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This report prepared for Mr G Rai, TTT Division, DTLR must not be referred to in any publication without the permission of Mr G Rai. The views expressed are those of the author(s) and not necessarily those of Mr G Rai. Approvals Project Manager Quality Reviewed 2 The authors of this report are employed by TRL Ltd. The work reported herein was carried out(More)
OBJECTIVE To describe the current methods used by English medical schools to identify prospective medical students for admission to the five year degree course. DESIGN Review study including documentary analysis and interviews with admissions tutors. SETTING All schools (n = 22) participating in the national expansion of medical schools programme in(More)
BACKGROUND Depression is a major individual and public-health burden throughout the world and is managed mainly in primary care. The most effective strategy to reduce this burden has been believed to be education of primary-care practitioners. We tested this assumption by assessing the effectiveness of an educational programme based on a clinical-practice(More)
BACKGROUND Health Authorities seeking to make appropriate investments in health care require information about the nature of the burden of disease in their populations. The World Bank instrument called DALY-Disability Adjusted Life Year-has been used in the South and West Region to measure this burden. METHOD The burden of disease caused by a selection of(More)
The requirements of the UK Equality Act 2010 and some high profile criticism for using a potentially ageist methodology have prompted the National Institute for Health and Clinical Excellence (NICE) to assess the processes and methodology it uses to make appraisal decisions. This paper argues that NICE has established rigorous systems to protect against(More)
OBJECTIVE To compare the outcomes of home-based (using the Heart Manual) and centre-based cardiac rehabilitation programmes. DESIGN Randomised controlled trial and parallel economic evaluation. SETTING Predominantly inner-city, multi-ethnic population in the West Midlands, England. PATIENTS 525 patients referred to four hospitals for cardiac(More)
BACKGROUND Health inequalities exist for many disorders, but the contribution of deprivation to the prevalence and outcome of depressive symptoms in primary care populations has been infrequently studied. AIMS To examine the influence of Jarman under-privileged area (UPA) scores on the prevalence and outcome of depressive symptoms in general practice(More)