Leader – Page 19
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LeaderMinisters must slow down to avoid another Mid Staffs
What did the newly minted coalition government describe in May 2010 as “a champion for patients”? The answer, of course, was primary care trusts.
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LeaderCameron is tending self-inflicted wounds
One thing is clear from the government response to the NHS Future Forum. Contrary to press reports, no “order” has been given to deliver “integration of health and social care”.
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Leader2012: what now for the NHS?
What has 2012 got in store for the NHS? Here are HSJ’s predictions for the year ahead.
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LeaderThe mediocre will be the only losers if pay is reformed fairly
George Osborne has instructed the NHS pay review body to investigate the case for reforming the service’s national pay deal. The chancellor wants it to become more “market facing in local areas”.
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LeaderHSJ100: In a time of transition, power lies in David Nicholson’s iron grip
The HSJ100’s job is to predict who will wield the greatest influence over health policy and the NHS in the coming 12 months.
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LeaderDon’t be squeamish: learn to embrace innovation
Innovation, Health and Wealth, the report prepared by NHS South of England chief executive Sir Ian Carruthers, is a powerful and long overdue document.
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LeaderAn unflinching framework in the face of relentless pressure
Today’s autumn statement painted a gloomy picture of the economy in 2012. By the time the Chancellor rose, NHS leaders had already begun to come to terms with an operating framework that sent a similarly grim message.
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LeaderMake an ‘impossible job’ easier by following a NICE example
“I don’t mind people thinking I’m incompetent, although I don’t want them to,” Care Quality Commission chief executive Cynthia Bower told HSJ this week.
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LeaderLess haste would have led to less waste
HSJ’s revelation that primary care trusts’ initial calculations of public health spending were about 10 per cent wide of the mark does little to inspire confidence in reform of the area.
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LeaderMaximum waits matter as much as minimum ones
Reading between the lines of the blustering, disingenuous and politically motivated government announcement banning “minimum waiting times”, a more interesting theme emerges.
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LeaderWinners demonstrate the power of unity
The HSJ Awards – the largest celebration of health service excellence in the UK – is always a cause for cheer. However, this year, its arrival feels particularly positive.
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LeaderLegal challenges threaten service redesign
Royal Brompton and Harefield Foundation Trust’s successful judicial review of the national consultation into the reconfiguration of paediatric cardiac services will send a shiver down the backbones of those charged with reshaping the English NHS.
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LeaderChange is inevitable, but more confusion and conflict is not
The last thing most HSJ readers want to hear about is the prospect of further change. Unfortunately the nature of these reforms almost guarantees it.
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LeaderWhere are all the female clinical leaders?
Of all the unwelcome consequences of the NHS reforms, perhaps the most unexpected is HSJ’s revelation that the leadership of clinical commissioning will be overwhelmingly male.
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LeaderThe many questions we still need to answer on integration
Integration: what does it mean to you? For some it is an antidote to the evils of competition, for others a way to create a sustainable future for shaky organisations.
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LeaderCCG support vision will calm anger but spark controversy
Last week Sir David Nicholson summoned the 51 primary care trust cluster chief executives to a meeting at which he set out how they should address the challenges ahead. The audience listened dutifully, but the tension in the room was palpable.
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Leader
Rewriting the rules of the blame game
An honest debate about the challenges and tensions of making management decisions in the NHS is hard to find.
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LeaderPension squeeze is another victim of inept NHS reform
“I’m not touching that, it’s a quagmire,” said the health minister fleeing from HSJ’s question at last week’s Conservative Party conference.
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LeaderDH chases up service changes with an undisguised urgency
The Department of Health’s report on the NHS’s record in the months April to June presents an impressive list of achievements and the NHS staff responsible for them should rightly feel proud. But look closer and a less reassuring picture emerges.
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Leader'Only mugs work in commissioning’: tackling the management brain drain
Of all the postgraduate courses in the country, places on the NHS management training scheme are among the most fiercely contested.