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In addition, the clinically-led nature of the HF initiative studied here may have led to it being perceived differently by professionals, rather than, as many service improvement initiatives are, being imposed by the hospital's management.
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"As the D.O.T. statistics demonstrate, airlines already have made many service improvements, and many of the regulations formalize procedures already in place" to address issues like tarmac strandings, said Nicholas E. Calio, president of the Air Transport Association.
Their experiences provide many suggestions for service improvements to bridge the gap between 'real' and 'ideal' care.
While the best trusts work relentlessly to engage clinical staff in programmes of service improvement and change, many clinicians feel disconnected from the decisions being taken around them, and see little relevance to their everyday work of the ceaseless output of plans, guidance and targets from regulators and NHS England.
"We agree with all recommendations made and many of these have already been implemented as part of our on-going commitment to service improvement".
As a result, many national strategic cancer plans have identified the improvement of cancer care coordination as a priority for service improvement [ 1, 4, 6, 7].
In many countries that lack them which are, especially, low-income countries —there is a low-cost opportunity for substantial service improvement.
Then there were the NHS service improvement programmes.
A prospective service improvement project.
Because the IQuESTS project includes a specialist depression research clinic to pilot these service improvements, many of these assumptions can be tested and this will benefit the model in terms of collecting long term data regarding patients' experiences with depression, and the impact of specific service improvements.
Tariffs are one way a water utility could become self-financing and afford service improvements, but many people don't pay water bills because their service is bad.
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