External contributors – Page 23
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What do health inequalities mean for trust leaders?
While health inequalities are not a new product of the pandemic, Leanora Volpe explains how covid-19’s impact on marginalised communities has given impetus to a coordinated, united effort to narrow the gap in access to, experience of, and outcomes from healthcare services, and what trust leadership’s role is in this.
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‘Get your team back to the frontline’: an open letter to the new NHSE chair
In an open letter to NHS England chair Richard Meddings, Sir Sam Everington outlines tips to improve the performance of the NHS
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How the NHS can help tackle the UK’s skills gap
The skills gap in the UK is widening, affecting more than just recruitment. However, University Hospitals Morecambe Bay Trust has found T Levels to be an ideal tool in helping to tackle this issue, writes Ray Olive
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The NHS is still not learning from past mistakes in maternity
In the light of the Ockenden report, James Titcombe and Nadine Montgomery share their stories of maternity care failings and what is not yet being done to prevent them happening again.
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The 'John Lewis' model can help save general practice
An employee ownership trusts model offered as a choice, could help stabilise an increasingly fragile general practice ecosystem, write Tim Harrison, James Morrow and Stefan Scholtes
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Progress on reducing smoking during pregnancy has stalled, here’s what must be done
Reducing the number of women who smoked during pregnancy was a priority area in the government’s 2017 Tobacco Control Plan but as the five-year deadline approaches, progress has stalled. Asthma + Lung UK’s CEO Sarah Woolnough says the government must redouble its efforts to ensure that every child gets a ...
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Trusts must resolve tensions between local and regional priorities as reforms bite
Georgia Butterworth writes about place-based working and the ingredients for success
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Tents outside A&Es are a danger to patients’ health and dignity
Putting patients in tents outside hospitals is a completely unacceptable ‘solution’ to the ambulance handover problems and the funding would be far better spent on staff in the community, says Royal College of Emergency Medicine president Katherine Henderson.
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The NHS is still stuck in the sixties
Despite big changes in diseases, drugs, technologies and lifespan, NHS service delivery looks trapped in its 1948 aspic. Hard questions need asking about what the NHS is delivering, given its impact on the funding of other public services, writes Norman Warner
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NHS’ failure to address racial inequality in access to vaccines is shocking
Unless NHSE learns from how it failed immunocompromised people from ethnic minority communities last autumn, we are likely to see the same racial disparity in access to any future vaccine doses, writes Gemma Peters
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The NHS needs to welcome Ukrainian refugees in their own language
New research by Healthwatch shines light on barriers to care experienced by non-English speakers. Jacob Lant, head of policy and research at Healthwatch England, explains why language support is crucial in fulfilling the UK’s commitment to help refugees arriving from Ukraine
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The way we design NHS buildings and services needs a radical rethink
Terry Young shares three things you need to know about designing ICSs as leaders move deeper into the era of health as an information industry
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A more agile approach to regulation is needed as we embed system working
There is an opportunity to reset the dial and create a stronger, more durable system of regulation for the future which continues to recognise the primacy of public protection and safety, writes Danny Mortimer
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Next week’s budget will offer little for the NHS
The Spring Statement comes just a few weeks before the NHS and social care levy is due to be introduced. Anita Charlesworth explores its possible impacts on finance and workforce
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Is the CQC giving the NHS an easy ride?
The purpose of Care Quality Commission ratings has been a hotly contested question since the creation of the four category classifications in the last decade. With only a single trust rated inadequate, despite pandemic pressures, is the regulator now letting the service off the hook?
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Ending the short termism in health inequality policy
Toby Lewis on what it will take to tackle the waste and harm caused by health inequalities
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More people are dying at home – here’s how ICSs can help
An increasing number of people have palliative care needs in their home – better integrated care, and sharing knowledge — is vital to getting them the support they need, writes Craig Duncan
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Only one in 10 trusts meeting 18-week elective target
Waiting times after referral have reached nine months for a diagnosis and decision, and 10 months for treatment. But the experience of individual patients varies enormously, says Rob Findlay
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What Javid’s speech was really about
Built as a big reform speech, Sajid Javid’s recent speech widely left health policy commentators, who follow such reform talk closely, frustrated, bemused, underwhelmed or all three, writes Richard Sloggett
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How ICSs can help reverse the drop in stroke care quality
Integrated Stroke Delivery Networks and ICSs must work closely with PCNs to remove obstacles to case finding, diagnosis and management of hypertension and atrial fibrillation, writes Juliet Bouverie