The Health service journal
The most recent articles from:
Health Serv J
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The position of large teaching hospitals in the NHS is being challenged by changing patterns of medical education and the expansion of services offered by acute hospitals. The clinical activity of teaching hospitals is now similar to that of district general hospitals. The future of teaching hospitals may lie in becoming centres of research excellence.
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Many NHS staff feel that they are unable to put their values into action because of the constraints on the service. They want a working environment where trust is possible and mistakes can be made without retribution. The reality is often bullying and attempts at innovation being met with reproach.