Firstly, the strict terminology of aneurysm related mortality and non-aneurysm related mortality is somewhat notional because, in practice, mortality is rarely attributable to a single cause and therefore could be misclassified.
It is not yet clear if clinical commissioning groups themselves would allocate hard rather than notional budgets to each constituent practice.
Despite notional acceptance of the biopsychosocial model, contemporary practice tends to frame such presentations as either psychological or physical, which is compounded by current classification systems [ 5].
For example, the practice budgets are in most instances "notional" (where the primary care trusts largely bear the financial risk of overspending) and not "hard" (where the practices would bear most of the financial risk).
New titles were assigned an official publication date, typically a Thursday, a practice that survives only in the most notional sense.
This would be a departure from the current UK practice, where directors are typically awarded a notional maximum number of shares in one year, which are then subject to performance criteria that will determine the actual payout three years later.
He unexpectedly lost his seat at the last election, mislaying a notional 5,500 majority to Nicola Blackwood, but instead of disappearing into medical practice or paid lobbying, he has become an even bigger figure on the political landscape.
In practice, everyone is released on licence after two thirds of the notional sentence has been served.
It was, after all, common Soviet practice to have a deputy, often linked to the KGB, who carried more weight than his notional boss.
Secondary endpoints included mortality, rates of secondary care use (seven different metrics), contacts with general practitioners and practice nurses, proportion of people admitted to permanent residential or nursing care, weeks in domiciliary social care and notional costs.
