All Comment articles – Page 219
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Can GPs become agents of change, or will they remain gatekeepers?
In my forthcoming book on the NHS and reform, I have devoted a chapter to trying to answer the question of whether GPs can move from gatekeepers to change agents. Andrew Lansley’s reforms pose the same question along with others – do a sufficient number of them want to make ...
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What will the private sector do with failed hospitals?
The setting of a final deadline for NHS trusts to apply for foundation status is certainly focusing minds and starting to move long-postponed jobs out of the “too hard” tray, but the unpalatable truth is that some trusts are not going to make it by the drop-dead date of 1 ...
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Your 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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Noel Plumridge: what will the year end yield for trust finances?
Ever wondered why financial years begin in April? It’s the crop cycle.
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Media watch: Lib Dems' wash hands of reforms in spring conference
The papers this week were full of the Liberal Democrat spring conference’s rejection of the government’s health reforms.
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Mergers making their mark on the South East Coast
Merger is the name of the game in Kent at the moment.
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Yorkshire 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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Michael 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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'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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What 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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Media 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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East of England commissioners transfer financial pressures to providers
Struggling commissioners in the East of England are putting pressure on providers.
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Noel 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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Cluster 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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'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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Michael 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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'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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Michael White: Lansley's cloudy vision blurs the clear NHS reality
Watching the drama of health reform debate week after week, I sometimes think of a clever young Tory think tanker called Danny Kruger. Remember him?In 2005 Danny was forced to stand down as his party’s candidate to fight Tony Blair in Sedgefield because he had been heard promising “a period ...
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Midlands issues may be localised, but they have wide implications
It has been less than a month since the launch of HSJ Local but it has already attracted attention.