Leader
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LeaderNot having a row about failing managers
There are many better things Wes Streeting could focus on than picking rows with NHS managers, writes HSJ editor Alastair McLellan.
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LeaderMental health is not a priority for this government
This government is fond of declaring it is committed to “three shifts” in health and care policy: hospital to community, analogue to prevention, and treatment to prevention.
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LeaderThe future of NHS England
NHS England is to have a new chair, albeit the current incumbent Richards Meddings has agreed to stick around until March in line with the government’s tactic of getting the previous administration to ‘own’ a very difficult winter.
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LeaderThe NHS’s national clinical leaders need a clearer, stronger role
There are many candidates competing for the title of the most difficult leadership role in the NHS. However, national medical director has one of the most compelling cases, with chief nursing officer coming a close second.
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LeaderAre site chief executives a good idea?
The number of hospital groups is increasing rapidly as HSJ’s analysis earlier this year showed. Their growth has brought about the arrival of a new breed of NHS leader – the site chief executive or managing director who reports to a group chief executive.
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LeaderDoctors’ pay: a warning from Labour’s past
In November 2002, HSJ sat opposite then prime minister Tony Blair in the cabinet room and asked him what he planned to do about consultants’ refusal to accept the new contract the government wanted to introduce.
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LeaderThe three tensions the new government must resolve
The new government will need to resolve three tensions in its mission to fix the broken NHS, writes Dave West.
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LeaderThe NHS needs a strong CQC
With close to £200bn spent every year on English health and care, it seems ridiculous that some believe there is no need to judge whether that investment is producing the outcomes it should. It is only human to want your boss to ‘give you the money and leave you alone’ ...
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LeaderPoliticians beware: The NHS will never again meet the four-hour A&E target
The English NHS as a whole will never again achieve the target contained in the NHS constitution to admit or discharge 95 per cent of A&E attendees within four hours. In an election year, politicians of all colours, as well as NHS leaders, need to be overtly honest about this.
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LeaderBarclay has crossed the line this time
In writing directly to NHS organisations effectively instructing them to stop recruiting to equality, diversity and inclusion roles Steve Barclay has taken a step which is as unacceptable as it is unwise.
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LeaderHow to read between the lines of the Hewitt review
The first thing to remember when embarking on reading Patricia Hewitt’s comprehensive and compelling review of ICS autonomy is how it came about.
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LeaderThe year of the great distraction
That 2023 will be the fourth in a series of increasingly brutal years for the service will come as no surprise to HSJ readers.
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LeaderThe Hewitt review could fundamentally change the way the NHS operates
To understand the nature and importance of Patricia Hewitt’s review of the role of integrated care systems announced last week it is necessary to understand its highly unusual genesis.
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LeaderThe NHS is not living with covid, it’s dying from it
Some of the covid control measures taken in the past two years need to return, argue Dr Kamran Abbasi, editor of the British Medical Journal, and HSJ editor Alastair McLellan.
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LeaderSteve Barclay is NHS leadership’s worst ‘nightmare’
Never has a politician arrived in the post of health secretary trailing a worse reputation among NHS leaders than Steve Barclay, writes Alastair McLellan.
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LeaderThe stubbornness of covid leaves the NHS with brutal choices to make
In the last six months of 2021, just over 5,000 people who tested positive for covid were admitted to English hospitals each week on average.
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LeaderThe Messenger review is a con
“NHS to face biggest shake-up of leadership in decades”, declared the Financial Times – the paper with perhaps the most stringent editorial standards in the world – of Wednesday’s Messenger review. The Daily Telegraph also hailed it as “a landmark report”, while the BBC described how health and social care ...
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LeaderPritchard’s NHS England: A stocktake
A stocktake of NHS England and its leadership, 10 months after Amanda Pritchard took over as chief executive.
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LeaderDr Fuller sets out ICSs’ inheritance, and it’s tough
Claire Fuller seeks to underline a new era for primary care under integrated care systems — and it’s going to be a difficult one.