World hospitals
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Feasibility studies to establish the reality of planning, designing and building a major new (650-bed) general teaching hospital on a restricted urban site in a time-scale of five years--instead of the more usual time-scale of twelve or more years for a similar UK National Health Service building--commenced almost six years ago. These studies constituted the groundwork for the birth of the new Chelsea and Westminster Hospital. This article discusses the process and time span of the commissioning and occupation of this new hospital, and deals specifically with the problems encountered.
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The Welsh Principality has a health service that is separately managed from that of England. Its director, John Wyn Owen, chairs a Welsh Health Planning Forum which was established in 1988 by the Secretary of State for Wales as an advisory subgroup of the Executive Committee of the Health Policy Board of the NHS. ⋯ In November 1989, the Forum launched what is likely to become a landmark document in Welsh NHS history. Strategic Intent and Direction for the NHS in Wales is reproduced here in its entirety.
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Historical Article
Quality assurance in medicine: a brief historical perspective.