All Clinical Leaders articles – Page 47
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HSJ KnowledgeMaking changes to achieve savings - without disastrous consequences
In managing the NHS, we have choices. When we have a difficult problem do we think radical, fundamental, realistic, or painstaking? Jan Filochowski, chief executive of West Hertfordshire Hospitals Trust, says that when push comes to shove, it’s worth being an evolver more than a radical, and a realist more ...
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CommentCompetition can work, but only with the right tactics
“Competition in health care should be tactical not ideological”. This was the main message from the “Competition versus integration in the NHS” debate organised by the Cambridge Health Network and the King’s Fund
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CommentBill Moyes: the reform agenda presents a massive opportunity
The government’s reform agenda for the NHS isn’t the beginning of the end of a primarily tax funded healthcare system. The reforms are probably the best way to preserve that for another generation or more. So, instead of focusing on the risks, let’s give more attention to the opportunities.
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Comment'It makes a welcome change to hear praise for NHS managers'
Sir David Nicholson’s letter to colleagues after the spending review recognised that great public service leadership “more than anything else” will be central to improving quality and productivity.
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NewsRCS warns quality of care could decline
Standards of patient care may be compromised if GPs focus on “the lowest price” rather than quality when it comes to health spending, the Royal College of Surgeons of England has warned.
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NewsConsultants' £40m pay claims rejected
The Scottish first minister has disputed claims that Scotland paid an extra £40m to highly paid NHS consultants in the last year.
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HSJ KnowledgeGeneral paediatric surgery - getting the delivery right
General paediatric surgery is increasingly being provided centrally, but routine care can be brought to local hospitals with managed clinical networks, writes Su-Anna Boddy
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CommentThe Health Bill - rising to the challenge
The Health Bill sets out a vision for commissioning where innovative consortia of GPs take the lead in transforming our health and social care systems from being demand-led and provider-oriented to being patient-centred and outcomes-focused.
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NewsLansley: reforms will not see banker-style bonuses
Health secretary Andrew Lansley today defended sweeping NHS reforms against claims that GPs would qualify for banker-style bonuses and private firms would win major contracts.
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NewsGovernment 'may take over flu vaccine ordering'
GPs could be forced to hand over control of ordering flu vaccine after complaints about this year’s programme, the government’s director of immunisation has suggested.
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NewsNHS reforms 'risk patient backlash'
An influential health think tank has warned that the proposed radical changes to the NHS could turn patients against GPs because doctors are likely to start receiving “unpalatable” cash bonuses.
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NewsNigel Edwards to leave NHS Confederation
Nigel Edwards will end his 12 years at the NHS Confederation this summer after deciding not to put himself forward for the position of chief executive.
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Comment'Time to scrap GP exception reporting'
We must now scrap exception reporting by GPs in the quality and outcomes framework.
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Comment'We all know what’s wrong with the NHS'
There are too many hospitals swallowing up too much money for too little return. Which is fine until you try to close or downsize one, and all hell breaks loose.
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Comment'Accountability in the NHS is a mess'
Ministers in Whitehall have excessive powers to interfere and meddle in local operational issues, with primary care trusts controlled by strategic health authorities and SHAs by Whitehall.
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NewsMajor questions remain over commissioning, say insiders
Major questions remain over the successful formation of commissioning consortia, despite the fast spread of “pathfinders”, according to those overseeing the process.
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Leader‘Brave’ Sir David stresses freedoms and delivery
As the NHS drowns in reform, the danger of distraction grows.
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CommentMichael White: ministers are puzzled by the BMA’s hostility
It remains a guiding principle of this column that any policy opposed by the British Medical Association can’t be all bad.
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HSJ KnowledgePatient Safety Awards 2011: Prizes and plaudits for the protectors
Find out who is in the running as we unveil the shortlist for this year’s HSJ and Nursing Times Patient Safety Awards