All Comment articles – Page 264
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CommentSimon Stevens on influencing clinical decision making
Paradoxically one of the most important determinants of healthcare quality and efficiency is one that NHS managers can do very little to influence, in fact it is practically invisible to the managerial gaze: the quality of clinical decision making.
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CommentPaul Stanton on the dilemmas of NHS governance
This is the first of my articles that explicitly addresses executive as well as non-executive NHS board members.
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CommentNigel Edwards on winter pressures in the NHS
The NHS has learned much from the demand surges of other winters. But while effective measures are in place, costs are significant and challenges for managers still persist
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CommentYour Humble Servant on management training
‘We concluded that we would need Stalin’s ruthlessness, Patton’s brilliance, Machiavelli’s cunning and Robert Maxwell’s sophistry’
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Ali Mohammed on developing NHS leaders
I was talking to a peer from another trust who was moaning about the constant stream of central ‘good ideas’. In particular, she was confused about the proposed leadership council and top 250 programme.
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CommentAndrew Jones on a surgical safety innovation
Setting the quality objectives for a health and wellbeing organisation requires a focus on patient safety.
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Comment
Dignity in health and social care
Some simple practical steps can greatly improve patients’ experience of dignity. But the new quality accounts must recognise this if it is to be taken seriously by frontline staff
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CommentLisa Rodrigues on the media and clinical leadership
I’ve had one of those weeks. I was on the interview panel to appoint the chief executive of the NHS Confederation and within 24 hours we were the top story on BBC News at 10.How does one convey to the public that bad things sometimes happen? Particularly when they are ...
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CommentSafia Debar and David Colin-Thomé on the manager-clinician divide
A doctor and her mentor discuss the challenges facing clinical leaders
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CommentJon Restell on a raw deal for NHS managers
This isn’t a detailed piece about Rose Gibb’s breach of contract claim against Maidstone and Tunbridge Wells trust, but win or lose - I’m not sure there can be a draw - it again shows how poorly senior managers are held to account in the NHS.
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CommentEmma Dent on medics vs managers
On my twice daily bus journeys I am assailed by my fellow passengers’ trivial or personal mobile phone conversations. Many of these drive me to fantasise violence, if only to get a few minutes of peace.
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Michael White on health inequalities
Late Sunday afternoon I made myself comfortable to read the latest Commons select committee report on health inequalities before cooking our planned supper of grilled fish and greens.
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Daphne Austin on NHS exceptional funding decisions
One aspect of priority setting that presents difficulties is funding requests for individual patients, particularly those based on alleged “exceptionality”.
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Andrew Jones on a surgical safety innovation
Setting the quality objectives for a health and wellbeing organisation requires a focus on patient safety.
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Angela Greatley on focusing on mental health
It has become an accepted fact among those of us who work in mental health that there is no health without mental health. But does the NHS think this way?Mental ill health is not just a hugely significant and costly burden on those who live with it. It is also ...
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Michael White on statistics, choice and stem cells
Does it matter much if it proves true that one of Alan Johnson's staff facilitated the publication of knife crime data, this despite warnings by NHS statisticians that they were 'potentially inaccurate'? Senior Tories, including Andrew Lansley, think so.
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Your Humble Servant on the hospitality challenge
‘As you know we have tried to look into the benefits of applying for AHSC status ourselves, but have been told that it’s all about being internationally competitive so even with our cohort of Filippino nurses we wouldn’t qualify’
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Mark Goldman on becoming an NHS follower
I was heading home after a 72-hour turnaround trip to Vancouver, courtesy of the province of Ontario. My brief was to report on the state of the NHS.
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Steve Onyett on healthcare reform
To describe the underpinning principles of the new Department of Health approach to change, health secretary Alan Johnson and NHS chief executive David Nicholson use the terms co-production, subsidiarity, clinical ownership and leadership, and system alignment.
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Yi Mien Koh on a week in the life of an NHS manager
It is always a valuable exercise to look back at the week, reviewing where our time has been spent and what has come of it.