Author: Joseph A. Michelli
Publisher: McGraw Hill Professional
ISBN: 0071773908
Category : Business & Economics
Languages : en
Pages : 347
Book Description
THE #1 NEW YORK TIMES AND WALL STREET JOURNAL BESTSELLER! “Like any business, a hospital must be true to its core values in order to succeed. ‘Trickle-down values’ start at the top with the best leadership, so that all the stakeholders understand and carry out the institution’s mission. That is the gift that David F einberg has brought to U CLA. I am in awe of his management skills.” —Lynda Resnick, owner of Pom Wonderful, Fiji Water, Teleflora, and Wonderful Pistachios “With clear purpose, unwavering principles, and steadfast leadership, the people at UCLA have established a new bar, a compelling promise, for what healthcare can and should be.” —David M. Lawrence, M.D., former CEO, Kaiser Permanente “An absorbing and educational account of a large institution’s astonishing transformation. The strong, courageous, and focused leadership of David Feinberg and his outstanding team is evident on every page. A tremendous lesson for all large enterprises.” —William E. Simon, Jr., cochairman, William E. Simon & Sons “Most leadership authors describe how to apply common-sense principles. Michelli is a notable exception. He artfully describes the compelling, uncommon leadership practices that transformed UCLA Health System. The resulting lessons are plentiful and powerful for today’s business leader.” —Lee J. Colan, Ph.D., author of Sticking to It: The Art of Adherence About the Book: Joseph Michelli, author of The Starbucks Experience and The New Gold Standard, is among the world’s top authorities on the principles of creating an organizational culture dedicated to service excellence. In these bestselling books, he examines how leading service companies dominate their respective industries with innovative customerexperience strategies. Now, Michelli turns his attention to one of the most complex, controversial, and critical industries—healthcare. In Prescription for Excellence, Michelli provides an inside look at an organization that has become the envy of its industry—and explains how you can dominate your own industry by using the same approach. UCLA Health System is revered worldwide for its top-tier patient/customer care. Great physicians, nurses, researchers, and staff are only part of the equation; UCLA’s overall success is a result of organization-wide collaboration that is driven by leaders with a shared vision of unyielding excellence. Michelli breaks down UCLA’s approach into five simple principles: Commit to Care Leave No Room for Error Make the Best Better Create the Future Service Serves Us From administrative offices to operating rooms to research centers, continued adherence to these five principles has guided UCLA to financial strength, social significance, and sustainability. The best part is that these principles translate to any industry, so you, too, can achieve similar goals. Michelli gives you the tools to adapt UCLA’s ideas, systems, and leadership principles into your own best practices. Whether it is a healthcare organization, a financial institution, or a neighborhood hair salon, good business begins and ends with customer connection. When all workers in an organization focus on providing quality care for those they serve, success inevitably follows. Business is always personal; UCLA’s leadership ensures that this simple truth drives every UCLA employee, every day. Apply the lessons Michelli spells out in Prescription for Excellence to create a system that ensures that your people take business personally, day in and day out.
Prescription for Excellence: Leadership Lessons for Creating a World Class Customer Experience from UCLA Health System
Author: Joseph A. Michelli
Publisher: McGraw Hill Professional
ISBN: 0071773908
Category : Business & Economics
Languages : en
Pages : 347
Book Description
THE #1 NEW YORK TIMES AND WALL STREET JOURNAL BESTSELLER! “Like any business, a hospital must be true to its core values in order to succeed. ‘Trickle-down values’ start at the top with the best leadership, so that all the stakeholders understand and carry out the institution’s mission. That is the gift that David F einberg has brought to U CLA. I am in awe of his management skills.” —Lynda Resnick, owner of Pom Wonderful, Fiji Water, Teleflora, and Wonderful Pistachios “With clear purpose, unwavering principles, and steadfast leadership, the people at UCLA have established a new bar, a compelling promise, for what healthcare can and should be.” —David M. Lawrence, M.D., former CEO, Kaiser Permanente “An absorbing and educational account of a large institution’s astonishing transformation. The strong, courageous, and focused leadership of David Feinberg and his outstanding team is evident on every page. A tremendous lesson for all large enterprises.” —William E. Simon, Jr., cochairman, William E. Simon & Sons “Most leadership authors describe how to apply common-sense principles. Michelli is a notable exception. He artfully describes the compelling, uncommon leadership practices that transformed UCLA Health System. The resulting lessons are plentiful and powerful for today’s business leader.” —Lee J. Colan, Ph.D., author of Sticking to It: The Art of Adherence About the Book: Joseph Michelli, author of The Starbucks Experience and The New Gold Standard, is among the world’s top authorities on the principles of creating an organizational culture dedicated to service excellence. In these bestselling books, he examines how leading service companies dominate their respective industries with innovative customerexperience strategies. Now, Michelli turns his attention to one of the most complex, controversial, and critical industries—healthcare. In Prescription for Excellence, Michelli provides an inside look at an organization that has become the envy of its industry—and explains how you can dominate your own industry by using the same approach. UCLA Health System is revered worldwide for its top-tier patient/customer care. Great physicians, nurses, researchers, and staff are only part of the equation; UCLA’s overall success is a result of organization-wide collaboration that is driven by leaders with a shared vision of unyielding excellence. Michelli breaks down UCLA’s approach into five simple principles: Commit to Care Leave No Room for Error Make the Best Better Create the Future Service Serves Us From administrative offices to operating rooms to research centers, continued adherence to these five principles has guided UCLA to financial strength, social significance, and sustainability. The best part is that these principles translate to any industry, so you, too, can achieve similar goals. Michelli gives you the tools to adapt UCLA’s ideas, systems, and leadership principles into your own best practices. Whether it is a healthcare organization, a financial institution, or a neighborhood hair salon, good business begins and ends with customer connection. When all workers in an organization focus on providing quality care for those they serve, success inevitably follows. Business is always personal; UCLA’s leadership ensures that this simple truth drives every UCLA employee, every day. Apply the lessons Michelli spells out in Prescription for Excellence to create a system that ensures that your people take business personally, day in and day out.
Publisher: McGraw Hill Professional
ISBN: 0071773908
Category : Business & Economics
Languages : en
Pages : 347
Book Description
THE #1 NEW YORK TIMES AND WALL STREET JOURNAL BESTSELLER! “Like any business, a hospital must be true to its core values in order to succeed. ‘Trickle-down values’ start at the top with the best leadership, so that all the stakeholders understand and carry out the institution’s mission. That is the gift that David F einberg has brought to U CLA. I am in awe of his management skills.” —Lynda Resnick, owner of Pom Wonderful, Fiji Water, Teleflora, and Wonderful Pistachios “With clear purpose, unwavering principles, and steadfast leadership, the people at UCLA have established a new bar, a compelling promise, for what healthcare can and should be.” —David M. Lawrence, M.D., former CEO, Kaiser Permanente “An absorbing and educational account of a large institution’s astonishing transformation. The strong, courageous, and focused leadership of David Feinberg and his outstanding team is evident on every page. A tremendous lesson for all large enterprises.” —William E. Simon, Jr., cochairman, William E. Simon & Sons “Most leadership authors describe how to apply common-sense principles. Michelli is a notable exception. He artfully describes the compelling, uncommon leadership practices that transformed UCLA Health System. The resulting lessons are plentiful and powerful for today’s business leader.” —Lee J. Colan, Ph.D., author of Sticking to It: The Art of Adherence About the Book: Joseph Michelli, author of The Starbucks Experience and The New Gold Standard, is among the world’s top authorities on the principles of creating an organizational culture dedicated to service excellence. In these bestselling books, he examines how leading service companies dominate their respective industries with innovative customerexperience strategies. Now, Michelli turns his attention to one of the most complex, controversial, and critical industries—healthcare. In Prescription for Excellence, Michelli provides an inside look at an organization that has become the envy of its industry—and explains how you can dominate your own industry by using the same approach. UCLA Health System is revered worldwide for its top-tier patient/customer care. Great physicians, nurses, researchers, and staff are only part of the equation; UCLA’s overall success is a result of organization-wide collaboration that is driven by leaders with a shared vision of unyielding excellence. Michelli breaks down UCLA’s approach into five simple principles: Commit to Care Leave No Room for Error Make the Best Better Create the Future Service Serves Us From administrative offices to operating rooms to research centers, continued adherence to these five principles has guided UCLA to financial strength, social significance, and sustainability. The best part is that these principles translate to any industry, so you, too, can achieve similar goals. Michelli gives you the tools to adapt UCLA’s ideas, systems, and leadership principles into your own best practices. Whether it is a healthcare organization, a financial institution, or a neighborhood hair salon, good business begins and ends with customer connection. When all workers in an organization focus on providing quality care for those they serve, success inevitably follows. Business is always personal; UCLA’s leadership ensures that this simple truth drives every UCLA employee, every day. Apply the lessons Michelli spells out in Prescription for Excellence to create a system that ensures that your people take business personally, day in and day out.
Prescriptions for Choral Excellence
Author: Shirlee Emmons
Publisher: Oxford University Press
ISBN: 019988465X
Category : Music
Languages : en
Pages : 345
Book Description
In shaping choral tone, directors often wish to improve the sound of their choir, but are challenged to pinpoint underlying problems or to guide singers toward solutions. Now, in Prescriptions for Choral Excellence, skilled vocal pedagogue Shirlee Emmons and leading choral director Constance Chase equip choral directors with the practical tools they need to help singers achieve peak choral performance. Drawing on years of experience, Emmons and Chase help choral directors and singers effectively diagnose and resolve problems. They cover topics ranging from breath management and diction to range and intonation, and much more. Beyond describing vocal difficulties, the book provides concrete instructions on how to apply the concepts in day-to-day rehearsal and performance. The numerous practical exercises and planning aides allow directors to maximize both time and talent to elicit the highest potential from their singers. While grounded in the most up-to-date research in voice science, the discussion of vocal anatomy and function is accessible to readers with no previous knowledge of voice science. Going beyond other vocal and choral guidebooks, the authors also apply the most current theories in leadership principles and group dynamics to choral settings, helping directors translate their natural musicality and charisma into inspiring and motivational leadership. A comprehensive and unique blend of practical expertise, voice science, and leadership psychology, Prescriptions for Choral Excellence is an invaluable guide for all choral directors seeking to create memorable and remarkable performances.
Publisher: Oxford University Press
ISBN: 019988465X
Category : Music
Languages : en
Pages : 345
Book Description
In shaping choral tone, directors often wish to improve the sound of their choir, but are challenged to pinpoint underlying problems or to guide singers toward solutions. Now, in Prescriptions for Choral Excellence, skilled vocal pedagogue Shirlee Emmons and leading choral director Constance Chase equip choral directors with the practical tools they need to help singers achieve peak choral performance. Drawing on years of experience, Emmons and Chase help choral directors and singers effectively diagnose and resolve problems. They cover topics ranging from breath management and diction to range and intonation, and much more. Beyond describing vocal difficulties, the book provides concrete instructions on how to apply the concepts in day-to-day rehearsal and performance. The numerous practical exercises and planning aides allow directors to maximize both time and talent to elicit the highest potential from their singers. While grounded in the most up-to-date research in voice science, the discussion of vocal anatomy and function is accessible to readers with no previous knowledge of voice science. Going beyond other vocal and choral guidebooks, the authors also apply the most current theories in leadership principles and group dynamics to choral settings, helping directors translate their natural musicality and charisma into inspiring and motivational leadership. A comprehensive and unique blend of practical expertise, voice science, and leadership psychology, Prescriptions for Choral Excellence is an invaluable guide for all choral directors seeking to create memorable and remarkable performances.
Homeschooling for Excellence
Author: David Colfax
Publisher: Grand Central Publishing
ISBN: 0446561401
Category : Education
Languages : en
Pages : 131
Book Description
Break away from the failiings of schools and embrace the power of homeschooling through the guidance of the Colfax family's teachings. For over fifteen years, David and Micki Colfax educated their children at home. They don't think of themselves as pioneers, though that's what they became. Unhappy with the public schools, the Colfaxes wanted the best education possible for their four sons: a program for learning that met the evolving needs of each child and gave them complete control of how and what their children learned. The results? A prescription for excellence-Harvard educations for their sons Grant, Drew, and Reed. (Their fourth son is still too young for college.) Now the Colfaxes tell how all parents can become involved in homeschooling. In a straight-talking book that reads like a frank conversation among friends, they tell what they did and how they did it: their educational approaches, the lessons they learned, and what materials-books, equipment, educational aids-proved most useful over the years. Best of all, they show you how you can take charge of your children's education-in an invaluable sourcebook that will help you find a rewarding and successful alternative to our failing schools.
Publisher: Grand Central Publishing
ISBN: 0446561401
Category : Education
Languages : en
Pages : 131
Book Description
Break away from the failiings of schools and embrace the power of homeschooling through the guidance of the Colfax family's teachings. For over fifteen years, David and Micki Colfax educated their children at home. They don't think of themselves as pioneers, though that's what they became. Unhappy with the public schools, the Colfaxes wanted the best education possible for their four sons: a program for learning that met the evolving needs of each child and gave them complete control of how and what their children learned. The results? A prescription for excellence-Harvard educations for their sons Grant, Drew, and Reed. (Their fourth son is still too young for college.) Now the Colfaxes tell how all parents can become involved in homeschooling. In a straight-talking book that reads like a frank conversation among friends, they tell what they did and how they did it: their educational approaches, the lessons they learned, and what materials-books, equipment, educational aids-proved most useful over the years. Best of all, they show you how you can take charge of your children's education-in an invaluable sourcebook that will help you find a rewarding and successful alternative to our failing schools.
Are Your Prescriptions Killing You?
Author: Armon B. Neel (Jr.)
Publisher: Simon and Schuster
ISBN: 145160839X
Category : Family & Relationships
Languages : en
Pages : 297
Book Description
A veteran board-certified pharmacist cites the high number of annual deaths associated with prescription drug side effects, calling for changes in prescription practices that account for the needs of aging bodies.
Publisher: Simon and Schuster
ISBN: 145160839X
Category : Family & Relationships
Languages : en
Pages : 297
Book Description
A veteran board-certified pharmacist cites the high number of annual deaths associated with prescription drug side effects, calling for changes in prescription practices that account for the needs of aging bodies.
The Innovator's Prescription: A Disruptive Solution for Health Care
Author: Clayton M. Christensen
Publisher: McGraw Hill Professional
ISBN: 0071592091
Category : Business & Economics
Languages : en
Pages : 496
Book Description
A groundbreaking prescription for health care reform--from a legendaryleader in innovation . . . Our health care system is in critical condition. Each year, fewer Americans can afford it, fewer businesses can provide it, and fewer government programs can promise it for future generations. We need a cure, and we need it now. Harvard Business School’s Clayton M. Christensen—whose bestselling The Innovator’s Dilemma revolutionized the business world—presents The Innovator’s Prescription, a comprehensive analysis of the strategies that will improvehealth care and make it affordable. Christensen applies the principles of disruptive innovation to the broken health care system with two pioneers in the field—Dr. Jerome Grossman and Dr. Jason Hwang. Together, they examine arange of symptoms and offer proven solutions. YOU’LL DISCOVER HOW “Precision medicine” reduces costs and makes good on the promise of personalized care Disruptive business models improve quality, accessibility, and affordability by changing the way hospitals and doctors work Patient networks enable better treatment of chronic diseases Employers can change the roles they play in health care to compete effectively in the era of globalization Insurance and regulatory reforms stimulate disruption in health care
Publisher: McGraw Hill Professional
ISBN: 0071592091
Category : Business & Economics
Languages : en
Pages : 496
Book Description
A groundbreaking prescription for health care reform--from a legendaryleader in innovation . . . Our health care system is in critical condition. Each year, fewer Americans can afford it, fewer businesses can provide it, and fewer government programs can promise it for future generations. We need a cure, and we need it now. Harvard Business School’s Clayton M. Christensen—whose bestselling The Innovator’s Dilemma revolutionized the business world—presents The Innovator’s Prescription, a comprehensive analysis of the strategies that will improvehealth care and make it affordable. Christensen applies the principles of disruptive innovation to the broken health care system with two pioneers in the field—Dr. Jerome Grossman and Dr. Jason Hwang. Together, they examine arange of symptoms and offer proven solutions. YOU’LL DISCOVER HOW “Precision medicine” reduces costs and makes good on the promise of personalized care Disruptive business models improve quality, accessibility, and affordability by changing the way hospitals and doctors work Patient networks enable better treatment of chronic diseases Employers can change the roles they play in health care to compete effectively in the era of globalization Insurance and regulatory reforms stimulate disruption in health care
Making Medicines Affordable
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309468086
Category : Medical
Languages : en
Pages : 235
Book Description
Thanks to remarkable advances in modern health care attributable to science, engineering, and medicine, it is now possible to cure or manage illnesses that were long deemed untreatable. At the same time, however, the United States is facing the vexing challenge of a seemingly uncontrolled rise in the cost of health care. Total medical expenditures are rapidly approaching 20 percent of the gross domestic product and are crowding out other priorities of national importance. The use of increasingly expensive prescription drugs is a significant part of this problem, making the cost of biopharmaceuticals a serious national concern with broad political implications. Especially with the highly visible and very large price increases for prescription drugs that have occurred in recent years, finding a way to make prescription medicinesâ€"and health care at largeâ€"more affordable for everyone has become a socioeconomic imperative. Affordability is a complex function of factors, including not just the prices of the drugs themselves, but also the details of an individual's insurance coverage and the number of medical conditions that an individual or family confronts. Therefore, any solution to the affordability issue will require considering all of these factors together. The current high and increasing costs of prescription drugsâ€"coupled with the broader trends in overall health care costsâ€"is unsustainable to society as a whole. Making Medicines Affordable examines patient access to affordable and effective therapies, with emphasis on drug pricing, inflation in the cost of drugs, and insurance design. This report explores structural and policy factors influencing drug pricing, drug access programs, the emerging role of comparative effectiveness assessments in payment policies, changing finances of medical practice with regard to drug costs and reimbursement, and measures to prevent drug shortages and foster continued innovation in drug development. It makes recommendations for policy actions that could address drug price trends, improve patient access to affordable and effective treatments, and encourage innovations that address significant needs in health care.
Publisher: National Academies Press
ISBN: 0309468086
Category : Medical
Languages : en
Pages : 235
Book Description
Thanks to remarkable advances in modern health care attributable to science, engineering, and medicine, it is now possible to cure or manage illnesses that were long deemed untreatable. At the same time, however, the United States is facing the vexing challenge of a seemingly uncontrolled rise in the cost of health care. Total medical expenditures are rapidly approaching 20 percent of the gross domestic product and are crowding out other priorities of national importance. The use of increasingly expensive prescription drugs is a significant part of this problem, making the cost of biopharmaceuticals a serious national concern with broad political implications. Especially with the highly visible and very large price increases for prescription drugs that have occurred in recent years, finding a way to make prescription medicinesâ€"and health care at largeâ€"more affordable for everyone has become a socioeconomic imperative. Affordability is a complex function of factors, including not just the prices of the drugs themselves, but also the details of an individual's insurance coverage and the number of medical conditions that an individual or family confronts. Therefore, any solution to the affordability issue will require considering all of these factors together. The current high and increasing costs of prescription drugsâ€"coupled with the broader trends in overall health care costsâ€"is unsustainable to society as a whole. Making Medicines Affordable examines patient access to affordable and effective therapies, with emphasis on drug pricing, inflation in the cost of drugs, and insurance design. This report explores structural and policy factors influencing drug pricing, drug access programs, the emerging role of comparative effectiveness assessments in payment policies, changing finances of medical practice with regard to drug costs and reimbursement, and measures to prevent drug shortages and foster continued innovation in drug development. It makes recommendations for policy actions that could address drug price trends, improve patient access to affordable and effective treatments, and encourage innovations that address significant needs in health care.
The Ultimate Prescription
Author: James L. Marcum
Publisher: Tyndale House Publishers, Inc.
ISBN: 1414372655
Category : Religion
Languages : en
Pages : 272
Book Description
Would you like to discover the powerful ways God is part of the healing process? Do you think the media, the government, or your doctor is telling you the whole truth when it comes to health care? Are you tired of taking medications that really don't fix the problem? In The Ultimate Prescription, Dr. James Marcum, a board-certified cardiologist, in-demand speaker, and radio host, discusses these questions and many more from a biblical point of view. He encourages you to find the real answers about your health—and the health of your loved ones. Dr. Marcum explains what he believes is wrong with our current health care system, how to get back on track, and how the spiritual dimension of our health is often being ignored. Discover today the true path to healthy living in The Ultimate Prescription.
Publisher: Tyndale House Publishers, Inc.
ISBN: 1414372655
Category : Religion
Languages : en
Pages : 272
Book Description
Would you like to discover the powerful ways God is part of the healing process? Do you think the media, the government, or your doctor is telling you the whole truth when it comes to health care? Are you tired of taking medications that really don't fix the problem? In The Ultimate Prescription, Dr. James Marcum, a board-certified cardiologist, in-demand speaker, and radio host, discusses these questions and many more from a biblical point of view. He encourages you to find the real answers about your health—and the health of your loved ones. Dr. Marcum explains what he believes is wrong with our current health care system, how to get back on track, and how the spiritual dimension of our health is often being ignored. Discover today the true path to healthy living in The Ultimate Prescription.
Affordable Excellence
Author: William A. Haseltine
Publisher: Brookings Institution Press
ISBN: 0815724160
Category : Business & Economics
Languages : en
Pages : 198
Book Description
"Today Singapore ranks sixth in the world in healthcare outcomes well ahead of many developed countries, including the United States. The results are all the more significant as Singapore spends less on healthcare than any other high-income country, both as measured by fraction of the Gross Domestic Product spent on health and by costs per person. Singapore achieves these results at less than one-fourth the cost of healthcare in the United States and about half that of Western European countries. Government leaders, presidents and prime ministers, finance ministers and ministers of health, policymakers in congress and parliament, public health officials responsible for healthcare systems planning, finance and operations, as well as those working on healthcare issues in universities and think-tanks should know how this system works to achieve affordable excellence."--Publisher's website.
Publisher: Brookings Institution Press
ISBN: 0815724160
Category : Business & Economics
Languages : en
Pages : 198
Book Description
"Today Singapore ranks sixth in the world in healthcare outcomes well ahead of many developed countries, including the United States. The results are all the more significant as Singapore spends less on healthcare than any other high-income country, both as measured by fraction of the Gross Domestic Product spent on health and by costs per person. Singapore achieves these results at less than one-fourth the cost of healthcare in the United States and about half that of Western European countries. Government leaders, presidents and prime ministers, finance ministers and ministers of health, policymakers in congress and parliament, public health officials responsible for healthcare systems planning, finance and operations, as well as those working on healthcare issues in universities and think-tanks should know how this system works to achieve affordable excellence."--Publisher's website.
Aristotle on Prescription
Author: Francesca Alesse
Publisher: BRILL
ISBN: 9004385398
Category : Philosophy
Languages : en
Pages : 285
Book Description
The focus of Aristotle on Prescription is Aristotle’s reflections on rule-making. It is widely believed that Aristotle was only concerned with decision-making, understood as a deliberative process enabling a person to arrive at particular, contingent decisions. However, rule-making is fundamental to Aristotle’s ethical texts. Establishing rules means indicating patterns for action that are sufficiently specific to meet situational difficulties and sufficiently constant in time to provide us with a code of behaviour to be used in similar situations. When we prescribe rules, we demonstrate the ability to direct not only our own life but also other people’s lives. Alesse’s book explores Aristotle’s deep reflections on the nature and functions of prescription, and on the relationship between rules and individual decisions.
Publisher: BRILL
ISBN: 9004385398
Category : Philosophy
Languages : en
Pages : 285
Book Description
The focus of Aristotle on Prescription is Aristotle’s reflections on rule-making. It is widely believed that Aristotle was only concerned with decision-making, understood as a deliberative process enabling a person to arrive at particular, contingent decisions. However, rule-making is fundamental to Aristotle’s ethical texts. Establishing rules means indicating patterns for action that are sufficiently specific to meet situational difficulties and sufficiently constant in time to provide us with a code of behaviour to be used in similar situations. When we prescribe rules, we demonstrate the ability to direct not only our own life but also other people’s lives. Alesse’s book explores Aristotle’s deep reflections on the nature and functions of prescription, and on the relationship between rules and individual decisions.
Equity and excellence:
Author: Great Britain: Department of Health
Publisher: The Stationery Office
ISBN: 9780101788120
Category : Medical
Languages : en
Pages : 64
Book Description
Equity and Excellence : Liberating the NHS: Presented to Parliament by the Secretary of State for Health by Command of Her Majesty
Publisher: The Stationery Office
ISBN: 9780101788120
Category : Medical
Languages : en
Pages : 64
Book Description
Equity and Excellence : Liberating the NHS: Presented to Parliament by the Secretary of State for Health by Command of Her Majesty