Comment archive – Page 337
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CommentYorkshire trusts could soon start to see cracks appear
The NHS in Yorkshire has for years papered over the cracks of financial unsustainability in its second largest organisation, North Yorkshire and York Primary Care Trust.
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CommentMergers making their mark on the South East Coast
Merger is the name of the game in Kent at the moment.
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CommentMichael White: Lansley battles to keep reforms afloat
Colonel Gaddafi may have benefited from the rival distraction of Japan’s apocalyptic tsunami, but Andrew Lansley has no such luck. As HSJ’s editorial asks if he is “screaming inside”, wave after political wave rolls over him.
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Comment'Life had really changed in the NHS, following the reforms of 2011'
Dr Charles Alessi ruminates on what a day in the life of a GP in the new NHS might be like, years from now, following the successful NHS reforms of 2011…
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CommentYour humble servant: the spectre of Stalin looms over year end
It’s difficult to make end of financial year decisions when pain aligns so closely with pleasure.
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LeaderPerformance bonuses: a fair swap for public service pension reform?
“There is a much stronger case for linking pay to performance at the senior levels of public organisations, as opposed to the rest of the workforce”.
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Leader2013 has already arrived for some regions
It is an iron rule of NHS reform that development is both geographically patchy and concentrated in certain areas - look at the progress made in tackling heart disease compared with the record on sexual health, or how performance in the South West has consistently outstripped other regions.
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CommentWhat do we really care about in the NHS?
While there are plenty of people who care about making the system work, in striving for improved access and technical excellence we seem to have stopped caring for the whole person. So what is it we really care about?
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CommentEast of England commissioners transfer financial pressures to providers
Struggling commissioners in the East of England are putting pressure on providers.
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CommentCluster forming work sets sail in the South
Transition to the so called “new world” of commissioning is gathering pace in the South West and South Central regions, as work to form clusters begins in earnest.
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CommentMedia Watch: NHS managers dine out on free lunch
Did you go to the big match at the weekend? If so, who paid for the tickets?
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CommentMichael White: disquiet over accountability grows in the health war
The most startling political utterance I heard during another lively week in the health war fell not from the lips of Andrew Lansley, nor even from militant (“Back to the 1930s”) medics, but from mild mannered Stephen Dorrell.
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Comment'GPs run the risk of alienating themselves from their colleagues'
As the BMA gears up for a crisis meeting to debate the Health Bill, the chair of its consultant and specialists committee voices his fears of a huge split between members - and a ‘seething cauldron’ of competing providers in the future.
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CommentNoel Plumridge: when it comes to GP income, how long is a piece of string?
Just how much does a GP earn? The NHS Information Centre estimates average GP income in 2008-09 (the latest figures available) as £105,300. But any average conceals variations.
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LeaderIs Andrew Lansley 'screaming inside'?
A commissioning consortium in the west country declares it “does not believe in the purchaser-provider split”, the Foundation Trust Network warns of “serious financial stress” and the membership of the British Medical Association warms up to declare outright opposition to the Health Bill.
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Comment'There are no winners while there is 'them and us' tribalism in the NHS'
“Them and us”. All too often an off-hand remark and the death knell of a beautiful conversation, usually with the word “tariff” thrown in.
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CommentEffective regulation needs the right touch, at the right time
The chief executive of a troubled NHS trust recently remarked to me: “The problem was, we thought we worked for the regulators, not for our patients.”
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CommentMedia Watch: abortion, obesity and homosexuality proivde perfect storm
The Sunday Telegraph found something of a perfect storm in its story about gay NHS managers being sent on a “luxury junket”.
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Comment'Without a firm battle plan, consortia might find themselves neither here nor there'
The grand old health secretary risks getting the new consortia stuck on the hill, unless a change in strategy to push them higher up the slope of success is attempted.