Contents of Second 2005 Issue

Nosokinetics

Second Issue in 2005

(c)Authors for content; Peter Millard, Roy Johnston for e-version

(comments to rjtechne at iol dot ie)

We are retaining the following substantive papers:

Chooi Lee and Peter Millard on How socio-economic decisions created and changed the NHS, Part 1.

Operational Planning, the NHS and Rehabilitation were health care legacies of the Second World war. Using flow diagrams, the roots of the current bed crisis in UK hospitals are explained. Rehabilitation of the chronic sick was a key component of the plan. During the market reforms government fostered the development of private and voluntary residential and nursing homes, so consultant led services were no longer required. Now rehabilitation has been rediscovered, but the where and how is unclear.

Mark Mackay on Surgical Waiting Lists in Australia.

What should be done? Enough surgeons and theatres no beds. Rather than rhetoric and blame, modelling should provide the answer.

Carl Long and the Editor on Axial Flow

As branches get stuck on river banks, so patients get stuck in beds. The simple equation Ac = Lv explains why small numbers of longer stay make big differences. It's all a question of time.

We are indebted to IMS MAXIMS plc's sponsorship for enabling the website version to be developed. IMS is a significant supplier to NHS and has an ongoing interest in enhancing the scope of IT support in the NHS, especially in the areas of clinical knowledge and decision support. Developers of systems looking for market opportunities are invited to contact IMS at their UK office, or by e-mail to Paul Cooper (pcooper at imsmaxims dot com). Accessing their web-site http://www.imsmaxims.com will give a feel for the scope of their work.

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