All Comment articles – Page 45
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Comment
Cowper’s Cut: A government consistently ahead of the Dunning-Kruger curve
Andy Cowper on the real state of affairs with regards to the coronavirus pandemic
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Nurses, ambulance crews and support workers should get the covid vaccine first
Tim Cook and Simon Lennane set out which NHS staff should be the first to receive the SARS-CoV-2 vaccination.
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Cowper’s Cut: Rhetorical diarrhoea and distraction
Andy Cowper on the worsening developments regarding the coronavirus
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The NHS is failing to explain the impact of covid on healthcare access
Do the public fully understand the impact of rising covid-19 infections on their access to healthcare services, asks David Rowland
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Why has the government gone quiet on prevention when we need it most?
The government has gone quiet on prevention, but it could save the NHS, boost the economy and level up the country, writes Chris Thomas
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PHE's abolition is an 'opportunity for councils to take the lead'
An enhanced sector-led improvement approach, where councils are responsible for their own performance and are held accountable locally, not nationally, would be a cost-effective way to boost public health, argues Cllr Ian Hudspeth
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ICSs must be 'the servant of place'
What has emerged in West Yorkshire and Harrogate, built on over four years of working together, is a model that tackles problems faced by people in the communities by seeing the local places as the building blocks for action. By Rob Webster and Tim Swift
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ICSs need 'time and space' to work out how to meet local needs
The challenge ahead for STPs and ICSs is developing governance arrangements that are fit for purpose and align the goals of the latter with the duties of NHS organisations and their partners, notes Sir Chris Ham
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My struggle to engage with our primary care network
As PCNs develop to lead local primary care development, there is a clear case for an independent patient and public voice on their governing bodies, argues Dr Peter West
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Community health services can only absorb so much pressure
Not only do community services need recognition for their contribution, but they also need immediate support for their staff and the resources, writes Andrew Ridley
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Government must stop household mixing this Christmas: a joint call by The BMJ and HSJ
Since the UK’s first lockdown in March, the government has had one (perhaps only one) consistent message — protect the NHS, write Alastair McLellan of HSJ and Fiona Godlee of The BMJ.
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Referral-to-treatment waiting time targets have reached the end of the road
The focus this winter should be reducing risk for clinical priority patients, argues Rob Findlay
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Waiting times will probably top 52 weeks by March
Waiting times would have to grow a lot slower than they did over the summer, to avoid an England-wide breach of 52 weeks by the end of March, writes Rob Findlay
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We need better sanctions for those who fail
Better sanctions guidance, redress for victims of “kangaroo courts” and proper training for managers are essential if disciplinary procedures are to be reformed, argue Narinder Kapur, Christian Harkensee and Terry Skitmore.
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Cowper’s Cut: Let it flow, let it flow, let it flow!
Andy Cowper shares his insights on Brexit British exceptionalism, slight improvement on TAT performance and 12 days of covid.
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Resolving the dilemmas of system working
As we look ahead to the likelihood of legislative change which places ICSs on some kind of statutory footing, identifying some of the key governance quandaries facing systems now is a good first step towards resolving them. By John Coutts
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Comment
How the NHS can help save our high streets
Putting health at the heart of our high streets means putting health at the centre of our approach to regeneration, writes Michael Wood.
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The 2020 spending review: Protecting the NHS during a storm
The Treasury has, perhaps, predictably chosen to continue on a path of protecting the NHS first whilst leaving the public health and social care systems exposed, notes Richard Sloggett
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How hospitals could step in to help manage GP practices
One way to help struggling GP practices could be ‘vertical integration’ which occurs when healthcare organisations operating at different stages along the patient pathway combine, by Jon Sussex and Dr Manbinder Sidhu.