Leader – Page 21
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LeaderCelebrate, don't denigrate: the case for management is clear
“Leadership and management in the NHS matter and the role of managers should be celebrated and not undermined.”
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LeaderService sweats over plans B, C and D as pause takes its toll
The NHS is paying a heavy, although largely unseen, price for the “pause” in the government’s health reforms.
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LeaderBenefits lost as C-word remains a taboo
Do you remember the debate over the future of the US healthcare system that dominated the last Presidential election?
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LeaderCameron phones friends to help answer tricky reform questions
It is a year since the general election that brought the coalition to power and Andrew Lansley to Richmond House.
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LeaderPCTs are dead. Long live the PCT cluster?
Here’s a quiz for you. What do the following numbers - 581, 331, 162, 62 - represent?
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LeaderInquiry adds to the toxic reform mix
Cynthia Bower, chief executive of the Care Quality Commission, appeared at the Mid Staffordshire Foundation Trust inquiry on Monday. Ms Bower was previously chief executive of NHS West Midlands, responsible for monitoring the troubled trust.
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LeaderStraggling organisations set to slip into crisis
The popular perception is that the fortunes of the NHS rise and fall on a national basis. HSJ readers will know the true picture is one of variation – often stark – between organisations and regions.
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LeaderAndrew Lansley: an enemy of reform?
HSJ’s increasingly unfashionable, strained and conditional support for Andrew Lansley continuing as health secretary is predicated on two beliefs.
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LeaderImperial's problems are the first rumblings of a perfect storm
HSJ was once asked by the health secretary what could prevent his reforms from continuing. We suggested a major hospital getting into significant financial trouble and those troubles being successfully linked by opponents to his reforms.
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LeaderWhy Andrew Lansley should stay - and why he might go
Andrew Lansley must go. That is the demand of many of the opponents of the government’s health reforms. They are wrong.
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LeaderAction on the ground is proving as fascinating as Westminster tussles
There are two narratives running in parallel on the current NHS reforms. Within Whitehall and Westminster and among the health policy chattering classes debate rages over the exact intention of each clause of the Health Bill.
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LeaderTransparency tsar could spark a revolution
When Andrew Lansley became health secretary he gave a series of presentations which all began by stressing how the new government would increase patients’ control by giving them more choice and information.
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LeaderOne more sign that we may miss the expertise of PCTs
While the NHS accelerates towards an uncertain future, primary care trusts are braking hard on activity.
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LeaderPay attention to the sound of the crowd
“The wisdom of crowds” was one of the buzz phrases of 2004. The theory was that social media and other digital services allowed opinion to be aggregated quickly and effectively to drive real world decisions.
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LeaderPerformance bonuses: a fair swap for public service pension reform?
“There is a much stronger case for linking pay to performance at the senior levels of public organisations, as opposed to the rest of the workforce”.
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Leader2013 has already arrived for some regions
It is an iron rule of NHS reform that development is both geographically patchy and concentrated in certain areas - look at the progress made in tackling heart disease compared with the record on sexual health, or how performance in the South West has consistently outstripped other regions.
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LeaderIs Andrew Lansley 'screaming inside'?
A commissioning consortium in the west country declares it “does not believe in the purchaser-provider split”, the Foundation Trust Network warns of “serious financial stress” and the membership of the British Medical Association warms up to declare outright opposition to the Health Bill.
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LeaderRegulating managers will not resolve the issues they face
Is the regulation of health service managers a good idea? The man who watches the watchers - Harry Cayton, chief executive of the Council for Healthcare Regulatory Excellence - does not think so.
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LeaderMPs could teach GPs a lesson in prudence
“It sounds like an MPs’ expenses type thing and that’s what we’ve got to avoid.” The words of Clare Gerada, Royal College of GPs chair, may prove to be prophetic.
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LeaderSquaring the price competition and efficiency circle
“Where would you like your vasectomy, sir?” is not a phrase you’re likely to hear in the NHS as many primary care trusts have ruled out paying for the procedure anywhere other than in GP practices.