Healthcare experts assess the major challenges facing NHS Wales.

The Healthcare Commission is the independent watchdog for England. Its function is to assess and report on the quality and safety of services provide by the NHS and independent sector. This is the fifth and final annual 'State of Healthcare Report', as the Commission is to be replaced by the Care Quality Commission on 1 April 2009. The report is mainly about the findings for the financial year 2007-08, but it also reflects on the progress that has been made in healthcare over the past five years. The report presents six pictures of the state of healthcare: for mothers; for children and young people; for people with mental health needs; for people with a learning disability; for people needing urgent and hospital care; and of the support offered to enhance people's health and wellbeing in the community. The Commission highlights improvements, with better use and management of resources in the NHS, falling death rates from cancer and heart disease, progress in public health matters such as smoking, a greater attention to safety. Concerns remain, however: a variable picture of quality in maternity services, mental health services and urgent care; commissioning of healthcare; meeting the needs of the more vulnerable in society; children's services; care for older people. Further improvement is needed to ensure that patients really are at the centre of care, are able to make meaningful choices, be fully involved in decisions and have the information they need.

Clinical judgement and decision making are terms that are frequently used in nursing. But what do they mean and how can they be effectively applied in practice? In straightforward language, this book helps you to develop the necessary skills to make and apply sound clinical decisions. It breaks down the factors involved in decision making and shows you how to use evidence, critical enquiry and reflection to do so with confidence. Key features: - Each chapter is mapped to the 2018 NMC Standards - Thought-provoking case studies and scenarios illustrate decision making in practice - Activities enable you to practise your skills and build confidence in your ability to make effective decisions

Indexes the Times and its supplements.

Contains the 4th session of the 28th Parliament through the session of the Parliament.

Data and facts about the state of the United Kingdom can be found in this comprehensive, up-to-date yearbook. It provides a wide range of information about the nation's spheres of activity, including economic activity, the environment, social and cultural affairs, and more.