on health economic evaluation. Each agency largely follows the methods specified by NICE. To distinguish the methods from neoclassical economics they have been termed "extra-welfarist". Key differences include measurement and valuation of both benefits (QALYs) and costs (healthcare related). Policy on discounting has also changed over time and by agency. The debate over having NICE's methods align more closely with neoclassical economics has been prominent in the ongoing development of "value based pricing". The political unacceptability of some decisions has led to special funding for technologies not recommended by NICE. These include the 2002 Multiple Sclerosis Risk Sharing Scheme and the 2010 Cancer Drugs Fund as well as special arrangements for technologies linked to the end of life and for innovation. Since 2009 Patient Access Schemes have made price reductions possible which sometimes enables drugs to meet NICE's cost-effectiveness thresholds. As a result, the National Health Service in England has denied few technologies on grounds of cost-effectiveness. PMID:25444294

  15. 76 FR 9756 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ... National Oceanic and Atmospheric Administration RIN 0648-XA236 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management..., 2011 to consider actions affecting New England fisheries in the exclusive economic zone...

  16. 76 FR 52640 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-23

    ... National Oceanic and Atmospheric Administration RIN 0648-XA653 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... to consider actions affecting New England fisheries in the exclusive economic zone...

  17. 75 FR 62507 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-12

    ... National Oceanic and Atmospheric Administration RIN 0648-XZ55 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's (Council) Groundfish Committee will meet to consider actions affecting New England fisheries...

  18. 76 FR 78905 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-20

    ... National Oceanic and Atmospheric Administration RIN 0648-XA876 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations...

  19. 76 FR 7548 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-10

    ... National Oceanic and Atmospheric Administration RIN 0648-XA205 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from...

  20. 76 FR 30306 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-25

    ... National Oceanic and Atmospheric Administration RIN 0648-XA454 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management..., 2011 to consider actions affecting New England fisheries in the exclusive economic zone...

  1. 76 FR 17381 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-29

    ... National Oceanic and Atmospheric Administration RIN 0648-XA325 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management..., 2011, to consider actions affecting New England fisheries in the exclusive economic zone...

  2. 76 FR 9755 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ... National Oceanic and Atmospheric Administration RIN: 0648-XA233 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... to consider actions affecting New England fisheries in the exclusive economic zone...

  3. 75 FR 41818 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-19

    ... National Oceanic and Atmospheric Administration RIN: 0648-XX63 New England Fishery Management Council... Administration (NOAA), Commerce ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from...

  4. 76 FR 9756 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ... National Oceanic and Atmospheric Administration RIN 0648-XA234 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations...

  5. 75 FR 31424 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-03

    ... National Oceanic and Atmospheric Administration RIN 0648-XW78 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management..., 2010 to consider actions affecting New England fisheries in the exclusive economic zone...

  6. 77 FR 5774 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-06

    ... National Oceanic and Atmospheric Administration RIN 0648-XA980 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management..., to consider actions affecting New England fisheries in the exclusive economic zone...

  7. 76 FR 50183 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-12

    ... National Oceanic and Atmospheric Administration RIN 0648-XA635 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations...

  8. 75 FR 49466 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-13

    ... National Oceanic and Atmospheric Administration RIN 0648-XY16 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's (Council) Groundfish Committee will meet to consider actions affecting New England fisheries...

  9. 77 FR 17459 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-26

    ... National Oceanic and Atmospheric Administration RIN 0648-XB106 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations...

  10. 76 FR 16619 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-24

    ... National Oeanic and Atmospheric Administration RIN 0648-XA318 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR...

  11. 78 FR 30869 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-23

    ... National Oceanic and Atmospheric Administration RIN 0648-XC693 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR...

  12. 77 FR 58982 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-25

    ... National Oceanic and Atmospheric Administration RIN 0648-XC256 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR...

  13. 76 FR 64073 - New England Fishery Management Council; Public Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-17

    ... National Oceanic and Atmospheric Administration RIN 0648-XA763 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meetings. SUMMARY: The New England Fishery Management... locations, see SUPPLEMENTARY INFORMATION. Council address: New England Fishery Management Council, 50...

  14. Real or Illusory? Case Studies on the Public Perception of Environmental Health Risks in the North West of England

    PubMed Central

    Stewart, Alex G; Luria, Paolo; Reid, John; Lyons, Mary; Jarvis, Richard

    2010-01-01

    Applied research in a public health setting seeks to provide professionals with insights and knowledge into complex environmental issues to guide actions that reduce inequalities and improve health. We describe ten environmental case studies that explore the public perception of health risk. We employed logical analysis of components of each case study and comparative information to generate new evidence. The findings highlight how concerns about environmental issues measurably affect people’s wellbeing and led to the development of new understanding about the benefits of taking an earlier and more inclusive approach to risk communication that can now be tested further. PMID:20617024

  15. Exporting Poor Health: The Irish in England

    PubMed Central

    Delaney, Liam; Fernihough, Alan; Smith, James P

    2013-01-01

    The Irish-born population in England typically were in worse health than both the native population and the Irish population in Ireland, a reversal of the commonly observed healthy migrant effect (HIE). Recent birth-cohorts living in England and born in Ireland, however, are healthier than the English population. The substantial Irish migrant health penalty arises principally for cohorts born between 1920 and 1960. This paper attempts to understand the processes that generated these changing migrant health patterns for Irish migrants to England. Our results suggest a strong role for economic selection in driving the dynamics of health differences between the Irish-born migrants and White English populations. PMID:24014181

  16. 76 FR 31304 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-31

    ... National Oceanic and Atmospheric Administration RIN 0658-XA461 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  17. 77 FR 35359 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-13

    ... National Oceanic and Atmospheric Administration New England Fishery Management Council; Public Meeting...), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's (Council) VMS/ Enforcement Committee and Advisory Panel will meet to consider actions affecting New...

  18. 76 FR 31304 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-31

    ... National Oceanic and Atmospheric Administration RIN: 0648-XA462 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  19. 77 FR 57076 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-17

    ... National Oceanic and Atmospheric Administration RIN 0648-XC237 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  20. 77 FR 27717 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-11

    ... National Oceanic and Atmospheric Administration New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's...

  1. 77 FR 27716 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-11

    ... National Oceanic and Atmospheric Administration New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's...

  2. 77 FR 70737 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-27

    ...; ] DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration RIN 0648-XC366 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England...

  3. 78 FR 44929 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-25

    ... National Oceanic and Atmospheric Administration RIN 0648-XC778 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. ] SUMMARY: The New England Fishery...

  4. 78 FR 28578 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-15

    ... National Oceanic and Atmospheric Administration RIN 0648-XC685 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  5. 78 FR 54239 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-03

    ... National Oceanic and Atmospheric Administration RIN 0648-XC847 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  6. 78 FR 54240 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-03

    ... National Oceanic and Atmospheric Administration RIN 0648-XC841 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  7. 77 FR 29595 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-18

    ... National Oceanic and Atmospheric Administration New England Fishery Management Council; Public Meeting...), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council (Council) is... Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR FURTHER...

  8. 78 FR 20618 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-05

    ... National Oceanic and Atmospheric Administration RIN 0649-XC608 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery...

  9. 77 FR 71786 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-04

    ... National Oceanic and Atmospheric Administration RIN 0648-XC375 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery...

  10. 77 FR 53868 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-04

    ... National Oceanic and Atmospheric Administration RIN 0648-XC212 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  11. Clinical characteristics and public health management of invasive meningococcal group W disease in the East Midlands region of England, United Kingdom, 2011 to 2013.

    PubMed

    Bethea, Jane; Makki, Sophia; Gray, Steve; MacGregor, Vanessa; Ladhani, Shamez

    2016-06-16

    In England and Wales, meningococcal disease caused by group W has historically been associated with outbreaks of disease among travellers to high-risk countries. Following a large outbreak associated with travel to the Hajj in 2000, the number of cases declined and, in 2008, only 19 laboratory-confirmed cases were identified nationally. In 2013, in the East Midlands region of England, eight cases of meningococcal disease caused by this serogroup were recorded, compared with six from 2011 to 2012. To explore this further, data for all cases with a date of onset between 1 January 2011 and 31 December 2013 were collected. Data collected included geographical location, clinical presentation and outcome. Fourteen cases were identified; two died as a result of their illness and two developed long-term health problems. No commonality in terms of geographical location, shared space or activities was identified, suggesting that group W is circulating endemically with local transmission. Clinical presentation was variable. Half presented with symptoms not typical of a classical meningococcal disease, including two cases of cellulitis, which may have implications for clinicians, in terms of timely identification and treatment, and public health specialists, for offering timely antibiotic chemoprophylaxis to close contacts. PMID:27336327

  12. Immigration, Statecraft and Public Health: The 1920 Aliens Order, Medical Examinations and the Limitations of the State in England

    PubMed Central

    Taylor, Becky

    2016-01-01

    This article considers the medical measures of the 1920 Aliens Order barring aliens from Britain. Building on existing local and port public health inspection, the requirement for aliens to be medically inspected before landing significantly expanded the duties of these state agencies and necessitated the creation of a new level of physical infrastructure and administrative machinery. This article closely examines the workings and limitations of alien medical inspection in two of England’s major ports—Liverpool and London—and sheds light on the everyday working of the Act. In doing so it reflects on the ambitions, actions and limitations of the state and so extends research by historians of the nineteenth and early twentieth century on the disputed histories of public health and the complexities of statecraft. Overall it suggests the importance of developing nuanced understandings of the gaps and failures arising from the translation of legislation into practice. PMID:27482146

  13. 77 FR 42278 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-18

    ... National Oceanic and Atmospheric Administration New England Fishery Management Council; Public Meeting...), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's (Council...: (603) 431-2300; fax: (603) 433-5649. Council address: New England Fishery Management Council, 50...

  14. 75 FR 29989 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-28

    ... National Oceanic and Atmospheric Administration RIN 0648-XW66 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's (Council) VMS/ Enforcement Committee will meet to consider actions affecting New...

  15. 78 FR 18963 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-28

    ... National Oceanic and Atmospheric Administration RIN 0648-XC594 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's (Council) Recreational Advisory Panel will meet to consider actions affecting New...

  16. 75 FR 49466 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-13

    ... National Oceanic and Atmospheric Administration RIN 0648-XY17 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's (Council) VMS/ Enforcement Committee will meet to consider actions affecting New...

  17. 75 FR 31425 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-03

    ... National Oceanic and Atmospheric Administration RIN 0648-XW76 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's (Council) VMS/ Enforcement Committee will meet to consider actions affecting New...

  18. 76 FR 48806 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-09

    ... the small mesh fishery. These alternatives will include Annual Catch Limit (ACL) measures (allocations... National Oceanic and Atmospheric Administration RIN 0648-XA621 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  19. 75 FR 47268 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-05

    ... National Oceanic and Atmospheric Administration RIN: 0648-XY00 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR FURTHER...

  20. 77 FR 29315 - New England Fishery Management Council; Public Meeting;

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-17

    ... National Oceanic and Atmospheric Administration RIN 0648-XC015 New England Fishery Management Council; Public Meeting; Correction AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; correction. SUMMARY: The New England...

  1. 75 FR 1752 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-13

    ... National Oceanic and Atmospheric Administration RIN 0648-XT67 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management...; telephone: (603) 431-2300 and fax: (603) 433-5649. Council address: New England Fishery Management...

  2. 75 FR 23244 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-03

    ... National Oceanic and Atmospheric Administration RIN 0648-XW16 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management..., 2010, to consider actions affecting New England fisheries in the exclusive economic zone...

  3. 77 FR 47373 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-08

    ... National Oceanic and Atmospheric Administration RIN 0648-XC151 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of public meeting. SUMMARY: The New England Fishery Management... actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from...

  4. 76 FR 44577 - New England Fishery Management Council; Public meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-26

    ... National Oceanic and Atmospheric Administration RIN 0648-XA598 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; Public meeting. ] SUMMARY: The New England Fishery Management... consider actions affecting New England fisheries in the exclusive economic zone (EEZ). DATES: The...

  5. 77 FR 14004 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-08

    ... National Oceanic and Atmospheric Administration RIN 0648-XB064 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... New England fisheries in the exclusive economic zone (EEZ). DATES: The meeting will be held...

  6. 76 FR 26706 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-09

    ... National Oceanic and Atmospheric Administration RIN 0648-XA418 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management Council's (Council) Groundfish Committee will meet to consider actions affecting New England fisheries...

  7. 76 FR 53415 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-26

    ... National Oceanic and Atmospheric Administration RIN 0648-XA664 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... September 14-15, 2011, to consider actions affecting New England fisheries in the exclusive economic...

  8. 78 FR 4391 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-22

    ... National Oceanic and Atmospheric Administration RIN 0648-XC454 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will...

  9. 77 FR 56813 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-14

    ... National Oceanic and Atmospheric Administration RIN 0648-XC234 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management... affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group...

  10. 75 FR 66072 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-27

    ... National Oceanic and Atmospheric Administration RIN 0648-XA004 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management... November, 2010, to consider actions affecting New England fisheries in the exclusive economic zone...

  11. 75 FR 23243 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-03

    ... National Oceanic and Atmospheric Administration RIN 0648-XW19 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management... actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from...

  12. 76 FR 26253 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-06

    ... National Oceanic and Atmospheric Administration RIN 0648-XA417 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management... consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations...

  13. 75 FR 55306 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-10

    ... National Oceanic and Atmospheric Administration RIN 0648-XY86 New England Fishery Management Council... Administration (NOAA), Commerce ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management..., 2010, to consider actions affecting New England fisheries in the exclusive economic zone...

  14. 75 FR 11135 - New England Fishery Management Council; Public Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-10

    ... National Oceanic and Atmospheric Administration RIN 0648-XU97 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of public meetings. SUMMARY: The New England Fishery Management... on March 24, 2010 and March 25, 2010 to consider actions affecting New England fisheries in...

  15. 75 FR 62507 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-12

    ... National Oceanic and Atmospheric Administration RIN 0648-XZ56 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... Development Team in October 2010 to consider actions affecting New England fisheries in the exclusive...

  16. 77 FR 66072 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-01

    ... National Oceanic and Atmospheric Administration RIN 0648-XC330 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... 19, 2012 to consider actions affecting New England fisheries in the exclusive economic zone...

  17. 75 FR 29989 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-28

    ... National Oceanic and Atmospheric Administration RIN 0648-XW65 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management Council's (Council) Groundfish Committee will meet to consider actions affecting New England fisheries...

  18. 75 FR 12505 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-16

    ... National Oceanic and Atmospheric Administration RIN 0648-XV22 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... Development Team in April, 2010 to consider actions affecting New England fisheries in the exclusive...

  19. 78 FR 71565 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-29

    ... National Oceanic and Atmospheric Administration RIN 0648-XD006 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of public meeting. SUMMARY: The New England Fishery Management... . ] Council address: New England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA...

  20. 77 FR 42699 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-20

    ... National Oceanic and Atmospheric Administration RIN 0648-XC116 New England Fishery Management Council... Administration (NOAA), Commerce. ] ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management...; telephone: (617) 569-5250; fax: (617) 561-0971. Council address: New England Fishery Management Council,...

  1. 75 FR 80798 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-23

    ... National Oceanic and Atmospheric Administration RIN 0648-XA106 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... 04102; telephone: (207) 774-5611; fax: (207) 871- 0510. Council address: New England Fishery...

  2. 78 FR 31519 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-24

    ... National Oceanic and Atmospheric Administration RIN 0648-XC696 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... address: New England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950....

  3. 75 FR 78976 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-17

    ... National Oceanic and Atmospheric Administration RIN 0648-XA092 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management...: (617) 569-5250; fax: (617) 561-0971. Council address: New England Fishery Management Council, 50...

  4. 77 FR 58983 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-25

    ... National Oceanic and Atmospheric Administration RIN 0648-XC250 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management...) 926-6762; fax: (603) 926-2002. Council address: New England Fishery Management Council, 50...

  5. 78 FR 30868 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-23

    ... National Oceanic and Atmospheric Administration RIN 0648-XC692 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management...; telephone: (401) 421-0700; fax: (401) 455-3040. Council address: New England Fishery Management Council,...

  6. 75 FR 63147 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-14

    ... National Oceanic and Atmospheric Administration RIN 0648-XZ63 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management...-0700; fax: (401) 455-3050. Council address: New England Fishery Management Council, 50 Water...

  7. 75 FR 78681 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-16

    ... National Oceanic and Atmospheric Administration RIN 0648-XA089 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management...: (207) 871-0510. Council address: New England Fishery Management Council, 50 Water Street, Mill...

  8. 75 FR 78680 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-16

    ... National Oceanic and Atmospheric Administration RIN 0648-XA090 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management...: (401) 732-9309. Council address: New England Fishery Management Council, 50 Water Street, Mill...

  9. 76 FR 77492 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-13

    ... National Oceanic and Atmospheric Administration RIN 0648-XA864 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management...-8000; fax: (401) 861-8002. Council address: New England Fishery Management Council, 50 Water...

  10. 77 FR 14351 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-09

    ... National Oceanic and Atmospheric Administration RIN 0648-XB073 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management...: (401) 421-0700; fax: (401) 455-3050. Council address: New England Fishery Management Council, 50...

  11. 78 FR 11820 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-20

    ... National Oceanic and Atmospheric Administration RIN 0648-XC514 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management.... Council address: New England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA...

  12. 76 FR 77214 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-12

    ... National Oceanic and Atmospheric Administration RIN 0648-XA862 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management...; fax: (401) 861-8002. Council address: New England Fishery Management Council, 50 Water Street, Mill...

  13. United Kingdom (England): Health system review.

    PubMed

    Boyle, Seán

    2011-01-01

    The Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, financing and delivery of health services and the role of the main actors in health systems; describe the institutional framework, process, content and implementation of health and health care policies; and highlight challenges and areas that require more in-depth analysis. Various indicators show that the health of the population has improved over the last few decades. However, inequalities in health across socioeconomic groups have been increasing since the 1970s. The main diseases affecting the population are circulatory diseases, cancer, diseases of the respiratory system and diseases of the digestive system. Risk factors such as the steadily rising levels of alcohol consumption, the sharp increases in adult and child obesity and prevailing smoking levels are among the most pressing public health concerns, particularly as they reflect the growing health inequalities among different socioeconomic groups. Health services in England are largely free at the point of use. The NHS provides preventive medicine, primary care and hospital services to all those ordinarily resident. Over 12% of the population is covered by voluntary health insurance schemes, known in the United Kingdom as private medical insurance (PMI), which mainly provides access to acute elective care in the private sector. Responsibility for publicly funded health care rests with the Secretary of State for Health, supported by the Department of Health. The Department operates at a regional level through 10 strategic health authorities (SHAs), which are responsible for ensuring the quality and performance of local health services within their geographic area. Responsibility for commissioning health services at the local level lies with 151 primary care

  14. Towards developing new partnerships in public services: users as consumers, citizens and/or co-producers in health and social care in England and Sweden.

    PubMed

    Fotaki, Marianna

    2011-01-01

    The causes and effects of marketization of public services have been analysed extensively in the literature, but there is relatively little research on how those policies impact on the development of new forms of governance, and the role of users in these new arrangements. This study reviews examples of competition, freedom of choice and personalized care in health and social services in England and Sweden, in order to examine the type of relationships emerging between the user/consumer vis-à-vis market driven providers and various agencies of the state under the marketized welfare. The article focuses on the possible roles users might assume in new hybrid arrangements between markets, collaborations and steering. A user typology: namely, that of a consumer, citizen, co-producer and responsibilized agent in various governance arrangements, is then suggested. The article concludes by arguing that pro-market policies instead of meeting the alleged needs of post-modern users for individualized public services are likely to promote a new type of highly volatile and fragile partnerships, and create a new subordinated user who has no choice but to ‘choose’ services they have little control over. PMID:22165151

  15. 77 FR 27440 - New England Fishery Management Council; Public Hearings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-10

    ... National Oceanic and Atmospheric Administration New England Fishery Management Council; Public Hearings...), Commerce. ACTION: Public Hearing; Request for Comments. SUMMARY: The New England Fishery Management Council (Council) will hold a supplemental public hearing to solicit Scoping comments on Draft Amendment 19 to...

  16. 76 FR 38621 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-01

    ... National Oceanic and Atmospheric Administration New England Fishery Management Council; Public Meeting...), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council (Council) is scheduling a public meeting of its Monkfish Advisory Panel, in July, 2011, to consider actions affecting...

  17. 77 FR 16810 - New England Fishery Management Council; Public Hearings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-22

    ...; Public Hearings AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice of public hearings; request for comments. SUMMARY: The New England Fishery Management Council (Council) will hold five public hearings to solicit Scoping comments...

  18. 78 FR 13326 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-27

    ...; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce ACTION: Notice; public meeting. ] SUMMARY: The New England Fishery Management Council (Council) is scheduling a public meeting of its Habitat Committee to consider actions...

  19. 76 FR 64901 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-19

    ...; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council (Council) is scheduling a public meeting of its Monkfish Oversight Committee meeting to...

  20. 76 FR 32143 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-03

    ... wish to provide brief comments on issues relevant to Council business but not otherwise listed on the... National Oceanic and Atmospheric Administration New England Fishery Management Council; Public Meeting...), Commerce. ACTION: Public meeting. SUMMARY: The New England Fishery Management Council (Council) will hold...

  1. On Affordability: Public Higher Education in New England

    ERIC Educational Resources Information Center

    Syverud, Gretchen

    2015-01-01

    As the lowest-priced higher education institutions serving the greatest share of students in New England, public institutions are a crucial access point for the region's students who may not have other opportunities to enroll in college. Maintaining the cost of attending a public institution in New England is imperative for students, families,…

  2. Health research access to personal confidential data in England and Wales: assessing any gap in public attitude between preferable and acceptable models of consent.

    PubMed

    Taylor, Mark J; Taylor, Natasha

    2014-12-01

    England and Wales are moving toward a model of 'opt out' for use of personal confidential data in health research. Existing research does not make clear how acceptable this move is to the public. While people are typically supportive of health research, when asked to describe the ideal level of control there is a marked lack of consensus over the preferred model of consent (e.g. explicit consent, opt out etc.). This study sought to investigate a relatively unexplored difference between the consent model that people prefer and that which they are willing to accept. It also sought to explore any reasons for such acceptance.A mixed methods approach was used to gather data, incorporating a structured questionnaire and in-depth focus group discussions led by an external facilitator. The sampling strategy was designed to recruit people with different involvement in the NHS but typically with experience of NHS services. Three separate focus groups were carried out over three consecutive days.The central finding is that people are typically willing to accept models of consent other than that which they would prefer. Such acceptance is typically conditional upon a number of factors, including: security and confidentiality, no inappropriate commercialisation or detrimental use, transparency, independent overview, the ability to object to any processing considered to be inappropriate or particularly sensitive.This study suggests that most people would find research use without the possibility of objection to be unacceptable. However, the study also suggests that people who would prefer to be asked explicitly before data were used for purposes beyond direct care may be willing to accept an opt out model of consent if the reasons for not seeking explicit consent are accessible to them and they trust that data is only going to be used under conditions, and with safeguards, that they would consider to be acceptable even if not preferable. PMID:26085451

  3. 76 FR 63609 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-13

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF COMMERCE...; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  4. 75 FR 11846 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-12

    ...; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... problem statement for the action, identify measurable goals and objectives, and will identify...

  5. 78 FR 79672 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-31

    ...The New England Fishery Management Council (Council) is scheduling a public meeting of its Herring Advisory Panel to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will be brought to the full Council for formal consideration and action, if...

  6. 75 FR 36360 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-25

    ... National Oceanic and Atmospheric Administration RIN 0648-XX09 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's (Council) Groundfish/Scallop Advisory Panel will meet to consider actions affecting New...

  7. 76 FR 54433 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-01

    .... SUPPLEMENTARY INFORMATION: The original meeting notice published on August 26, 2011, (76 FR 53417). The meetings... National Oceanic and Atmospheric Administration RIN 0648-XA665 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery...

  8. 75 FR 28566 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-21

    ... National Oceanic and Atmospheric Administration RIN 0648-XW57 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management Council's (Council) Groundfish/Scallop Advisory Panel will meet to consider actions affecting New...

  9. 76 FR 13361 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-11

    ... National Oceanic and Atmospheric Administration RIN 0648-XA284 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management... Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR FURTHER INFORMATION CONTACT: Paul...

  10. 75 FR 51240 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-19

    ...: (401) 732-9309. Council address: New England Fishery Management Council, 50 Water Street, Mill 2... National Oceanic and Atmospheric Administration RIN 0648-XY24 New England Fishery Management Council... Council (Council) is scheduling a public meeting of its Scallop Committee, in September, 2010, to...

  11. 78 FR 51712 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-21

    ...-9600; fax: (401) 734-9700. Council address: New England Fishery Management Council, 50 Water Street... National Oceanic and Atmospheric Administration RIN 0648-XC819 New England Fishery Management Council... Council (Council) is scheduling a public meeting of its Whiting Advisory Panel on September 9, 2013...

  12. 78 FR 51711 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-21

    ...) 431-2300; fax: (603) 433-5649. Council address: New England Fishery Management Council, 50 Water... National Oceanic and Atmospheric Administration RIN 0648-XC813 New England Fishery Management Council... Council (Council) is scheduling a public meeting of its Joint Groundfish/Habitat Committees on September...

  13. 78 FR 27367 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-10

    ... England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR FURTHER... National Oceanic and Atmospheric Administration RIN 0648-XC674 New England Fishery Management Council... Council (Council) is scheduling a public meeting of its Monkfish Committee on May 29, 2013 and May...

  14. 75 FR 54093 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-03

    ...-1191; fax: (401) 272-1416. Council address: New England Fishery Management Council, 50 Water Street... National Oceanic and Atmospheric Administration RIN: 0648-XY77 New England Fishery Management Council... Council (Council) is scheduling a public meeting of its Scallop Advisory Panel, in September, 2010,...

  15. 77 FR 68735 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-16

    ...-0700; fax: (401) 455-3050. Council address: New England Fishery Management Council, 50 Water Street... National Oceanic and Atmospheric Administration RIN 0648-XC356 New England Fishery Management Council... Council (Council) is scheduling a public meeting of its Monkfish Oversight Committee and Advisory Panel...

  16. 77 FR 68735 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-16

    ...) 634-2001. Council address: New England Fishery Management Council, 50 Water Street, Mill 2... National Oceanic and Atmospheric Administration RIN 0648-XC355 New England Fishery Management Council... Council (Council) is scheduling a public meeting of its Habitat Oversight Committee to consider...

  17. 75 FR 54093 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-03

    ...; fax: (401) 272-1416. Council address: New England Fishery Management Council, 50 Water Street, Mill 2... National Oceanic and Atmospheric Administration RIN: 0648-XY76 New England Fishery Management Council... Council (Council) is scheduling a public meeting of its Scallop Committee, in September, 2010, to...

  18. 76 FR 10561 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-25

    ...: (978) 750- 7959. Council address: New England Fishery Management Council, 50 Water Street, Mill 2... National Oceanic and Atmospheric Administration RIN 0648-XA248 New England Fishery Management Council... Council (Council) is scheduling a public meeting of its Research Steering Committee (Committee), in...

  19. 77 FR 66441 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-05

    ...) 385-4001. Council address: New England Fishery Management Council, 50 Water Street, Mill 2... National Oceanic and Atmospheric Administration RIN 0648-XC330 New England Fishery Management Council... Council (Council) is scheduling a public meeting of its Scientific and Statistical Committee (SSC)...

  20. 75 FR 76703 - New England Fishery Management Council; Public Hearings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-09

    ... Amendment 6 to the Monkfish FMP (75 FR 74005). At that time only one hearing was scheduled to be held on... National Oceanic and Atmospheric Administration RIN 0648-XA080 New England Fishery Management Council... for Comments. SUMMARY: The New England Fishery Management Council (NEFMC) will hold public hearings...

  1. 76 FR 43266 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-20

    ... National Oceanic and Atmospheric Administration RIN 0648-XA582 New England Fishery Management Council... Fisheries Service (NMFS). ACTION: Notice; Public meeting. SUMMARY: The New England Fishery Management... Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR FURTHER INFORMATION CONTACT: Paul...

  2. 77 FR 51521 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-24

    ... National Oceanic and Atmospheric Administration RIN 0648-XC179 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR FURTHER INFORMATION CONTACT: Paul...

  3. 78 FR 78823 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-27

    ...The New England Fishery Management Council (Council) is scheduling a joint public meeting of its Skate Oversight Committee and Skate Advisory Panel on January 15, 2014 to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will be brought to the full Council for formal consideration and action, if...

  4. 77 FR 50472 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-21

    ... of Forms Federal Register (77 FR 153, 8/8/12). Other business may be discussed. The public is invited... Regulations for New England Fishery Management Plans (FMPs). Also on the agenda will be to make recommendations for changes to gear stowage rules across all New England FMPs, and contact the Mid-...

  5. 75 FR 70722 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-18

    ... National Oceanic and Atmospheric Administration RIN: 0648-XA044 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management... Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR FURTHER INFORMATION CONTACT: Paul...

  6. 75 FR 63146 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-14

    ... National Oceanic and Atmospheric Administration RIN 0648-XZ64 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management... Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR FURTHER INFORMATION CONTACT: Paul...

  7. 76 FR 61345 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-04

    ... National Oceanic and Atmospheric Administration RIN 0648-XA745 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR FURTHER INFORMATION CONTACT: Paul...

  8. 77 FR 64490 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-22

    ...The New England Fishery Management Council (Council) is scheduling a public meeting of its Scallop Advisory Panel to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will be brought to the full Council for formal consideration and action, if...

  9. 77 FR 15721 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-16

    ...The New England Fishery Management Council (Council) is scheduling a public meeting of its Scallop Advisory Panel to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will be brought to the full Council for formal consideration and action, if...

  10. 78 FR 53729 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-30

    ...The New England Fishery Management Council (Council) is scheduling a public meeting of its Scallop Advisory Panel on September 17, 2013 to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will be brought to the full Council for formal consideration and action, if...

  11. 78 FR 64199 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-28

    ...The New England Fishery Management Council (Council) is scheduling a public meeting of its Scallop Advisory Panel on November 13, 2013 to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will be brought to the full Council for formal consideration and action, if...

  12. 77 FR 52314 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-29

    ...The New England Fishery Management Council (Council) is scheduling a public meeting of its Scallop Advisory Panel to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will be brought to the full Council for formal consideration and action, if...

  13. 75 FR 63812 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-18

    ...The New England Fishery Management Council (Council) is scheduling a public meeting of its Scallop Advisory Panel, in November, 2010, to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will be brought to the full Council for formal consideration and action, if...

  14. Local Government Health Services in Interwar England:

    PubMed Central

    Gorsky, Martin

    2011-01-01

    Summary This article provides a critical discussion of recent work on local government health care and health services in interwar England. A literature review examines case study approaches and comparative quantitative surveys, highlighting conventional and revisionist interpretations. Noting the differing selection criteria evident in some works, it argues that studies based upon a limited number of personal health services provide an insufficient basis for assessing local health activity and policy. There follows a regional study demonstrating various discrepancies between health financing data in local sources and those in nationally collated returns. These in turn give rise to various problems of assessment and interpretation in works relying on the latter, particularly with respect to services for schoolchildren and long-stay patients. The case study points to the importance of integrating poor law medical services in evaluations, and of learning more about the role of government subsidy in supporting expanding services. PMID:22080797

  15. 78 FR 70282 - New England Fishery Management Council; Public Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-25

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF COMMERCE... Administration (NOAA), Commerce. ACTION: Notice; public meetings. SUMMARY: The New England Fishery Management Council's (Council) Groundfish Oversight Committee and Electronic Monitoring Working Group (EMWG)...

  16. 76 FR 71939 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-21

    ... Committee (SSC) will discuss the 2012 SSC calendar and tasks, social science issues including socioeconomic considerations in setting acceptable biological catches (ABCs); improving SSC outreach, research priorities... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  17. 75 FR 51755 - New England Fishery Management Council; Public Hearing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-23

    ...The New England Fishery Management Council (Council) will hold a public hearing to solicit comments on proposals to be included in the Draft Amendment 3 to the Deep Sea Red Crab Fishery Management Plan...

  18. Through the glass ceiling - and back again: the experiences of two of the first non-medical directors of public health in England.

    PubMed

    Evans, David; Adams, Lee

    2007-06-01

    In 2001, the English Department of Health announced a radical re-organisation of the NHS under the banner of 'shifting the balance of power'. As part of this re-organisation health authorities were abolished and the main NHS public health responsibilities devolved to the new primary care trusts (PCTs) from April 2002. Following several years of campaigning by the Multidisciplinary Public Health Forum (MPHF), in November 2001 the Acting Minister for Public Health, Lord Hunt, announced that PCT director of public health (DPH) posts would be open to 'suitably qualified' candidates from any discipline. From April 2002 a number of new DsPH from backgrounds other than medicine were appointed. This paper reports on the experiences of two such DsPH who shared a commitment to multidisciplinary public health, but who did not wholly share the objectives of the MPHF. We place the opening of PCT DPH posts in the context of tensions within NHS public health between a focus on health services versus the wider determinants of health, and the development of multidisciplinary public health. The paper reflects on both the degree of change this opening represented and the limitations and tensions such appointments exposed. PMID:17451762

  19. 77 FR 8809 - New England Fishery Management Council; Public Hearings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-15

    ...; Public Hearings AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public hearings. SUMMARY: The New England Fishery Management Council (Council) will hold eight public hearings to solicit comment on Draft Amendment 5 to the...

  20. 76 FR 50183 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-12

    ...; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council (Council) is scheduling a public meeting of its Monkfish Oversight Committee on August 31, 2011...

  1. 76 FR 55645 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-08

    ...; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management... Conservation and Management Act, provided the public has been notified of the Council's intent to take...

  2. The NHS health check programme in England: a qualitative study.

    PubMed

    Perry, Catherine; Thurston, Miranda; Alford, Simon; Cushing, Jill; Panter, Lee

    2016-03-01

    Despite an extensive evidence-base linking patterns of health with social determinants, recent public health policy has emphasized 'lifestyle diseases' and risk factor modification through behavioural and pharmacological intervention. In England, one manifestation of this has been the launch of the National Health Service Health Check programme. This paper reports findings from a small-scale qualitative study exploring experiences of engaging with a community-based health check in Knowsley, England, among 17 males and 19 females, with varying levels of risk for cardiovascular disease, who agreed to be contacted for the purpose of research at the time they underwent their check. Analysis revealed that the community-based nature of the checks provided opportunities for people to find out more about their health who might not otherwise have done so. Participants expressed a range of responses to the communication of the risk score, often revealing their confusion about its meaning. Changes in behaviour were identified, which participants connected with having had a check. This study raises questions about where, how and by whom health checks are delivered. Emphasis on health checks reflects the dominant individualist ideology, but this study also suggests that the process provides opportunities to enable and empower individuals, albeit in small ways. However, they remain a 'downstream' approach to public health, emphasizing medical and behavioural options for risk factor reduction rather than focussing on primary prevention through changes to the wider environment. Furthermore, although developed as a central feature of the UK's strategy to reduce health inequalities, health checks may widen them. PMID:25073761

  3. Using a public health approach to improve end-of-life care: results and discussion of a health needs assessment undertaken in a large city in northern England.

    PubMed

    Ingold, Kathryn; Hicks, Fiona

    2015-06-01

    A detailed health needs assessment (HNA) for end-of-life care (EoLC) services was led by public health in Leeds to inform a commissioning strategy. To answer the question: are we delivering the best possible EoLC services within the resources available? Mixed methods were used with three approaches: epidemiological, corporate and comparative. More people from deprived communities die in hospital. 18% of people who die each year are on a palliative care register, reflecting a lack of recognition and planning for EoLC given that 75% of people who die need EoLC. Over 100 staff, patients and carers were interviewed and over 200 staff returned questionnaires. Staff highlighted concerns about capacity of services; pressure on out-of-hospital care; problems at physical and electronic interfaces between services; suboptimal hospital discharge; need for earlier recognition of the EoL stage for patients. Patients and carers stressed the importance of communication, coordination and continuity of care; full involvement in care planning; honesty and support for the bereaved; an advocate for patients and families; accessible information; improved urgent care; integrated team working; pain relief, dignity and respect. Issues from comparator sites included the need for sustainable leadership for change, lack of interoperability between IT systems; building advance care planning into working culture; gaps in psychological services, bereavement and pastoral support; integration within all clinical areas; lack of district nurses; few investment opportunities; getting home care support right; concerns about 111; incentives for general practitioners to deliver EoLC; variability in service and the Liverpool Care Pathway controversy. Ethical approval was not sought as the HNA was undertaken as a service evaluation. Local policy is that ethical approval is not required for service evaluation. PMID:25193016

  4. Could you starve to death in England in 1839? The Chadwick-Farr controversy and the loss of the "social" in public health.

    PubMed Central

    Hamlin, C

    1995-01-01

    The public health field has long been pulled in two directions, either toward a narrower biomedical mission to control infectious disease or toward a broader mission to address the social and economic factors that adversely affect health and wellbeing. This paper explores as an instance of this tension an 1839 controversy between the statistician William Farr and the pioneering sanitary reformer Edwin Chadwick on the role of starvation as a cause of death. Farr thought hunger contribution significantly to many deaths; Chadwick wanted Farr to concentrate on the diseases from which people actually died. The paper then considers what the "constitutional" disease theories, which underlay Farr's concerns, implied for public health using medical testimony on child labor in industrial revolution factories as an illustration. An exploration of this constitutional medicine may help provide a "useable past" for modern public health workers interested in broadening the scope of public health. Images p857-a p857-b p859-a PMID:7762726

  5. 75 FR 32375 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-08

    ...; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management... red crab ABC and set the Atlantic salmon ABC. The day will end with a review of analyses and...

  6. [Publicly funded programs of psychotherapy in Australia and England].

    PubMed

    Vasiliadis, Helen-Maria; Dezetter, Anne

    2015-01-01

    Quebec's HealthCommissioner on the performance of the health system clearly highlighted gaps in the collaboration between primary care physicians and mental health specialists, decreased accessibility and inequity in access to effective mental health services such as psychotherapy.Objectives The aim of this article was to describe the implementation of two publicly funded programs of psychotherapy in Australia and England with similar gatekeeper systems to the one in Quebec.Findings Following the Access to Allied Psychological Services (ATAPS) program introduced in Australia in 2003, one of the most important initiatives from the Council of Australian Governments' National Action Plan on Mental Health 2006-2011 was the Better Access Initiative which commenced in 2006. The plan included AUD1.2 billion in funding for integrating and improving the mental health care system. The purpose of Better Access was to improve the treatment and management of mental illnesses and increasing community access to mental health professionals and providing more affordable mental health care. GPs were encouraged to work more closely with mental health professionals. Under this program, these professionals are able to provide mental health services on a fee-for-service basis subsidized through Medicare. Access to psychological therapies is provided through private providers, rather than through fund holding arrangements. As of 2009 in Australia, 2 million people (1 in 11) had received over 11.2 million subsidized mental health services. A recent study showed clinical improvements in patients with depression associated with Better Access, concluding that the program is meeting previously unmet mental health needs.In the case of England, the IAPT - Improving Access to psychological Therapies-program enabled primary care trusts (PCTs) to implement evidence-based psychological therapies as recommended by National Institute for Health and Clinical Excellence for people suffering from

  7. 75 FR 25208 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ... FR 23244) and the meeting will be rescheduled at a later date and announced in the Federal Register... National Oceanic and Atmospheric Administration RIN: 0648-XW16 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Notice of cancellation of a public meeting. SUMMARY: The New...

  8. 76 FR 29726 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-23

    ... revisit the allocation structure for Potential Sector Contributions determined in Amendment 16 to the Northeast Multispecies FMP. Recommendations on a potential action to manage excessive shares in the fishery... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  9. 77 FR 20613 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-05

    ... National Oceanic and Atmospheric Administration RIN 0648-XB129 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric..., (77 FR 19231), and the meeting will be rescheduled at a later date and announced in the...

  10. 77 FR 16211 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-20

    .... The Committee will make recommendations for research priorities for the 2013 and 2014 Research Set... Northeast Fisheries Science Center (NEFSC) on future plans for the federal scallop survey and how results... Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  11. 75 FR 43148 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-23

    ... School for Marine Science and Technology--AT&T Building, 200 Mill Road, Fairhaven, MA 02719: telephone..., fishing effort, and research vessel surveys. A brief overview of these data will be presented by the lead...), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council (Council)...

  12. Use of new guidance to profile 'equivalent minutes' of aerobic physical activity for adults in England reveals gender, geographical, and socio-economic inequalities in meeting public health guidance: A cross-sectional study.

    PubMed

    Roberts, David; Townsend, Nick; Foster, Charlie

    2016-12-01

    English physical activity guidance now recognises a double weighting of vigorous over moderate activity; 1 min of vigorous activity is the same as two 'equivalent' minutes of moderate activity. In addition, concerns of over-estimation of occupational PA led to newly applied measurement methods for this domain. Vigorous activity is associated with higher socio-economic position and occupational PA has the opposite association, so these changes may increase inequalities. We profiled adults' total and domain-specific 'equivalent minutes' of weekly PA in England 2012, and investigated inequalities in PA participation, accounting for the new weighting of vigorous PA, and new measurements of occupational PA. Nationally representative cross-sectional survey data on the self-reported PA of 8158 adults was used to produce a profile of the domain and duration of weekly 'equivalent minutes' of PA. Vigorous PA was double-weighted compared to moderate PA, and the percentage contribution from each PA domain quantified, stratified by gender and activity status and split by socio-demographic variables. Women, older adults, and adults without qualifications, from deprived areas, with worse employment conditions, or living in the North of England were significantly less likely to meet MVPA guidance. Type of activity was also socially patterned, particularly sport participation, which contributed a higher percentage of PA in adults of higher socioeconomic status. For active men, sporting activity was the most prevalent domain, and sports and walking for active women. In England, there are important socio-demographic differences in how adults participate in PA, and in percentage meeting public health guidance. PMID:27413661

  13. International Study of Health Care Organization and Financing of renal services in England and Wales.

    PubMed

    Nicholson, Tricia; Roderick, Paul

    2007-12-01

    In England and Wales, the quantity and quality of renal services have improved significantly in the last decade. While acceptance rates for renal replacement therapy appear low by international standards, they are now commensurate with many other northern European countries. The major growth in renal services has been in hemodialysis, especially at satellite units. Health care is predominantly publicly funded through a tax-based National Health Service, and such funding has increased in the last 10 years. Improvements in health outcomes in England and Wales are expected to continue due to the recent implementation of standards, initiatives, and monitoring mechanisms for renal transplantation, vascular access, and patient transport. PMID:17653861

  14. Public Health

    EPA Science Inventory

    Earth observations can be used to address human health concerns in many ways: projecting occurrence of disease or disease outbreaks; rapid detection and tracking of events; construction of risk maps; targeting interventions; and enhancing knowledge of human health-environment int...

  15. American Public Health Association

    MedlinePlus

    ... Health? Creating Healthy Communities Topics & Issues Gun Violence Climate Change Environmental Health Generation Public Health Health Equity Health ... all about it > APHA Webinars Making the Connection: Climate Changes Health Join APHA and ecoAmerica for this series ...

  16. Twitter and public health.

    PubMed

    Bartlett, Catherine; Wurtz, Rebecca

    2015-01-01

    Twitter can serve as a powerful communication modality to both "push" and "pull" public health data; each user is a potential public health sensor and actor. However, in 2012, only 8% of local health departments had Twitter accounts. We outline how Twitter works, describe how to access public tweets for public health surveillance purposes, review the literature on Twitter's current and potential role supporting public health's essential services, summarize Twitter's limitations, and make recommendations for health department use. PMID:24356087

  17. Public health system partnerships: role for local boards of health in preparing the future public health workforce.

    PubMed

    Caron, Rosemary M; Hiller, Marc D; Wyman, William J

    2014-02-01

    The Institute of Medicine's report, Who Will Keep the Public Healthy? Educating Public Health Professionals for the 21st Century, recommended that public health education be accessible to undergraduate students. Promoting access to public health education will ideally contribute to a well-educated public health workforce, thus assuring the fulfillment of the public health mission. In response to this call to action, the authors examined the current practice, feasibility, and value in developing a functional partnership between academic institutions and local boards of health in preparing future public health professionals. Local boards of health in New England were surveyed to: (1) establish a baseline of existing working relationships between them and nearby academic institutions; (2) examine the barriers that inhibit the development of their collaborations with academic partners; and (3) assess how they jointly advance public health workforce development. Despite the main barriers of a lack of time, staff, and funding that are often cited for the absence of collaborations between institutions, one New England state, in particular, reported that their academic institution and local board of health partnerships were important and effective. The authors discuss how academic-practice collaborations hold the potential to combine basic public health principles with leadership and governance experience offered by local boards of health. Such partnerships are underutilized and have the potential to integrate core public health concepts while facilitating applied experiential learning opportunities in a professional public health setting, thus contributing to the development of the future public health workforce. PMID:23897268

  18. 78 FR 79402 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-30

    ...The New England Fishery Management Council's (Council) Joint VMS/Enforcement Committee and Advisory Panel will meet to consider actions affecting New England fisheries in the exclusive economic zone...

  19. 77 FR 2038 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-13

    ...The New England Fishery Management Council (Council) will hold a three-day meeting from January 31, 2012, through February 2, 2012 to consider actions affecting New England fisheries in the exclusive economic zone...

  20. Reinventing public health.

    PubMed

    Lee, P; Paxman, D

    1997-01-01

    This chapter is a review of the current state of public health in light of the social, political, economic, scientific, and technological changes buffeting the United States. As an assessment of progress in current public health efforts, we address the five major issues in public health for the 1990s raised by Breslow (8): reconstruction of public health; setting objectives for public health; from disease control to health promotion; determinants of health and health policy; continuing social inequities and their impacts on health; and the health implications of accelerating developments in technology. Finally, we look to the twenty-first century and provide five clear paths necessary to strengthen the capacity of public health agencies to protect and improve the health status of the population. PMID:9143710

  1. 78 FR 65616 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-01

    ... National Oceanic and Atmospheric Administration RIN 0648-XC940 New England Fishery Management Council... Council's (Council) Groundfish Oversight Committee will meet to consider actions affecting New England...; telephone: (401) 849-1000; fax: (401) 849-3422. Council address: New England Fishery Management Council,...

  2. 76 FR 10888 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-28

    ... National Oceanic and Atmospheric Administration RIN 0648-XA251 New England Fishery Management Council... Council's (Council) Groundfish Committee will meet to consider actions affecting New England fisheries in...; telephone: (978) 777-2500; fax: (978) 750- 7991. Council address: New England Fishery Management Council,...

  3. Using Modern Test Theory to Maintain Standards in Public Qualifications in England

    ERIC Educational Resources Information Center

    Wheadon, Christopher

    2013-01-01

    This paper describes how item response theory (IRT) methods of test-equating could be applied to the maintenance of public examination standards in England. IRT methods of test-equating have been sparingly applied to the main public examinations in England, namely the General Certificate of Secondary Education (GCSE), the equivalent of a school…

  4. Training Public Health Advisors

    PubMed Central

    Meyer, Pamela A.; Brusuelas, Kristin M.; Baden, Daniel J.; Duncan, Heather L.

    2015-01-01

    Federal public health advisors provide guidance and assistance to health departments to improve public health program work. The Centers for Disease Control and Prevention (CDC) prepares them with specialized training in administering public health programs. This article describes the evolving training and is based on internal CDC documents and interviews. The first federal public health advisors worked in health departments to assist with controlling syphilis after World War II. Over time, more CDC prevention programs hired them. To meet emerging needs, 3 major changes occurred: the Public Health Prevention Service, a fellowship program, in 1999; the Public Health Associate Program in 2007; and integration of those programs. Key components of the updated training are competency-based training, field experience, supervision, recruitment and retention, and stakeholder support. The enduring strength of the training has been the experience in a public health agency developing practical skills for program implementation and management. PMID:25564995

  5. Training Public Health Advisors.

    PubMed

    Meyer, Pamela A; Brusuelas, Kristin M; Baden, Daniel J; Duncan, Heather L

    2015-01-01

    Federal public health advisors provide guidance and assistance to health departments to improve public health program work. The Centers for Disease Control and Prevention (CDC) prepares them with specialized training in administering public health programs. This article describes the evolving training and is based on internal CDC documents and interviews. The first federal public health advisors worked in health departments to assist with controlling syphilis after World War II. Over time, more CDC prevention programs hired them. To meet emerging needs, 3 major changes occurred: the Public Health Prevention Service, a fellowship program, in 1999; the Public Health Associate Program in 2007; and integration of those programs. Key components of the updated training are competency-based training, field experience, supervision, recruitment and retention, and stakeholder support. The enduring strength of the training has been the experience in a public health agency developing practical skills for program implementation and management. PMID:25564995

  6. Engaging local public health system partnerships to educate the future public health workforce.

    PubMed

    Caron, Rosemary M; Hiller, Marc D; Wyman, William J

    2013-04-01

    The Institute of Medicine concluded that keeping the public healthy required a well-educated public health workforce, thus leading to its recommendation that "all undergraduates should have access to education in public health" [2]. In response to this call, the authors examined the current practice, feasibility, and value in strengthening (or building) a functional collaborative model between academic institutions and practitioners from local health departments to educate tomorrow's public health workforce. Local and regional health departments in New England were surveyed to: (1) establish a baseline of existing working relationships between them and nearby academic institutions; (2) examine the barriers that inhibit the development of collaborations with academic partners; (3) assess how they jointly promote public health workforce development; and (4) analyze which essential public health services their partnership addresses. Despite the lack of financial resources often cited for the absence of academic-local health department collaborations, some New England states reported that their academic institution and local public health department partnerships were valued and productive. The authors discuss how effective academic-community collaborations have the potential to facilitate a broad-based appreciation of public health among students via a wide array of public health curricula and applied experiential learning opportunities in public health settings. The authors propose a model for how to combine basic public health lessons with practical experience and leadership offered by local health departments, in order to foster a real understanding of public health, its importance, practice, and relevance in today's society from a public health workforce perspective. PMID:22940868

  7. 78 FR 13868 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-01

    ... catch (ABC) risk policy for New England fisheries through structured and participatory discussions. It... opportunity for communications between participants about management and science issues that relate to the...

  8. 75 FR 68757 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-09

    ... Council's (Council) Herring Committee will meet to consider actions affecting New England fisheries in the... for consideration in Amendment 5 to the Atlantic Herring Fishery Management Plan (FMP),...

  9. 77 FR 16540 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-21

    ... affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will... presentation from Stellwagen Bank National Marine Sanctuary staff regarding an ecological research...

  10. 76 FR 17626 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-30

    ...: (508) 339-2200; fax: (508) 339- 1040. Council address: New England Fishery Management Council, 50 Water... stocks managed under the US/Canada Resource Sharing Understanding. 4. Amendment 17 to the Northeast... National Oceanic and Atmospheric Administration RIN 0648-XA336 New England Fishery Management...

  11. 75 FR 10470 - New England Fishery Management Council; Public Hearings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-08

    ..., Executive Director, New England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950... Register (75 FR 2111) and the new dates, times, locations and telephone numbers of the hearings are as... National Oceanic and Atmospheric Administration RIN 0648-XT75 New England Fishery Management...

  12. 78 FR 65617 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-01

    ... addressed to the New England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950... National Oceanic and Atmospheric Administration RIN 0648-XC952 New England Fishery Management Council... Council (Council) will hold a one-day meeting on November 20, 2013 to consider actions affecting...

  13. 78 FR 53730 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-30

    ...) 431-8000; fax: (603) 501-3733. Council address: New England Fishery Management Council, 50 Water... National Oceanic and Atmospheric Administration RIN 0648-XC842 New England Fishery Management Council... Council's (Council) Groundfish Advisory Panel and Oversight Committee will meet to consider...

  14. 78 FR 29116 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-17

    ...-8238. Council address: New England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA... National Oceanic and Atmospheric Administration RIN 0645-XC688 New England Fishery Management Council... Council's (Council) Vessel Monitoring System (VMS)/Enforcement will meet jointly with the Advisory...

  15. 75 FR 66357 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-28

    ... accommodations should be addressed to the New England Fishery Management Council, 50 Water Street, Mill 2... National Oceanic and Atmospheric Administration RIN 0648-XA007 New England Fishery Management Council... Council (Council) will hold a three-day meeting on Tuesday through Thursday, November 16-18, 2010...

  16. 75 FR 2111 - New England Fishery Management Council; Public Hearings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-14

    ... Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950; telephone: (978) 465-0492. FOR FURTHER... National Oceanic and Atmospheric Administration RIN 0648-XT75 New England Fishery Management Council... for Comments. SUMMARY: The New England Fishery Management Council (Council) will hold six...

  17. 77 FR 64491 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-22

    ...-3176. Council address: New England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA.... Dated: October 17, 2012. Tracey L. Thompson, Acting Deputy Director, Office of Sustainable Fisheries... National Oceanic and Atmospheric Administration RIN 0648-XC306 New England Fishery Management...

  18. Current Funds: Public Higher Education Finance in New England

    ERIC Educational Resources Information Center

    Lingenfelter, Paul E.

    2009-01-01

    New Englanders have been well-served by the region's higher education legacy. They tend to be better-educated and more prosperous than the rest of the nation, and the cultural life in their cities and towns is exceptionally rich. But New England dares not rest on its laurels. The growing demand for even greater levels of educational attainment in…

  19. Using real-time syndromic surveillance to assess the health impact of the 2013 heatwave in England.

    PubMed

    Elliot, Alex J; Bone, Angie; Morbey, Roger; Hughes, Helen E; Harcourt, Sally; Smith, Sue; Loveridge, Paul; Green, Helen K; Pebody, Richard; Andrews, Nick; Murray, Virginia; Catchpole, Mike; Bickler, Graham; McCloskey, Brian; Smith, Gillian

    2014-11-01

    Heatwaves are a seasonal threat to public health. During July 2013 England experienced a heatwave; we used a suite of syndromic surveillance systems to monitor the impact of the heatwave. Significant increases in heatstroke and sunstroke were observed during 7-10 July 2013. Syndromic surveillance provided an innovative and effective service, supporting heatwave planning and providing early warning of the impact of extreme heat thereby improving the public health response to heatwaves. PMID:25262071

  20. [Public health and public health systems sustainability].

    PubMed

    Repullo Labrador, José R; Segura Benedicto, Andreu

    2006-01-01

    Public health and healthcare originally started out separately from one another in the past, having later further developed taking different paths in modern times. The major development the health systems underwent in the last half of the 20th century entailed a heightening of the individual standpoint and a division of these two approaches despite the attempts made to bring them together as of the WHO Alma-Ata Conference in 1978. The waning of rationalism and other social phenomena had a hand the collective or population-oriented focus being focused on to a lesser degree in Public Health, but these trends also gave rise to a growing problem of rationality in individual healthcare and sustainability in the public health systems. The debate on the current scene stands to set out the sustainability-related problems mediated by internal and external agents and to revise Public Health's possible contribution to the improvement thereof by advocating yet a further attempt at bringing together and integrating these two diverging standpoints. PMID:17193811

  1. ENVIRONMENTAL PUBLIC HEALTH INDICATORS

    EPA Science Inventory

    Environmental Public Health Indicators (EPHIs), quantitative measures of health factors and environmental influences tracked over time, can be used to identify specific areas and populations for intervention and prevention efforts and to evaluate the outcomes of implemented polic...

  2. Strong links for Public Mental Health.

    PubMed

    Caan, Woody

    2015-08-01

    The new, national Public Mental Health Network offers health visitors and school nurses an opportunity to gain more of a voice within policy. The Network is hosted by the Royal College of Psychiatrists and works closely with Public Health England and NHS England to improve population mental health and to prevent mental illness.The CPHVA, RCN and other professional bodies have a vital role to fill in shaping development of the Network, including sharing good practice, interprofessional education and innovative public health research. In the past, the public health community has often been slow and uncoordinated in responding to either grassroots needs or government imperatives. In particular, voices advocating for better mental health for children and families have not been heard. Trade Unionists know that solidarity amplifies the voice of individuals. My own interest as a professor is to build on all we know that makes families, schools, neighbourhoods (and groups of practitioners) more resilient--and capable of more and more. PMID:26368996

  3. Insights in Public Health

    PubMed Central

    Hayes, Donald

    2014-01-01

    There are significant shortages in the public health workforce and it's expected to worsen. Efforts to reduce this shortage are varied and include building the workforce by increasing exposure of students and young professionals in applied public health experiences. Providing these experiences increases productivity, and may help alleviate some of the workforce shortages in public health. This article seeks to highlight the work done at the Family Health Services Division (FHSD) in the Hawai‘i Department of Health over the past 6 and half years in working with students in epidemiology practicum and fellowship experiences. PMID:24660128

  4. Market competition in health care markets in the Netherlands: some lessons for England?

    PubMed

    den Exter, André P; Guy, Mary J

    2014-01-01

    This article seeks to establish what lessons might be available to the English health care sector following enactment of the Health and Social Care Act 2012 from the Dutch experience of introducing market competition into health care via a mandatory health insurance scheme implemented by for-profit insurance companies. The existence of the Beveridge NHS model in England, and a Bismarckian insurance system in The Netherlands perhaps suggest that a comparison of the two countries is at best limited, and reinforced by the different Enthoven-inspired competitive models each has adopted. However, we contend that there are positive and negative issues arising from introducing competition into health care-, e.g. concerns about equity and benefits of efficiencies-which go beyond national boundaries and different systems and reflect the global paradigm shift towards the use of market forces in previously non-market areas such as health. The article examines the situation in England following the HSCA 2012 and The Netherlands following the 2006 reforms before analysing two areas of common ground: the focus in both countries on competition on quality (as opposed to price) and integrated care, which is assuming ever greater significance. We suggest that our combined insights (as a health lawyer and competition lawyer respectively) coupled with a comparative approach create a novel contribution to current calls for a wider public debate about the real role of markets in health care over and above simple characterisation as a force for good or bad. PMID:24841530

  5. 78 FR 37796 - New England Fishery Management Council (NEFMC); Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-24

    ... New England Fishery Management Council (Council) has cancelled the public meeting of its Ad hoc... June 10, 2013 (78 FR 34654) and the meeting will be rescheduled at a later date and announced in...

  6. 76 FR 543 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-05

    ... Southern New England to measure the physical, chemical, geological and biological variables in the ocean.... Included are measures to revise the biomass reference points, and accordingly, the Annual Catch Target...

  7. 77 FR 34024 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-08

    ...) 569-5159. Council address: New England Fishery Management Council, 50 Water Street, Mill 2... Groundtruth Existing Mulit-beam and Side-scan Sonar Seafloor Charts--NEC Report, Salvatore Genovese,...

  8. 77 FR 86 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-03

    ... Panel (AP) in January 2012 to consider actions affecting New England fisheries in the exclusive economic..., Committee and PDT members. It is highly recommended that AP and other participants bring...

  9. What Ails Public Health?

    ERIC Educational Resources Information Center

    Alcabes, Philip

    2007-01-01

    Public health, once the gem of American social programs, has turned to dross. During the 20th century, the public-health sector wiped smallpox and polio off the U.S. map; virtually eliminated rickets, rubella, and goiter; stopped epidemic typhoid and yellow fever; and brought tuberculosis--once the leading cause of death in U.S. cities--under…

  10. Public health workforce taxonomy.

    PubMed

    Boulton, Matthew L; Beck, Angela J; Coronado, Fátima; Merrill, Jacqueline A; Friedman, Charles P; Stamas, George D; Tyus, Nadra; Sellers, Katie; Moore, Jean; Tilson, Hugh H; Leep, Carolyn J

    2014-11-01

    Thoroughly characterizing and continuously monitoring the public health workforce is necessary for ensuring capacity to deliver public health services. A prerequisite for this is to develop a standardized methodology for classifying public health workers, permitting valid comparisons across agencies and over time, which does not exist for the public health workforce. An expert working group, all of whom are authors on this paper, was convened during 2012-2014 to develop a public health workforce taxonomy. The purpose of the taxonomy is to facilitate the systematic characterization of all public health workers while delineating a set of minimum data elements to be used in workforce surveys. The taxonomy will improve the comparability across surveys, assist with estimating duplicate counting of workers, provide a framework for describing the size and composition of the workforce, and address other challenges to workforce enumeration. The taxonomy consists of 12 axes, with each axis describing a key characteristic of public health workers. Within each axis are multiple categories, and sometimes subcategories, that further define that worker characteristic. The workforce taxonomy axes are occupation, workplace setting, employer, education, licensure, certification, job tasks, program area, public health specialization area, funding source, condition of employment, and demographics. The taxonomy is not intended to serve as a replacement for occupational classifications but rather is a tool for systematically categorizing worker characteristics. The taxonomy will continue to evolve as organizations implement it and recommend ways to improve this tool for more accurate workforce data collection. PMID:25439251

  11. How a universal health system reduces inequalities: lessons from England

    PubMed Central

    Ali, Shehzad; Doran, Tim; Ferguson, Brian; Fleetcroft, Robert; Goddard, Maria; Goldblatt, Peter; Laudicella, Mauro; Raine, Rosalind; Cookson, Richard

    2016-01-01

    Background Provision of universal coverage is essential for achieving equity in healthcare, but inequalities still exist in universal healthcare systems. Between 2004/2005 and 2011/2012, the National Health Service (NHS) in England, which has provided universal coverage since 1948, made sustained efforts to reduce health inequalities by strengthening primary care. We provide the first comprehensive assessment of trends in socioeconomic inequalities of primary care access, quality and outcomes during this period. Methods Whole-population small area longitudinal study based on 32 482 neighbourhoods of approximately 1500 people in England from 2004/2005 to 2011/2012. We measured slope indices of inequality in four indicators: (1) patients per family doctor, (2) primary care quality, (3) preventable emergency hospital admissions and (4) mortality from conditions considered amenable to healthcare. Results Between 2004/2005 and 2011/2012, there were larger absolute improvements on all indicators in more-deprived neighbourhoods. The modelled gap between the most-deprived and least-deprived neighbourhoods in England decreased by: 193 patients per family doctor (95% CI 173 to 213), 3.29 percentage points of primary care quality (3.13 to 3.45), 0.42 preventable hospitalisations per 1000 people (0.29 to 0.55) and 0.23 amenable deaths per 1000 people (0.15 to 0.31). By 2011/2012, inequalities in primary care supply and quality were almost eliminated, but socioeconomic inequality was still associated with 158 396 preventable hospitalisations and 37 983 deaths amenable to healthcare. Conclusions Between 2004/2005 and 2011/2012, the NHS succeeded in substantially reducing socioeconomic inequalities in primary care access and quality, but made only modest reductions in healthcare outcome inequalities. PMID:26787198

  12. Health professionals’ experiences of tuberculosis cohort audit in the North West of England: a qualitative study

    PubMed Central

    Jehan, Kate; Woodhead, Mark; Cleary, Paul; Dee, Katie; Farrow, Stacey; McMaster, Paddy; Wake, Carolyn; Walker, Jenny; Squire, S B

    2016-01-01

    Objectives Tuberculosis cohort audit (TBCA) was introduced across the North West (NW) of England in 2012 as an ongoing, multidisciplinary, systematic case review process, designed to improve clinical and public health practice. TBCA has not previously been introduced across such a large and socioeconomically diverse area in England, nor has it undergone formal, qualitative evaluation. This study explored health professionals’ experiences of the process after 1515 cases had been reviewed. Design Qualitative study using semistructured interviews. Respondents were purposively sampled from 3 groups involved in the NW TBCA: (1) TB nurse specialists, (2) consultant physicians and (3) public health practitioners. Data from the 26 respondents were triangulated with further interviews with key informants from the TBCA Steering Group and through observation of TBCA meetings. Analysis Interview transcripts were analysed thematically using the framework approach. Results Participants described the evolution of a valuable ‘community of practice’ where interprofessional exchange of experience and ideas has led to enhanced mutual respect between different roles and a shared sense of purpose. This multidisciplinary, regional approach to TB cohort audit has promoted local and regional team working, exchange of good practices and local initiatives to improve care. There is strong ownership of the process from public health professionals, nurses and clinicians; all groups want it to continue. TBCA is regarded as a tool for quality improvement that improves patient safety. Conclusions TBCA provides peer support and learning for management of a relatively rare, but important infectious disease through discussion in a no-blame atmosphere. It is seen as an effective quality improvement strategy which enhances TB care, control and patient safety. Continuing success will require increased engagement of consultant physicians and public health practitioners, a secure and ongoing

  13. Uptake of immunisation in district health authorities in England

    PubMed Central

    Jarman, Brian; Bosanquet, Nick; Rice, Peter; Dollimore, Nicola; Leese, Brenda

    1988-01-01

    The uptakes of immunisation in the district health authorities in England were studied for the years 1983-5. Multiple regression analysis showed that the factors significantly associated with a low uptake of immunisation were mainly related to social conditions, particularly overcrowding of households and population density. Of the service factors, high proportions of elderly and singlehanded general practitioners and high average list sizes were also associated with a low uptake of immunisation in some of the analyses. The results suggest that the measures outlined in the government's white paper on improving primary health care services are likely to lead to improved uptakes of immunisation. If, however, the uptakes of immunisation are used as a measure of standards of the services provided they should first be adjusted to control for variations in social conditions, and the quality of vaccination data would have to be improved. PMID:3250552

  14. Gauging the Health of New England's Lakes and Ponds

    EPA Science Inventory

    The New England Lakes and Ponds Project provides a consistent and first time comprehensive assessment of the ecological and water quality condition of lakes and ponds across the New England region. The project is being conducted by EPA along with the New England Interstate Water...

  15. Development of integrated care in England and the Netherlands: managing across public-private boundaries.

    PubMed

    Mur-Veeman, Ingrid; Hardy, Brian; Steenbergen, Marijke; Wistow, Gerald

    2003-09-01

    This paper addresses the impact of the public-private mix in the Dutch and English health and social care systems on the development and delivery of integrated care. Integrated care is conceived of as an organisational process of coordination which seeks to achieve seamless and continuous care, tailored to the patients' needs and based on a holistic view of the patient. We describe both systems' structures and characteristics from a historical perspective, which means that developments and processes within the systems are put in the spotlight. We demonstrate that the dividing- or fault-lines, such as the financial split between short-term and long-term care in the Netherlands and the divisions between health and social care as well as between the public, private and voluntary sectors in England have hindered integrated care development and delivery in both countries. Contradictory interests, differences in professional and organisational cultures, power relations, and mistrust between and within these sectors have had a clear impact on integrated care development and delivery within networks of public authorities and public and/or private providers. We explain these phenomena in terms of network theory as a basis for drawing lessons for policy makers and those developing integrated care networks. PMID:12941491

  16. 78 FR 6305 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-30

    ... discussion in the committee's agenda are as follows: The Recreational Advisory Panel (RAP) will meet to... 2013. Measures may need to be modified because of reduced quotas for these two stocks. The RAP will... reductions. The RAP's advice will be provided to the New England Fishery Management Council and...

  17. 75 FR 36360 - New England Fishery Management Council; Public Hearings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-25

    ... Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950; telephone: (978) 465-0492. The... utilization of the resource through various permit stacking and leasing alternatives; and (3) several... National Oceanic and Atmospheric Administration RIN 0648-XX11 New England Fishery Management...

  18. 77 FR 26515 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-04

    ... Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR FURTHER INFORMATION CONTACT: Paul J... National Oceanic and Atmospheric Administration RIN 0648-XC015 New England Fishery Management Council... Council's (Council) Groundfish Advisory Panel will meet to consider actions affecting New...

  19. 75 FR 17901 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-08

    ... Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR FURTHER INFORMATION... National Oceanic and Atmospheric Administration RIN 0648-XV71 New England Fishery Management Council... Council (Council) will hold a three-day Council meeting on April 27-29, 2010 to consider actions...

  20. 76 FR 55645 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-08

    ... Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR FURTHER INFORMATION CONTACT: Paul J. Howard... INFORMATION: The original meeting notice published on August 26, 2011 (76 FR 53415). The meeting was to be... National Oceanic and Atmospheric Administration RIN 0648-XA664 New England Fishery Management...

  1. 75 FR 11845 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-12

    ... Council's (Council) Interspecies Committee will meet to consider actions affecting New England fisheries... items of discussion in the committee's agenda are as follows: 1. The Interspecies Committee will meet to... Marine Alliance on their Fleet Visioning project. 2. Other business may also be discussed. ]...

  2. The Publication of History Books in Tudor England.

    ERIC Educational Resources Information Center

    Slobodinskii, Mikhail

    The purpose of this study is to examine the number of history books published in England during the 16th century, and attempts to estimate who were the publishers, authors and printers, and intended and actual readers. The main data source for this study was the electronic version of the "English Short Title Catalogue," provided by the Research…

  3. 76 FR 54740 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-02

    ... Council's (Council) Herring Advisory Panel will hold a meeting to consider actions affecting New England... Environmental Impact Statement (DEIS) for Amendment 5 to the Atlantic Herring FMP and develop comments... herring (54th Stock Assessment Workshop (SAW) scheduled for spring 2012). Although non-emergency...

  4. 75 FR 80796 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-23

    ... Council's (Council) Herring Committee will meet to consider actions affecting New England fisheries in the... items of discussion in the committee's agenda are as follows: 1. The Herring Committee will continue development of catch monitoring alternatives for inclusion in Amendment 5 to the Atlantic Herring...

  5. 75 FR 20567 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-20

    ... Council's (Council) Herring Committee will meet to consider actions affecting New England fisheries in the... regarding river herring bycatch in the Atlantic herring fishery provided by the Herring Plan Development Team (PDT); develop management measures and alternatives to address river herring bycatch...

  6. 77 FR 29595 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-18

    ...) Herring Oversight Committee will meet to consider actions affecting New England fisheries in the exclusive... items of discussion in the committee's agenda are as follows: The Herring Oversight Committee will meet... Amendment 5 to the Atlantic Herring Fishery Management Plan (FMP). They will review/discuss...

  7. 75 FR 47780 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-09

    ... Council's (Council) Herring Advisory Panel (AP) will meet to consider actions affecting New England... in Amendment 5 to the Atlantic Herring Fishery Management Plan (FMP); AP discussion may address... recommendations regarding measures to address river herring bycatch proposed in Amendment 5; 3. Other business...

  8. 75 FR 49466 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-13

    ... Council's (Council) Herring Oversight Committee will meet to consider actions affecting New England... at 9:30 a.m. The Committee will review/discuss report from Herring Advisory Panel. They will also continue development of catch monitoring alternatives for inclusion in Amendment 5 to the Atlantic...

  9. 77 FR 14735 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-13

    ... National Oceanic and Atmospheric Administration RIN 0648-XB078 New England Fishery Management Council... Management Council's (Council) Groundfish Oversight Committee will meet to consider actions affecting New... Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR FURTHER INFORMATION CONTACT: Paul...

  10. 75 FR 78680 - New England Fishery Management Council; Public Hearings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-16

    ... prepare an EIS for Amendment 6 to the Monkfish FMP (75 FR 74005). At that time only one hearing was... National Oceanic and Atmospheric Administration RIN 0648-XA091 New England Fishery Management Council... Administration (NOAA), Commerce. ACTION: Monkfish Fishery Management Plan Amendment 6; Reschedule of...

  11. 76 FR 55647 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-08

    ... Water Street, Mill 2, Newburyport, MA 01950; telephone: (978) 465-0492. FOR FURTHER INFORMATION CONTACT.... SUPPLEMENTARY INFORMATION: Monday, September 26, 2011 Following introductions and any announcements, the NMFS... National Oceanic and Atmospheric Administration RIN 0648-XA689 New England Fishery Management...

  12. Training Public Health Assistants.

    ERIC Educational Resources Information Center

    Quinlan, Paul; And Others

    Funded by the Office of Economic Opportunity and carried out in Springfield, Massachusetts, during 1965-67, this training project sought to meet employment needs of disadvantaged high school graduates, the shortage of health professionals, and the need to improve and coordinate professional public health services. It combined a half-time,…

  13. Health needs of detainees in police custody in England and Wales. Literature review.

    PubMed

    Rekrut-Lapa, Tatyana; Lapa, Alexander

    2014-10-01

    The aim of this systematic is to review and analyse the literature concerned with the health needs of detainees in police custody in England and Wales. The healthcare of detainees in police custody is regulated by the England and Wales Police and Criminal Evidence Act 1984. The Faculty of Forensic and Legal Medicine of the Royal College of Physicians also sets quality standards for the provision of custodial healthcare. The provision of healthcare in custody presents a number of challenges including the patient group, the setting and the overlap between the legal and medical concerns that are addressed by the medical team. Currently, care to the detainees in custody is delivered by a mixture of private organisations, police-led forensic medical services and the NHS. A search of the PUBMED, EMBASE and PsycINFO databases undertaken using the search terms: (police custody) OR (detainees) OR (police detainees) yielded 830 publications. All of the titles were screened to identify potentially relevant publications concerned with the health needs of detainees in police custodies in England and Wales. There were no design specific criteria set for inclusion of the studies in this literature review. 77 articles were initially identified as relevant and obtained in full. After further analysis 28 publications were included in this literature review. A total sample of over 12,000 detainees was examined in this literature review. Approximately 20% of detainees seen by health care teams suffer from psychiatric conditions. On average, 50% of patients claim that they have problems with drugs and alcohol. Physical health conditions are also highly prevalent with up to 74% of detainees requiring regular medication. Forensic medical issues included the management of detainees who were restrained using handcuffs, irritant sprays and TASER. Detainees who are suspected of internal drug concealment also require intensive medical input. Injury documentation in custody is often requested

  14. Oral health behaviours of children in England, Wales and Northern Ireland 2013.

    PubMed

    Porter, J; Ravaghi, V; Hill, K B; Watt, R G

    2016-09-01

    Background The 2013 Children's Dental Health Survey is the fifth in a series of national surveys.Aim To describe the oral health behaviours in children and adolescents in England, Wales and Northern Ireland.Method A representative sample of children (aged 5, 8 12 and 15 years) in England, Wales and Northern Ireland were invited to participate in dental examinations. Children and parents were also invited to complete a questionnaire about oral health behaviours.Results Overall, the majority of children and young people reported good oral health behaviours. For example, more than three quarters of the 12- and 15-year-olds reported brushing their teeth twice a day or more often. However, a sizeable proportion of the sample reported less positive behaviours. Nearly 30% of 5-year-olds first started to brush their teeth after the age of one year. Among 15-year-olds, 11% were current smokers and 37% reported that they currently drank alcohol. Sixteen percent of 12-year-olds reported to consume drinks containing sugar four or more times a day. Of particular concern was the marked differences that existed by level of deprivation. Children living in lower income households (eligible for free school meals) were less likely to brush their teeth twice a day, more likely to start brushing after six months, more likely to be a smoker and more likely to consume frequent amounts of sugary drinks.Conclusion Despite some encouraging overall patterns of good oral health behaviours, a sizeable proportion of children and young people reported behaviours that may lead to poorer oral and general health. Preventive support should be delivered in clinical dental settings to encourage positive oral health behaviours. Public health strategies are also needed to reduce inequalities in oral health behaviours among children and young people. PMID:27608581

  15. The Future of Public Forests: An Institutional Blending Approach to Forest Governance in England

    ERIC Educational Resources Information Center

    Hodge, Ian D.; Adams, William M.

    2013-01-01

    Early in 2011, the Government initiated a consultation on the potential sale of the Public Forest Estate in England. This proposal leads to vociferous negative public reaction and the consultation was withdrawn and an Independent Panel established. This paper reviews the arguments as to the options and appropriate institutional arrangements for…

  16. Implementing personalisation in integrated mental health teams in England.

    PubMed

    Hamilton, Sarah; Manthorpe, Jill; Szymczynska, Paulina; Clewett, Naomi; Larsen, John; Pinfold, Vanessa; Tew, Jerry

    2015-01-01

    This article explores how role boundaries and professional priorities in integrated mental health teams have impacted on the implementation of personalised approaches to social care support. We focus on the use of personal budgets to meet mental health-related social care needs as a key mechanism for personalised care. Drawing on 28 qualitative interviews with mental health practitioners from three local authorities in England undertaken in 2013, we report nurses', social workers', and occupational therapists' attitudes towards, and engagement with, personal budgets. Professional boundaries and competing priorities heavily influenced the extent to which personal budgets were perceived as a legitimate part of their roles. Across different professional groups, a sense emerged that personal budgets should be somebody else's job. A focus on attention to treatment, stability, and risk management often resulted in low prioritisation of personal budgets and led practitioners to avoid recommending them or to exclude service users from the process as a way to save time. Implications of the dominant medical model and the protection of traditional professional roles for the implementation of new, person-centred models of practice are discussed. PMID:26171867

  17. [The sainsbury centre for mental health: forensic mental health services in England and wales].

    PubMed

    Rutherford, M; Duggan, S

    2008-06-01

    The Sainsbury Centre for Mental Health (SCMH) is a charity founded in 1985 by Gatsby Charitable Foundation. The SCMH works to improve the quality of life for people with mental health problems by influencing policy and practice in mental health and related services. Working to improve the quality of mental health care for people in prison is one of SCMH main work theme. This paper describes some epidemiological aspects of mental health situation of prisoners in England and Wales and the available forensic facilities to manage this kind of patients in prison. PMID:23128315

  18. What's the future for health promotion in England? The views of practitioners.

    PubMed

    White, Judy; Wills, Jane

    2011-01-01

    Specialized health promotion is an internationally recognized occupation and field of activity which has had a chequered history in England. After flourishing briefly in some areas in the early years of the New Labour government it has been in decline in most parts of the country. The last survey of practice conducted in 2005 found that the specialized health promotion workforce was unevenly distributed and much in need of advocacy and development. Since then there has been another major reorganization of primary care trusts (PCTs) and a split between commissioning and provider functions. Practitioners' views on the impact of this on health promotion were gathered in a survey in 2008-2009. Participants comprised 36 people attending a Shaping the Future workshop in the North of England and 40 practitioners studying a masters course in health promotion. The findings reveal that organizational structure has a major impact on the nature of health promotion activity: the split between commissioning and provider functions of PCTs has presented huge challenges to practitioners irrespective of the arm in which they are placed, as one of the strengths of health promotion has always been its ability to straddle both strategic and operational levels and offer a joined-up approach to tackling the causes of ill health. For the specialized health promotion workforce, there has been a loss of identity and critical mass as the discipline is increasingly reduced and fragmented, a trend that looks set to worsen following further reorganization and reductions in public sector spending introduced by the new coalition government. PMID:21381481

  19. Insights in Public Health

    PubMed Central

    Canyon, Deon V

    2013-01-01

    The strengthening of health systems is fundamental to improving health outcomes, crisis preparedness, and our capacity to meet global challenges, such as accelerating progress towards the Millennium Development Goals, reducing maternal and child mortality, combating HIV, malaria and other diseases, limiting the effects of a new influenza pandemic, and responding appropriately to climate change. To meet these complex needs, the Association of Schools and Programs in Public Health, the World Health Organization, and the Institute of Medicine promote systems thinking as the only sensible means to respond to issues that greatly exceed the normal capacity of health and medical services. This paper agrees with the application of systems thinking but argues that health organizations have misunderstood and misapplied systems thinking to the extent that the term has become meaningless. This paper presents the basic constructs of systems thinking, explains why systems thinking has been misapplied, examines some misapplications of systems thinking in health, and suggests how the concept can be applied correctly to medicine and public health to achieve the reason it was adopted in the first place. PMID:24377080

  20. Change of government: one more big bang health care reform in England's National Health Service.

    PubMed

    Hunter, David J

    2011-01-01

    Once again the National Health Service (NHS) in England is undergoing major reform, following the election of a new coalition government keen to reduce the role of the state and cut back on big government. The NHS has been undergoing continuous reform since the 1980s. Yet, despite the significant transaction costs incurred, there is no evidence that the claimed benefits have been achieved. Many of the same problems endure. The reforms follow the direction of change laid down by the last Conservative government in the early 1990s, which the recent Labour government did not overturn despite a commitment to do so. Indeed, under Labour, the NHS was subjected to further market-style changes that have paved the way for the latest round of reform. The article considers the appeal of big bang reform, questions its purpose and value, and critically appraises the nature and extent of the proposed changes in this latest round of reform. It warns that the NHS in its current form may not survive the changes, as they open the way to privatization and a weakening of its public service ethos. PMID:21319727

  1. Strengthening public health practice content in public health training.

    PubMed

    Gellert, G A

    1996-01-01

    U.S. schools of public health have recognized the imperative to strengthen the public health practice content of training for future public health practitioners. Five strategies to develop administrative and curriculum programs within schools of public health to address this need are described: (1) institution of centers for public health program evaluation; (2) creation of automated field placement and apprenticeship programs; (3) formalization of linkages with professional management training programs to create a track for future senior managers of community health agencies; (4) establishment of cross-departmental applied public health faculty tracks; and (5) offering applied public health evaluation scholarships for students. These initiatives may provide incentives for the institution of a public health practice focus within schools of public health. PMID:10186683

  2. Transforming Public Health?

    PubMed Central

    ALDOUS, Chris

    2008-01-01

    Historical assessments of the Occupation’s efforts to tackle enteric diseases (cholera, typhoid, paratyphoid and dysentery) have generally reflected a celebratory narrative of US-inspired public health reforms, strongly associated with the head of the Public Health and Welfare Section, Crawford F. Sams. Close inspection of the documentary record, however, reveals much greater continuity with pre-war Japanese public health practices than has hitherto been acknowledged. Indeed, there are strong grounds for disputing American claims of novelty and innovation in such areas as immunisation, particularly in relation to typhoid vaccine, and environmental sanitation, where disparaging comments about the careless use of night soil and a reluctance to control flies and other disease vectors reveal more about the politics of public health reform than the reality of pre-war practices. Likewise, the representation of American-inspired sanitary teams as clearly distinct from and far superior to traditional sanitary associations (eisei kumiai) was closer to propaganda than an accurate rendering of past and present developments. PMID:19048809

  3. Public Health Pest Control.

    ERIC Educational Resources Information Center

    Arizona Univ., Tucson. Cooperative Extension Service.

    This manual supplies information helpful to individuals wishing to become certified in public health pest control. It is designed as a technical reference for vector control workers and as preparatory material for structural applicators of restricted use pesticides to meet the General Standards of Competency required of commercial applicators. The…

  4. Globalisation and public health.

    PubMed

    Bettcher, D; Lee, K

    2002-01-01

    At the dawn of the 21st century, globalisation is a word that has become a part of everyday communication in all corners of the world. It is a concept that for some holds the promise of a new and brighter future, while for others it represents a threat that needs to be confronted and counteracted. In the area of public health, a wide range of claims have been made about the various impacts, both positive and negative, that can be attributed to globalisation. In the ever expanding literature on globalisation and health, it has become apparent that considerable confusion is emerging in both the ways that terminology is applied and concepts are defined. The determinants of health are increasingly multisectoral, and in tackling these challenges it is necessary to take a multidisciplinary approach that includes policy analyses in such areas as trade, environment, defence/security, foreign policy, and international law. In assembling the terms for this glossary, we have attempted to demonstrate the richness of the globalisation and public health debate, and in so doing have selected some of the core terms that require definition. We hope that this glossary will help to clarify this interesting and challenging area, and will also serve as a useful entry point to this new debate in public health. PMID:11801614

  5. Nanotechnology and public health.

    PubMed

    Matsudai, Masami; Hunt, Geoffrey

    2005-11-01

    Nanotechnology is developing very quickly, and Japan is in many respects leading the world in this convergence of nanoscale engineering techniques. The public health community in Japan must start to think about the public health impacts of nanotechnology over the next 20 years. The responsibility for the benefits and the harms of nanotechnology lies with government, with corporations and the business community, with scientists and specialists in all related fields, and with NPOs and the public. There are very many questions of public health which are not yet being asked about nanotechnology. If nanoparticles are to be used in cosmetics, food production and packaging, how will they react or interact with the human skin and organs? What chemical-toxic effects on life might there be from the nanoparticles in car tires and vehicle plastic mouldings when they are disposed of by incineration? Will they pass into the soil and groundwater and enter into the food-chain? It is now an urgent ethical demand, based on the precautionary principle, that Japan join the governments of the world to take an intergovernmental initiative to intervene in the further development, production and marketing of nanotechnological products with precautionary research and regulation. PMID:16408476

  6. The Reliability of Results from National Tests, Public Examinations, and Vocational Qualifications in England

    ERIC Educational Resources Information Center

    He, Qingping; Opposs, Dennis

    2012-01-01

    National tests, public examinations, and vocational qualifications in England are used for a variety of purposes, including the certification of individual learners in different subject areas and the accountability of individual professionals and institutions. However, there has been ongoing debate about the reliability and validity of their…

  7. [Public health and sexuality].

    PubMed

    Papart, Jean-pierre

    2014-03-19

    The paper questions the legitimacy and relevance of a potential emergence of any public health policies relating to sexology, as they exist for most of the major medical issues. It discusses the two major areas of intervention of sexology namely problems related to access to pleasure on the one hand, violence, abuse and other sexual perversions on the other hand. The legitimacy and relevance of public health policy to prevent the latter, i.e. sexual violence cannot be questioned. However, interventions to promote erotic skills are beyond the role and responsibility of the State but can be assigned to the civil society, especially community associations engaged in culture, solidarity and the promotion of social links in general. PMID:24734361

  8. Public health and health and wellbeing boards: antecedents, theory and development.

    PubMed

    Murphy, Peter

    2013-09-01

    The 2012 Health and Social Care Act transfers responsibility for public health in England from primary care trusts to local authorities. This article traces the theoretical and policy antecedents of the proposals and highlights some key changes since their original conception in the 2010 public health white paper. It suggests that the development of health and well-being boards and their objectives can best be understood by viewing them through the theoretical prism of public value or new public service theory and concludes with some recommendations for their implementation and development. PMID:23780754

  9. Geomatics and public health.

    PubMed

    Jaishankar, R; Jhonson, C P

    2006-01-01

    Geomatics technology has tremendous potential to address public health issues particularly under the present circumstances of global climate change and climate or technology induced human migration, which result in an increase in the geographical extent and re-emergence of vector-borne diseases. The authors present an overview of the science of geomatics, describe the potential impacts of climate change on vector-borne diseases and review the applications of remote sensing for disease vector surveillance. PMID:17193755

  10. Brazil: public health genomics.

    PubMed

    Castilla, E E; Luquetti, D V

    2009-01-01

    Brazil represents half of South America and one third of Latin America, having more than 186 million inhabitants. After China and India it is the third largest developing country in the world. The wealth is unequally distributed among the states and among the people. Brazil has a large and complex health care system. A Universal Public Health System (SUS: Sistema SPACEnico de Saúde) covers the medical expenses for 80% of the population. The genetic structure of the population is very complex, including a large proportion of tri- hybrid persons, genetic isolates, and a panmictic large majority. Genetic services are offered at 64 genetic centers, half of them public and free. Nationwide networks are operating for inborn errors of metabolism, oncogenetics, and craniofacial anomalies. The Brazilian Society of Medical Genetics (SBGM) has granted 120 board certifications since 1986, and 7 recognized residences in medical genetics are operating in the country. Three main public health actions promoted by the federal government have been undertaken in the last decade, ultimately aimed at the prevention of birth defects. Since 1999, birth defects are reported for all 3 million annual live births, several vaccination strategies aim at the eradication of rubella, and wheat and maize flours are fortified with folic acid. Currently, the government distributes over 2 million US dollars to finance 14 research projects aimed at providing the basis for the adequate prevention and care of genetics disorders through the SUS. Continuity of this proactive attitude of the government in the area of genomics in public health is desired. PMID:19023184

  11. Improving accountability through alignment: the role of academic health science centres and networks in England

    PubMed Central

    2014-01-01

    Background As in many countries around the world, there are high expectations on academic health science centres and networks in England to provide high-quality care, innovative research, and world-class education, while also supporting wealth creation and economic growth. Meeting these expectations increasingly depends on partnership working between university medical schools and teaching hospitals, as well as other healthcare providers. However, academic-clinical relationships in England are still characterised by the “unlinked partners” model, whereby universities and their partner teaching hospitals are neither fiscally nor structurally linked, creating bifurcating accountabilities to various government and public agencies. Discussion This article focuses on accountability relationships in universities and teaching hospitals, as well as other healthcare providers that form core constituent parts of academic health science centres and networks. The authors analyse accountability for the tripartite mission of patient care, research, and education, using a four-fold typology of accountability relationships, which distinguishes between hierarchical (bureaucratic) accountability, legal accountability, professional accountability, and political accountability. Examples from North West London suggest that a number of mechanisms can be used to improve accountability for the tripartite mission through alignment, but that the simple creation of academic health science centres and networks is probably not sufficient. Summary At the heart of the challenge for academic health science centres and networks is the separation of accountabilities for patient care, research, and education in different government departments. Given that a fundamental top-down system redesign is now extremely unlikely, local academic and clinical leaders face the challenge of aligning their institutions as a matter of priority in order to improve accountability for the tripartite mission from

  12. 78 FR 79402 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-30

    ... Council (Council) is scheduling a public meeting of its Ad Hoc SBRM Committee to consider actions... the public comment period on the amendment (see 78 FR 69391), and prepare recommendations for...

  13. Insights in Public Health

    PubMed Central

    Fan, Victoria Y; Le‘au, Ruth Faioso

    2015-01-01

    Independent and American Samoa have a shared cultural, genetic, ethnolinguistic, and historical background but have been politically separated since 1899. In this essay, we examine the health of these two polities and identify two key health patterns that have emerged even as American Samoa has achieved a higher per capita income than Independent Samoa. Whereas the gender gap in life expectancy at birth has narrowed in Independent Samoa, this gap has not narrowed in American Samoa and its male life expectancy now lags behind that of Independent Samoa. Neonatal mortality rates in American Samoa are slightly higher than in Independent Samoa. These patterns may be linked to the higher rates of obesity and urbanization observed in American Samoa compared to Independent Samoa, as well as the differing political and institutional arrangements of the two polities. Limited data remains a persistent challenge to conducting analysis of public health in the Pacific islands, particularly in American Samoa. PMID:26019989

  14. Recommodification, Unemployment, and Health Inequalities: Trends in England and Sweden 1991-2011.

    PubMed

    Farrants, Kristin; Bambra, Clare; Nylen, Lotta; Kasim, Adetayo; Burstrom, Bo; Hunter, David

    2016-01-01

    Recommodification, the withdrawal of social welfare, has been going on for some decades in both Sweden and England. Recommodification disproportionately affects the unemployed because of their weak market position. We investigated the impact recommodification has had on health inequalities between the employed and unemployed in Sweden and England. Using national surveys, odds ratios for the likelihood of reporting less than good health between the employed and unemployed were computed annually between 1991 and 2011. The correlation between these odds ratios and net replacement rates was then examined. Health inequalities between the employed and unemployed were greater in 2011 than in 1991 in both countries. Sweden began with smaller health inequalities, but by 2011, they were in line with those in England. Sweden experienced more recommodification than England during this period, although it started from a much less commodified position. Correspondingly, correlation between unemployment benefit generosity and health inequalities was stronger in Sweden than in England. Recommodification is linked to ill health among the unemployed and to the health gap between the employed and unemployed. We propose that further recommodification will be associated with increased health inequalities between the employed and unemployed. PMID:27000134

  15. Public Health Nursing Staff Health Education Attitudes.

    ERIC Educational Resources Information Center

    Collins, Terence R.; And Others

    Health education attitudes toward prevention, detection, and treatment of selected chronic diseases and conditions confronting public health nursing staffs were investigated at a Florida Department of Health and Rehabilitative Services District, which is composed of 16 county public health units (CPHU). Findings were used to determine type of…

  16. Evolution and public health

    PubMed Central

    Omenn, Gilbert S.

    2009-01-01

    Evolution and its elements of natural selection, population migration, genetic drift, and founder effects have shaped the world in which we practice public health. Human cultures and technologies have modified life on this planet and have coevolved with myriad other species, including microorganisms; plant and animal sources of food; invertebrate vectors of disease; and intermediate hosts among birds, mammals, and nonhuman primates. Molecular mechanisms of differential resistance or susceptibility to infectious agents or diets have evolved and are being discovered with modern methods. Some of these evolutionary relations require a perspective of tens of thousands of years, whereas other changes are observable in real time. The implications and applications of evolutionary understanding are important to our current programs and policies for infectious disease surveillance, gene–environment interactions, and health disparities globally. PMID:19966311

  17. Feminism and public health ethics.

    PubMed

    Rogers, W A

    2006-06-01

    This paper sketches an account of public health ethics drawing upon established scholarship in feminist ethics. Health inequities are one of the central problems in public health ethics; a feminist approach leads us to examine not only the connections between gender, disadvantage, and health, but also the distribution of power in the processes of public health, from policy making through to programme delivery. The complexity of public health demands investigation using multiple perspectives and an attention to detail that is capable of identifying the health issues that are important to women, and investigating ways to address these issues. Finally, a feminist account of public health ethics embraces rather than avoids the inescapable political dimensions of public health. PMID:16731735

  18. Insights in Public Health

    PubMed Central

    Oshiro, Peter

    2015-01-01

    Reducing the occurrence of and influencing the rapid correction of food illness risk factors is a common goal for all governmental food regulatory programs nationwide. Foodborne illness in the United States is a major cause of personal distress, preventable illness, and death. To improve public health outcomes, additional workforce was required due to long standing staffing shortages and was obtained partially through consolidation of the Hawai‘i Department of Health's (HDOH) two food safety programs, the Sanitation Branch, and the Food & Drug Branch in July 2012, and through legislation that amended existing statutes governing the use of food establishment permit fees. Additionally, a more transparent food establishment grading system was developed after extensive work with industry partners based on three possible placards issued after routine inspections: green, yellow, and red. From late July 2014 to May 2015, there were 6,559 food establishments inspected statewide using the placard system with 79% receiving a green, 21% receiving a yellow, and no red placards issued. Sufficient workforce to allow timely inspections, continued governmental transparency, and use of new technologies are important to improve food safety for the public. PMID:26279966

  19. [Public health: an interdisciplinary challenge].

    PubMed

    Gutzwiller, F

    1993-01-01

    Presented as an opening lecture of the new postgraduate education programme of both the Technical and the Free University of Berlin, sponsored by the German Federal Minister of Research and Technology, this lecture recalls the foundation of the first School of Public Health (The Johns Hopkins School of Hygiene and Public Health, Baltimore, Md., USA) by William Henry Welch, 75 years ago. Already in this early experience, several central topics of Public Health can be traced back: for instance the exact description of health problems of total population groups, the aetiological understanding of health problems as well as the transfer of knowledge in public health programmes. After a definition of the Public Health concept both in- and outside Germany, the article reviews three examples of core topics of Public Health. Drawing on results from the first report "Health of Zurich", applications of descriptive epidemiology for both priority finding in Public Health as well as aetiological research are illustrated. The second example, with data from a recent representative survey of adults swiss germans on the issue of discrimination against persons infected with HIV draws attention to the central importance of social sciences within Public Health. Finally, the third example discusses recent advances in health services research, including issues of health economics, an other important part of an interdisciplinary Public Health understanding. PMID:8451865

  20. 75 FR 43928 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-27

    ... Council (Council) is scheduling a public meeting of its Red Crab Committee in August, 2010 to consider... review the status of the red crab fishery and recent developments in processing, marketing, and cooperative research. The Committee will also review Draft Amendment 3 to the Red Crab Fishery Management...

  1. 78 FR 48860 - New England Fishery Management Council; Public Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-12

    ... Council (Council) will hold public meetings of two of its advisory bodies, the ABC Control Rule Working Group (ABC WG) and Electronic Monitoring Working Group (EM WG). DATES: The first meeting of the ABC Control Rule Working Group will be on Tuesday, September 3, 2013. The meeting will be held at...

  2. 78 FR 62587 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-22

    ... Council (Council) will hold public meeting of its ABC Control Rule Working Group (ABC WG). DATES: The meeting of the ABC Control Rule Working Group will be on Friday, November 8, 2013 and it will be held at.... SUPPLEMENTARY INFORMATION: The ABC Control Rule Working Group will continue to prepare a work plan regarding...

  3. 77 FR 75614 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-21

    ... Council (Council) is scheduling a public meeting of its Herring Advisory Panel on January 16, 2013 to... Advisory Panel (AP) will discuss the development of Framework Adjustment 2 to the Herring Fishery Management Plan (FMP) and the 2013-2015 Atlantic herring fishery specifications; develop related...

  4. 78 FR 48419 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-08

    ... Council (Council) is scheduling a public meeting of its Herring Oversight Committee to consider actions... review Draft Framework 3 to the Atlantic Herring FMP (to establish catch caps for river herring/ shad in the herring fishery) and related background information/ analysis. The Committee will also...

  5. 75 FR 38463 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-02

    ... Council (Council) is scheduling a public meeting of its Herring Oversight Committee, on July 27-28, 2010.... SUPPLEMENTARY INFORMATION: Tuesday, July 27, 2010 The Herring Committee will continue development of catch monitoring alternatives for inclusion in Amendment 5 to the Atlantic Herring Fishery Management Plan...

  6. 78 FR 48420 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-08

    ... Council (Council) is scheduling a public meeting of its Herring Advisory Panel on Wednesday, September 18... Advisory Panel (AP) will review Draft Framework 3 to the Atlantic Herring FMP (to establish catch caps for river herring/shad in the herring fishery) and develop recommendations for Herring Committee and...

  7. 78 FR 76595 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-18

    ... Council (Council) is scheduling a public meeting of its Herring Committee on January 14, 2014 to consider... Committee will begin development of a range of alternatives for Framework 4 to the Atlantic Herring FMP... Framework 4, the omnibus industry-funded amendment and other 2014 herring management priorities....

  8. 77 FR 75615 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-21

    ... Council (Council) is scheduling a public meeting of its Herring Oversight Committee on January 17, 2013 to... Committee will review/discuss alternatives under consideration in Framework Adjustment 2 to the Herring FMP and related Herring Advisory Panel (AP) recommendations as well as develop Committee...

  9. Assessing the impact of a new health sector pay system upon NHS staff in England

    PubMed Central

    Buchan, James; Evans, David

    2008-01-01

    Background Pay and pay systems are a critical element in any health sector human resource strategy. Changing a pay system can be one strategy to achieve or sustain organizational change. This paper reports on the design and implementation of a completely new pay system in the National Health Service (NHS) in England. 'Agenda for Change' constituted the largest-ever attempt to introduce a new pay system in the UK public services, covering more than one million staff. Its objectives were to improve the delivery of patient care as well as enhance staff recruitment, retention and motivation, and to facilitate new ways of working. Methods This study was the first independent assessment of the impact of Agenda for Change at a local and national level. The methods used in the research were a literature review; review of 'grey' unpublished documentation provided by key stakeholders in the process; analysis of available data; interviews with key national informants (representing government, employers and trade unions), and case studies conducted with senior human resource managers in ten NHS hospitals in England Results Most of the NHS trust managers interviewed were in favour of Agenda for Change, believing it would assist in delivering improvements in patient care and staff experience. The main benefits highlighted were: 'fairness', moving different staff groups on to harmonized conditions; equal pay claim 'protection'; and scope to introduce new roles and working practices. Conclusion Agenda for Change took several years to design, and has only recently been implemented. Its very scale and central importance to NHS costs and delivery of care argues for a full assessment at an early stage so that lessons can be learned and any necessary changes made. This paper highlights weaknesses in evaluation and limitations in progress. The absence of systematically derived and applied impact indicators makes it difficult to assess impact and impact variations. Similarly, the lack of

  10. Public Health 101 for Informaticians

    PubMed Central

    Koo, Denise; O'Carroll, Patrick; LaVenture, Martin

    2001-01-01

    Public health is a complex discipline that has contributed substantially to improving the health of the population. Public health action involves a variety of interventions and methods, many of which are now taken for granted by the general public. The specific focus and nature of public health interventions continue to evolve, but the fundamental principles of public health remain stable. These principles include a focus on the health of the population rather than of individuals; an emphasis on disease prevention rather than treatment; a goal of intervention at all vulnerable points in the causal pathway of disease, injury, or disability; and operation in a governmental rather than a private context. Public health practice occurs at local, state, and federal levels and involves various professional disciplines. Public health principles and practice are illustrated by a case study example of neural tube defects and folic acid. The application of information science and technology in public health practice provides previously unfathomed opportunities to improve the health of the population. Clinical informaticians and others in the health care system are crucial partners in addressing the challenges and opportunities offered by public health informatics. PMID:11687565