All HSJ Knowledge articles – Page 89
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HSJ KnowledgeMaking clinical nurse specialists make more of an impact
Despite their success, clinical nurse specialist roles are coming under scrutiny in the search for cost savings. But expanding specialist roles instead of losing them has the potential to reshape the delivery of healthcare, argue Annie Young and colleagues.
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HSJ KnowledgeSimulation Lab: What if I introduced oral chemotherapy?
Implementing new services is a difficult task as managers need to ensure high quality patient outcomes as well as keeping the cost of services to a minimum. This simulation allows you to see the impact of introducing oral chemotherapy into the breast cancer pathway. Alter the uptake of oral chemotherapy ...
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HSJ KnowledgeSimulation Lab: What if GPs developed a special interest in dermatology?
One in 10 visits to a GP is dermatology related. This simulation tests what would happen if more GPs developed a special interest in dermatology and were able to see and treat patients themselves. Alter the per cent of patients seen by GPs with special interests to see the impact ...
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HSJ KnowledgeSimulation Lab: What if my CT and MRI scanner demand increased?
As diagnostic imaging is increasingly used to support diagnosis and treatment, healthcare organisations need to understand how many and what type of scanner they need in order to meet demand. This simulation allows you to investigate the impact of population and demand changes on CT and MRI scanner use.
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HSJ KnowledgeA helping hand for NHS values: leadership needs to reinvigorate culture of care
Last month’s health ombudsman’s report revealed how the NHS has the potential to fall dramatically short of its values and commitments when the principles of care are forgotten. Leadership needs to step in now, suggests Gemma Pearson, to create a culture of care that will ensure repeat incidents are avoided.
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HSJ KnowledgeThe implications of getting new complaints processes right - and wrong
A more flexible, service user-centred complaint handling system introduced nearly two years ago is still have potentially damaging implications for trusts failing to handle the processes correctly. Andrew Craggs, partner at Hill Dickinson, examines the importance of handling complaints correctly under the new rules.
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HSJ KnowledgeA golden opportunity to reshape workforce planning, education and training
HSJ readers are urged to participate in the consultation on creating a workforce for the new NHS, says Department of Health director general of workforce Clare Chapman.
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HSJ KnowledgeWorking as a team for better quality and safety in the operating theatre
Error in health service delivery causes an average of 354 “untoward incidents” each day. To bring this down, the challenge is to shift the focus from a blame culture to one of identifying opportunities to improve processes. Finnamore consultant Lucy Reynolds and University Hospitals of Coventry and Warwick trust’s Anne ...
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HSJ KnowledgeFinding efficient ways to maximise accident and emergency payments
Changes to the payments trusts receive for A&E services have the potential to cause financial difficulties. The Foundation Trust Network’s benchmarking team worked with 17 trusts to pinpoint how A&E departments can stay on the right side of the new rules. FTN director Sue Slipman explains.
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HSJ KnowledgeDeveloping community children's health services
A complex reprocurement set out to help young patients and their families benefit from integrated community services. Kevin Hewitt, partnership director of the Community Children’s Health Partnership, explains the journey.
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HSJ KnowledgeIndividual user outcomes help measure effectiveness and value
In health and social care the old measures of efficiency and productivity based on activity - input and output - and cost are no longer enough. The actual impact of the service/activity on patients and users is now central, write Seraphim Patel and colleagues.
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HSJ KnowledgeDrawing on past lessons to improve future public health and wellbeing
While many of us recalibrate our new roles and responsibilities in the future NHS model, the opportunity to draw on the lessons of the past 20 years to inform our futures could help make sense of these times of great change and opportunity, and deliver improved health and wellbeing of ...
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HSJ KnowledgeDealing fairly with redundancy in merging PCTs
Primary care trusts looking to pool resources and skills to protect services ahead of their abolishment in 2013 can mean difficult redundancy decisions have to be taken. Weightmans LLP employment associate Jessica Baden-Daintree looks at five key things employers need to do to avoid failure to consult and unfair dismissal ...
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HSJ KnowledgeEnhancing recovery pathways for planned surgical care
Enhanced recovery pathways for patients following surgery have led to better outcomes and improved patient experience, as evident in the work done by Colin Berry and colleagues at the Royal Devon and Exeter Foundation Trust.
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HSJ KnowledgeEarly diagnosis will accelerate the delivery of better cancer care
GPs’ ability to refer patients directly for diagnostic tests will support timely treatment or reassurance as part of the strategy to deliver better cancer care, says doctors.net.uk medical director Dr Tim Ringrose.
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HSJ Knowledge
Measuring and evaluating the social benefits of patient health education
While any service needs to be able to measure outcomes to ensure it delivers returns and results, it often proves difficult for self-management programmes. However, social return on investment calculations can provide an insight into the value these programmes deliver, says Expert Patients Programme Community Interest Company’s director of policy ...
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HSJ KnowledgeThe role of patient panels in consortia commissioning
The ability for local people to influence healthcare services in their region should be an important focus for commissioning consortia - and patient panels provide a perfect opportunity.
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HSJ Knowledge
The spirit of independent enterprise still requires sustainable business planning
Employee- and community-led services are still battling to change the philosophy and approach of staff and trusts alike, but the benefits these organisations could bring to service delivery are worth the effort, argues Kevin Jacquiss.
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HSJ KnowledgeApplying end of life care, respecting religious beliefs
Conflict and confusion often surround the application of religious beliefs to end of life decisions. Keeping a clear and open dialogue with patients and their family and friends is vital to surmounting the challenge of keeping everybody happy, write Becky Fitzpatrick, partner at Hill Dickinson LLP and Dr Timothy Strang, ...
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HSJ KnowledgeA pathway to success for total joint replacement services
An ambitious redesign of total joint replacement services could lead to a massive level of savings without the loss of capacity at the same time. Sg2 vice president Meghan Robb outlines the potential.