Ms Kendall said the goal would be to provide above-inflation increases to the "criminally neglected" area of early years services, amid a climate of fiscal constraint across public services.
Self-interest is the dominant reason that the UK developed Health is Global, a rationale that could become even stronger and deeper in a climate of economic constraint.
In the past, survival alone was enough to justify any intervention, but the current climate of budgetary constraint and the high costs of many interventions have made ICU staff increasingly aware of the importance of HRQOL measurement [ 3].
A service-academic partnership in Cambridgeshire was charged with developing a pragmatic but robust evaluation of existing local exercise referral schemes to improve targeting of the service and guide NHS spending priorities in light of the NICE guidance and a climate of financial constraint.
Given the current climate of cost constraints, a strong need exists to selectively target initiatives to prevent the development of depression in individuals at increased familial risk.
In the current climate of fiscal constraints, smart investments that deliver the best results for the least cost are going to be more important than ever.
The current costs of genetic testing and a climate of cost constraints mean that treatment-focused genetic testing will need to be targeted to the women who have a reasonable chance of being mutation carriers.
In the recent climate of financial constraints it is particularly important to evaluate the effectiveness of new therapies (i.e. life years or quality-adjusted life-years (QALYs) gained) in relation to their long-term costs relative to existing ones, in order to determine the most efficient care that can be delivered to patients from existing resources.
Drawing on interviews with participants in the consultation process, this paper examines the role of stakeholder participation in the UK MCZ site selection process, in particular how well the UK Government implemented its obligations under the Aarhus Convention, and the meaning of "participation" in a climate of political change and budgetary constraint.
In the current climate of the NHS there are constraints on money, staff and skill mix, time, facilities, equipment and knowledge.
