British journal of hospital medicine
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Income generation through private practice is back on the agenda for NHS trusts. Is this in order to benefit patients or to allow the private sector to subsidize NHS care? If you are involved in private practice within your hospital, how should it be organised in order to ensure that your wishes are followed when it comes to using the profits?
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Human resource issues are important for all clinical leaders and managers as staff are the key resource for good patient care and their costs constitute over 75% of the budget. Major changes are scoped in relation to training and education for different professional groups, recruitment, working practices and career patterns. Current NHS planning priorities include developing NHS organisations as good employers.
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Infection with Mycobacterium tuberculosis remains a major global health problem and the recent outbreaks of multidrug resistant (MDR) tuberculosis have been a major cause for concern. An accurate picture of the extent of this problem is not possible because only a limited number of countries have reliable surveillance programmes. However, the experience in the USA reinforces the need for strict adherence to standard public health measures and good clinical practices to minimise the impact of MDR tuberculosis in the human immunodeficiency virus era.