Latest news – Page 2801
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Northern exposure
Civil servant or health service manager? Northern and Yorkshire's new regional director, Peter Garland, talks to Seamus Ward about his role in an increasingly centralised NHS
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Shark repellent
NHS credit unions can offer staff cheap loans and a way to bypass undesirable lenders, but their numbers are still low, writes Barbara Millar
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Lighting up time
How will NICE work? And whatever happened to 'beacon' hospitals? Baroness Hayman has the answers. Mark Crail reports
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Does the gentleman in Whitehall really know best?
The NHS regional offices are increasingly arms of central government
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The people who time forgot
Being invited to write for a magazine as well-read by well-informed people as HSJ isn't just an honour, it's downright scary. What can I say to engage your attention when virtually every aspect of the health service has been hogging the headlines in yet another crisis of nursing, funding and ...
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Lords above - it's time to enhance the NHS brand
While the Commons last week debated the bill to purge the hereditary peers, and Labour MP Dr Howard Stoate was fighting off pleas from male colleagues for Viagra prescriptions (name them, demanded Teresa Gorman), the Lords quietly staged their annual debate on the NHS. What a rich mix of fascinating ...
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The government is taking the right road with a centralised system for reclaiming traffic accident costs
Seamus Ward gave an interesting report on the new Road Traffic (NHS Charges) Bill ('One for the road', pages 22-25, 14 January).
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The Dobbo Day of reckoning for consultants
Informed sources - not including any current or unemployed government spin doctors - advise me that the medical profession is considering abolition of consultant merit awards. The move would end this gratuitous waste of NHS resources, and replace it with a revolutionary system which fits well with the education sector's ...
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No individual to blame in poll shenanigans...
The investigation into the Ladywood primary care group election (news, page 4, 21 January) was not about an individual but was concerned with the movements of a ballot box over a period of 72 hours, and as such 15 individuals were interviewed by Birmingham health authority secretary Richard Miles.
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Supra? Sounds super
How interesting that Birmingham is the first to discover the benefits of what used to be called family practitioner committees.
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'Supra-PCG' structures must be planned to work from the bottom up
As an organisational concept, the 'supra-PCG' makes a lot of sense. But care must be taken to ensure that the development of such models is managed from the 'bottom-up' as well as the 'top-down' perspective.
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Primary care groups The expertise that PCGs need is already there - in the community trusts
Your detailed report on primary care group functions and the need for professional and management support ('Supra troupers', page 26, 14 January) was a timely contribution to the debate around the organisational development needs of primary care groups.
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Never mind the routine organisational angst, what about the opportunities?
I would like to take issue with your editorial on mergers, 'Upheaval, mayhem, poor morale and for what?' (comment, 21 January).
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County set straight
The table included in 'Bitter pill' shows that Derbyshire and Nottinghamshire ambulance services are proposing to merge with Lincolnshire. This is incorrect. They are proposing to merge with Leicestershire Ambulance and Paramedic Service.
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Trust mergers Worries that women will suffer disproportionate number of redundancies
There is an important additional issue arising from the likely job losses resulting from the current round of mergers (news and 'Bitter pill', news focus, 21 January). It seems most will be among community or mental health trusts. Are we consequently going to see a disproportionate number of redundancies among ...
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On the line
The government wants radical reform of consultants' contracts. Wendy Moore considers the likely outcomes
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'I don't want to be associated with those who abuse the system'
Patrick Grant, consultant in accident and emergency medicine at Western Infirmary, Glasgow, would welcome a new contract drawing a clearer line between NHS and private work. He supports the idea floated by government leaks of paying consultants more for a full-time NHS commitment with no private practice allowed. Those who ...
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'Resign if private practice is curbed'
Dr Woodruff Walker, consultant radiologist at the Royal Surrey County Hospital, believes doctors should threaten to resign from the NHS - potentially bringing down the government - if ministers attempt to curb their private practice. He would prefer consultants to be paid on a 'fee-for-service' basis, as in an insurance-based ...
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Rational thinking
Elderly people have always been marginalised in NHS planning. But it's time to question what rationing and prioritising mean for older people, says Dorothy White
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Over the threshold
Significant variations between hospitals in the severity of illness of patients admitted suggest it is time to draw up an ideal admissions system, say David Lawrence and colleagues