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Direct Care
Direct care is the care of an identified patient by an identified clinical professional, used throughout the National Health Service in the United Kingdom. In late 2023, it became the focus of the first public uses of the NHS purchase of Palantir softwar


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National Health Service
The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the "NHS" name ( NHS England, NHS Scotland and NHS Wales). Health and Social Care in Northern Ireland was created separately and is often locally referred to as "the NHS". The four systems were established in 1948 as part of major social reforms following the Second World War. The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the United Kingdom apart from dental treatment and optical care. In England, NHS patients have to pay prescription charges; some, such as those aged over 60 and certain state ben ...
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Medical Records
The terms medical record, health record and medical chart are used somewhat interchangeably to describe the systematic documentation of a single patient's medical history and care across time within one particular health care provider's jurisdiction. A medical record includes a variety of types of "notes" entered over time by healthcare professionals, recording observations and administration of drugs and therapies, orders for the administration of drugs and therapies, test results, x-rays, reports, etc. The maintenance of complete and accurate medical records is a requirement of health care providers and is generally enforced as a licensing or certification prerequisite. The terms are used for the written (paper notes), physical (image films) and digital records that exist for each individual patient and for the body of information found therein. Medical records have traditionally been compiled and maintained by health care providers, but advances in online data storage have le ...
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Patient Education
Patient education is a planned interactive learning process designed to support and enable expert patients to manage their life with a disease and/or optimise their health and well-being. Overview Education may be provided by any healthcare professional who has undertaken appropriate training education, education on patient communication and education is usually included in the healthcare professional's training. However, further training is required to develop specialist skills needed to facilitate self-management and behaviour change. Health education is also a tool used by managed care plans, and may include both general preventive education or health promotion and disease or condition specific education. Important elements of patient education are skill building and responsibility: patients need to know when, how, and why they need to make a lifestyle change. Group effort is equally important: each member of the patient's health care team needs to be involved. It can also hel ...
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Counselling In The United Kingdom
In the United Kingdom, counselling is not under statutory regulation, and is overseen and supported by several organisations, none of which are officially recognised by the government. National regulation In 2007 the Health Professions Council (HPC), which is independent of any professional body, released a white paper, ''Trust Assurance and Safety – The Regulation of Health Professionals in the 21st Century'', which said that the Government intended to introduce statutory regulation for psychotherapists and counsellors. The HPC set up a working group of stakeholders, known as a Professional Liaison Group, to consider and make recommendations to the HPC about how psychotherapists and counsellors might be regulated, in light of the statements made in the white paper. The HPC held a public consultation on the PLG recommendations, which ran for three months in 2009. Following the consultation, the PLG was reconvened and had its last meeting on 2 February 2011. In February 2011, t ...
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Nursing
Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other health care providers by their approach to patient care, training, and scope of practice. Nurses practice in many specialties with differing levels of prescription authority. Nurses comprise the largest component of most healthcare environments; but there is evidence of international shortages of qualified nurses. Many nurses provide care within the ordering scope of physicians, and this traditional role has shaped the public image of nurses as care providers. Nurse practitioners are nurses with a graduate degree in advanced practice nursing. They are however permitted by most jurisdictions to practice independently in a variety of settings. Since the postwar period, nurse education has undergone a process of diversification towards advanced a ...
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Computer Laboratory, University Of Cambridge
The Department of Computer Science and Technology, formerly the Computer Laboratory, is the computer science department of the University of Cambridge. it employed 35 academic staff, 25 support staff, 35 affiliated research staff, and about 155 research students. The current Head of Department is Professor Ann Copestake. History The Department was founded as the Mathematical Laboratory under the leadership of John Lennard-Jones on 14 May 1937, though it did not get properly established until after World War II. The new laboratory was housed in the North Wing of the former Anatomy School, on the New Museums Site. Upon its foundation, it was intended "to provide a computing service for general use, and to be a centre for the development of computational techniques in the University". The Cambridge Diploma in Computer Science was the world's first postgraduate taught course in computing, starting in 1953. In October 1946, work began under Maurice Wilkes on EDSAC (''Electronic ...
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Pharmaceutical Marketing
Many countries have measures in place to limit advertising by pharmaceutical companies. Pharmaceutical company spending on marketing generally exceeds that of its research budget. In Canada, $1.7 billion was spent in 2004 to market drugs to physicians; in the United States, $21 billion was spent in 2002. In 2005, money spent on pharmaceutical marketing in the United States was estimated at $29.9 billion with one estimate as high as $57 billion. When the U.S. numbers are broken down, 56% was free samples, 25% was pharmaceutical sales representative "detailing" (promoting drugs directly to) physicians, 12.5% was direct to user advertising, 4% on detailing to hospitals, and 2% on journal ads. There is some evidence that marketing practices can negatively affect both patients and the health care profession. To health care providers Marketing to health-care providers takes three main forms: activity by pharmaceutical sales representatives, provision of drug samples, and sponsoring ...
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Medical Research
Medical research (or biomedical research), also known as experimental medicine, encompasses a wide array of research, extending from "basic research" (also called ''bench science'' or ''bench research''), – involving fundamental scientific principles that may apply to a ''preclinical'' understanding – to clinical research, which involves studies of people who may be subjects in clinical trials. Within this spectrum is applied research, or translational research, conducted to expand knowledge in the field of medicine. Both clinical and preclinical research phases exist in the pharmaceutical industry's drug development pipelines, where the clinical phase is denoted by the term ''clinical trial''. However, only part of the clinical or preclinical research is oriented towards a specific pharmaceutical purpose. The need for fundamental and mechanism-based understanding, diagnostics, medical devices, and non-pharmaceutical therapies means that pharmaceutical research i ...
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Risk Stratification
Broadly speaking, a risk assessment is the combined effort of: # identifying and analyzing potential (future) events that may negatively impact individuals, assets, and/or the environment (i.e. hazard analysis); and # making judgments "on the tolerability of the risk on the basis of a risk analysis" while considering influencing factors (i.e. risk evaluation). Put in simpler terms, a risk assessment determines possible mishaps, their likelihood and consequences, and the tolerances for such events. The results of this process may be expressed in a quantitative or qualitative fashion. Risk assessment is an inherent part of a broader risk management strategy to help reduce any potential risk-related consequences. Need Individual risk assessment Risk assessment are done in individual cases, including patient and physician interactions. Individual judgements or assessments of risk may be affected by psychological, ideological, religious or otherwise subjective factors, which impa ...
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Health Care Analytics
Health care analytics is the health care analysis activities that can be undertaken as a result of data collected from four areas within healthcare; claims and cost data, pharmaceutical and research and development (R&D) data, clinical data (collected from electronic medical records (EHRs)), and patient behavior and sentiment data (patient behaviors and preferences, (retail purchases e.g. data captured in running stores). Health care analytics is a growing industry in the United States, expected to grow to more than $31 billion by 2022. The industry focuses on the areas of clinical analysis, financial analysis, supply chain analysis, as well as marketing, fraud and HR analysis. Health care analytics allows for the examination of patterns in various healthcare data in order to determine how clinical care can be improved while limiting excessive spending. this can help improve the overall patient care offered in healthcare facilities. Federal government role in health IT Multiple ...
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Bulk Personal Datasets
"Bulk personal datasets" is the UK government's euphemism for datasets containing personally identifiable information on a large number of individuals, as part of mass surveillance in the United Kingdom and on citizens around the world. The term was first used publicly in March 2015 by the Intelligence and Security Committee of Parliament, and is subject to significant controversy. Other UK Government departments have programmes utilising bulk personal datasets, one of which is the care.data programme in the Department of Health and National Health Service. In health, bulk personal datasets are created as a by-product of providing direct care. Controversy The judicial body which oversees the intelligence services in the United Kingdom, the Investigatory Powers Tribunal, ruled that the legislative framework in the United Kingdom does not permit mass surveillance and that while GCHQ collects and analyses data in bulk, it does not practice mass surveillance. A special report pu ...
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Bureaucracy
The term bureaucracy () refers to a body of non-elected governing officials as well as to an administrative policy-making group. Historically, a bureaucracy was a government administration managed by departments staffed with non-elected officials. Today, bureaucracy is the administrative system governing any large institution, whether publicly owned or privately owned. The public administration in many jurisdictions and sub-jurisdictions exemplifies bureaucracy, but so does any centralized hierarchical structure of an institution, e.g. hospitals, academic entities, business firms, professional societies, social clubs, etc. There are two key dilemmas in bureaucracy. The first dilemma revolves around whether bureaucrats should be autonomous or directly accountable to their political masters. The second dilemma revolves around bureaucrats' behavior strictly following the law or whether they have leeway to determine appropriate solutions for varied circumstances. Various commen ...
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