Strategic Resource Framework 2010/2011 (PDF 854 KB)

2010/11

Service Framework for Cardiovascular Health and Wellbeing (2009)

Standards for the treatment and care of people suffering and at risk from cardiovascular disease

Strategic Resources Framework Report 2008/09 (PDF 532KB)

Strategic Resources Framework Report for 2008/09

Strategic Resources Framework Report 2008/09 - Appendices (PDF 892KB)

Appendices to the Strategic Resources Framework Report for 2008/09

Multilevel oblique corpectomy for cervical spondylotic myelopathy preserves segmental motion.

PURPOSE: To document the neurological outcome, spinal alignment and segmental range of movement after oblique cervical corpectomy (OCC) for cervical compressive myelopathy. METHODS: This retrospective study included 109 patients--93 with cervical spondylotic myelopathy and 16 with ossified posterior longitudinal ligament in whom spinal curvature and range of segmental movements were assessed on neutral and dynamic cervical radiographs. Neurological function was measured by Nurick's grade and modified Japanese Orthopedic Association (JOA) scores. Eighty-eight patients (81%) underwent either a single- or two-level corpectomy; the remaining (19%) undergoing three- or four-level corpectomies. The average duration of follow-up was 30.52 months. RESULTS: The Nurick's grade and the JOA scores showed statistically significant improvements after surgery (p < 0.001). The mean postoperative segmental angle in the neutral position straightened by 4.7 ± 6.5°. The residual segmental range of movement for a single-level corpectomy was 16.7° (59.7% of the preoperative value), for two-level corpectomy it was 20.0° (67.2%) and for three-level corpectomies it was 22.9° (74.3%). 63% of patients with lordotic spines continued to have lordosis postoperatively while only one became kyphotic without clinical worsening. Four patients with preoperative kyphotic spines showed no change in spine curvature. None developed spinal instability. CONCLUSIONS: The OCC preserves segmental motion in the short-term, however, the tendency towards straightening of the spine, albeit without clinical worsening, warrants serial follow-up imaging to determine whether this motion preservation is long lasting.

Strategic Resources Framework Report 2007/08 (PDF 455 KB)

Strategic Resources Framework Report for 2007/08

Strategic Resources Framework 2007-08 Appendices (PDF 594 KB)

Appendices to the Strategic Resources Framework Report for 2007/08

Research Governance Framework for Health and Social Care (PDF 351 KB)

This document sets out a framework for the governance of research conducted by or on behalf of the Health & Personal Social Services (HPSS)

Strategic Resources Framework Report for 2006-2007 (PDF 694 KB)

Strategic Resources Framework Report for 2006/07.

Strategic Resources Framework 2006-2007 Appendices (PDF 4056 KB)

Appendices to the Strategic Resources Framework Report for 2006/07.

The Implamentation and Evaluation of a Framework Supporting Effective First Contact Care across the Southern Health & Social Services Board (PDF 278 KB)

Interim report on the Southern Health and Social Services Board's Community Nursing Strategy Pilot Project

Determining An Appropriate Framework for Assessing Older Peoples Need for Free Nursing - Project Report (March 2005) (PDF 1276 KB)

Evaluation of the nursing needs assessment tool and associated systems and processes.

A Strategic Framework for Respiratory Conditions (PDF 725 KB)

Strategy document for Respiratory Conditions in Northern Ireland