All Comment articles – Page 223
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A Christmas Dorrell
Good King Dorrell did look out on the feast beneath him, With Andrew lay round about, deeply fried by Stephen…
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'People are skeptical of welfare spending'
As coalition ministers plough on with radical reforms of health and other public services, they should not take much comfort from this week’s social attitude survey suggesting Britain is now more right wing than in the Thatcherite 80s.
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Are NHS efficiency savings a dead dog?
In the golden years of transatlantic airfreight, a turboprop landed in Newfoundland to refuel.
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Redesign to save NHS from slash and burn
Dear Sir,In a blunt assessment of the coming few years, the Commons Health Select Committee recently stated that the NHS must achieve efficiency savings on a scale never before seen here, or indeed in other countries.
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What contracting skills will CCGs need to acquire?
Learn to handle contracting with confidence
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Jenny Rogers: Dropping the defensiveness
Wrestling with large organisations when you are a mere minnow yourself certainly takes focus and energy. In the wake of my husband’s death in July this year, I faced the crassness and inefficiency of our bank, NatWest, when my credit card was suddenly withdrawn with no warning.
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The public health white paper: sizing up reactions
HSJ’s sister title Local Government Chronicle gathers reaction to last week’s public health white paper, Healthy Lives, Healthy People.
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The hospital guide and NHS whistleblowers
Last week The Observer had its exclusive on the Dr Foster Hospital Guide, this week it got a telling off about it.
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Sharing healthcare costs, pooling healthcare risks
Size seems to be back in vogue. There are two main reasons for the “big is beautiful” organisational trend, and it is important to distinguish between them, as their impacts on that overriding £20bn NHS savings target are quite different.
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Michael White: caution and openness
Watching Andrew Lansley introduce MPs to his “nudge” white paper on public health, I was struck by how much it is still a first draft and by how enthusiastic the new generation of Conservative MPs is for bossiness.
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'Don't allow healthcare and public health improvement to be divided'
The raison d’être of local government is that elected councillors best represent residents’ concerns.
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We're feeling stretched, but we must not snap
One colleague escapes redundancy to find his role is to continue but across three newly merged directorates.
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Alan Maryon-Davis is dreaming of a white paper
There’s plenty of Christmas cheer in the public health white paper. Warming words about the importance of protecting and improving health.
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Media Watch: Shame on you
The Observer bagged the tenth Dr Foster Hospital Guide exclusive, leading with an exposé of the trusts it said “shame the NHS”.
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Noel Plumridge: Must no deficit mean saying no to delivery?
According to the recently published Department of Health report on the first quarter of 2010-11, no primary care trusts are forecasting a deficit this financial year.
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'Stalinist Whitehall controls will be needed'
I felt a bit sorry for Phil Morley, chief executive of the Hull and East Yorkshire Hospitals Trust, getting roughed up on the radio after Dr Foster’s sleuths named his patch as the place where patients are most likely to die of complications after routine operations.
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Bruce Keogh and Ian Dalton on death rates
Comparing death rates for heart surgery is difficult enough even when you look at just a single procedure and use well-honed algorithms. When it involves an institutional aggregate of many procedures and diagnoses, it becomes much more difficult.
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Ali Parsa: the NHS must learn to put quality ahead of price
Under a new approach to procurement, value for money rather than price will determine who is awarded contracts