External contributors – Page 39
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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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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.
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The government's grasp of the NHS's recovery challenge is questionable
The spending review raises real concerns about whether the government fully grasps the scale of the recovery challenge, writes Anita Charlesworth
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Cowper’s Cut: For the birds
Andy Cowper on the impact of covid on economy, the £350m lie and blame game in the national political narrative.
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Why we created a ‘financial hardship fund’ as part of our covid response
Consistently delivering the physiological needs are what most of our colleagues require this winter and beyond, writes Richard Mitchell
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Director's appointment should be used to reframe the debate around health inequalities
Dr John Ford outlines what should be the prime concerns for the new director for patient equalities and health inequalities
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The case for strong systems and joined-up care
Chris Ham and Clare Gerada argue that partnership working, not legislation alone, is the key to improved health and integrated care
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Covid decimated, then re-energised patient voice
It seems we may emerge from covid with some exemplars of good practice in the patient leadership field, writes David Gilbert
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Cowper’s Cut: Greasing palms and squandering trust
Andy Cowper on big funding announcements, a heroic set of planning assumptions for rolling out vaccines and the accuracy of covid testing tech.
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How to inculcate joint working across health and care
Opportunities to change the architecture of the health and care sector do not come around often. It is right that we take the opportunity we have to address the limitations of the current framework and move to a more integrated future. By Nick Ville