Peter Brambleby
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Peter Brambleby
Peter Brambleby is an English Public Health doctor. From 1996 he was director of public health for Norwich Primary Care Trust. In 2003 he received requests from senior clinicians at the Norfolk and Norwich Hospital to look into their concerns about changes to the design and build of the new Private Finance Initiative hospital that they believed put patients at risk. He was later warned by the press officer at the strategic health authority that unless he dropped the whole matter he would end up “like Dr. David Kelly who was found dead in the woods with his wrist slashed.” He was the Director of Public Health in Croydon from March 2010 to 29 February 2012 he announced his retirement in September 2011. On hearing of the results of the Ernst and Young Ernst & Young Global Limited, trade name EY, is a multinational professional services partnership headquartered in London, England. EY is one of the largest professional services networks in the world. Along with Deloitte, KP ...
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Primary Care Trust
Primary care trusts (PCTs) were part of the National Health Service in England from 2001 to 2013. PCTs were largely administrative bodies, responsible for commissioning primary, community and secondary health services from providers. Until 31 May 2011, they also provided community health services directly. Collectively PCTs were responsible for spending around 80 per cent of the total NHS budget. Primary care trusts were abolished on 31 March 2013 as part of the Health and Social Care Act 2012, with their work taken over by clinical commissioning groups. Establishment In 1997 the incoming Labour Government abolished GP Fundholding. In April 1999 they established 481 primary care groups in England "thereby universalising fundholding while repudiating the concept." Primary and community health services were brought together in a single Primary Care Group controlling a unified budget for delivering health care to and improving the health of communities of about 100,000 people. A PC ...
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Norwich Hospital
The Norwich State Hospital, originally established as Norwich State Hospital for the Insane and later shortened to Norwich Hospital, was a psychiatric hospital that is located in Preston and Norwich, Connecticut. It opened its doors in October 1904 and it remained operational until October 10, 1996. Throughout its years of operation, it housed geriatric patients, chemically dependent patients and, from 1931 to 1939, tubercular patients. The hospital, which sits on the banks of the Thames River, began with a single building on of land and expanded to, at its peak, over thirty buildings and . A property including the hospital was listed as an historic district on the National Register of Historic Places in 1988. History Development of the grounds In October, 1904 when the hospital first opened, it held 95 patients and was a single building. The facility quickly outgrew its meager beginnings, and by fall of 1905, it held 151 patients and had expanded its housing by adding tw ...
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Private Finance Initiative
The private finance initiative (PFI) was a United Kingdom government procurement policy aimed at creating "public–private partnerships" (PPPs) where private firms are contracted to complete and manage public projects. Initially launched in 1992 by Prime Minister John Major, and expanded considerably by the Blair government, PFI is part of the wider programme of privatisation and financialisation, and presented as a means for increasing accountability and efficiency for public spending. PFI was controversial in the UK. In 2003, the National Audit Office felt that it provided good value for money overall; according to critics, PFI has been used simply to place a great amount of debt "off-balance-sheet". In 2011, the parliamentary Treasury Select Committee recommended: In October 2018, the then-chancellor Philip Hammond announced that the UK government would no longer use PFI; however, PFI projects will continue to operate for some time to come. In 2021, Robert Naylor warned ...
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Strategic Health Authority
Strategic health authorities (SHA) were part of the structure of the National Health Service in England between 2002 and 2013. Each SHA was responsible for managing performance, enacting directives and implementing health policy as required by the Department of Health at a regional level. History In 2002, the existing regional health authorities were renamed and merged to form 28 new strategic health authorities, under the National Health Service Reform and Health Care Professions Act 2002. This was the first time that the regional tier in the NHS reported directly to the centre rather than having a board and non-executive members. The SHA chief executives were appointed after a wide-ranging search and selection process and did not represent continuity with the previous regions, not least because CEOs were allocated to areas they were not generally familiar with. A number of the new CEOs had previously been health authority CEOs or CEOs of large trusts, rather than being on the ...
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Croydon
Croydon is a large town in south London, England, south of Charing Cross. Part of the London Borough of Croydon, a local government district of Greater London. It is one of the largest commercial districts in Greater London, with an extensive shopping district and night-time economy. The entire town had a population of 192,064 as of 2011, whilst the wider borough had a population of 384,837. Historically an ancient parish in the Wallington hundred of Surrey, at the time of the Norman conquest of England Croydon had a church, a mill, and around 365 inhabitants, as recorded in the Domesday Book of 1086. Croydon expanded in the Middle Ages as a market town and a centre for charcoal production, leather tanning and brewing. The Surrey Iron Railway from Croydon to Wandsworth opened in 1803 and was an early public railway. Later 19th century railway building facilitated Croydon's growth as a commuter town for London. By the early 20th century, Croydon was an important industria ...
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Ernst & Young
Ernst & Young Global Limited, trade name EY, is a multinational professional services partnership headquartered in London, England. EY is one of the largest professional services networks in the world. Along with Deloitte, KPMG and PricewaterhouseCoopers (PwC), it is considered one of the Big Four accounting firms. It primarily provides assurance (which includes financial audit), tax, consulting and advisory services to its clients. Like many of the larger accounting firms in recent years, EY has expanded into markets adjacent to accounting, including strategy, operations, HR, technology, and financial services consulting. EY operates as a network of member firms which are structured as separate legal entities in a partnership, which has 312,250 employees in over 700 offices in more than 150 countries around the world. The firm's current partnership was formed in 1989 by a merger of two accounting firms; Ernst & Whinney and Arthur Young & Co. It was named Ernst & Young until ...
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Health Economics
Health economics is a branch of economics concerned with issues related to efficiency, effectiveness, value and behavior in the production and consumption of health and healthcare. Health economics is important in determining how to improve health outcomes and lifestyle patterns through interactions between individuals, healthcare providers and clinical settings. In broad terms, health economists study the functioning of healthcare systems and health-affecting behaviors such as smoking, diabetes, and obesity. One of the biggest difficulties regarding healthcare economics is that it does not follow normal rules for economics. Price and Quality are often hidden by the third-party payer system of insurance companies and employers. Additionally, QALY (Quality Adjusted Life Years), one of the most commonly used measurements for treatments, is very difficult to measure and relies upon assumptions that are often unreasonable. A seminal 1963 article by Kenneth Arrow is often cre ...
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21st-century British Medical Doctors
The 1st century was the century spanning AD 1 (Roman numerals, I) through AD 100 (Roman numerals, C) according to the Julian calendar. It is often written as the or to distinguish it from the 1st century BC (or BCE) which preceded it. The 1st century is considered part of the Classical era, epoch, or History by period, historical period. The 1st century also saw the Christianity in the 1st century, appearance of Christianity. During this period, Europe, North Africa and the Near East fell under increasing domination by the Roman Empire, which continued expanding, most notably conquering Britain under the emperor Claudius (AD 43). The reforms introduced by Augustus during his long reign stabilized the empire after the turmoil of the previous century's civil wars. Later in the century the Julio-Claudian dynasty, which had been founded by Augustus, came to an end with the suicide of Nero in AD 68. There followed the famous Year of Four Emperors, a brief period of civil war and inst ...
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Year Of Birth Missing (living People)
A year or annus is the orbital period of a planetary body, for example, the Earth, moving in its orbit around the Sun. Due to the Earth's axial tilt, the course of a year sees the passing of the seasons, marked by change in weather, the hours of daylight, and, consequently, vegetation and soil fertility. In temperate and subpolar regions around the planet, four seasons are generally recognized: spring, summer, autumn and winter. In tropical and subtropical regions, several geographical sectors do not present defined seasons; but in the seasonal tropics, the annual wet and dry seasons are recognized and tracked. A calendar year is an approximation of the number of days of the Earth's orbital period, as counted in a given calendar. The Gregorian calendar, or modern calendar, presents its calendar year to be either a common year of 365 days or a leap year of 366 days, as do the Julian calendars. For the Gregorian calendar, the average length of the calendar year (the ...
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