Leader – Page 23
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LeaderThe new mortality indicator suffers from mixed messages
The debate over how hospital mortality should be measured and whether those measures reveal anything useful has rumbled on for the last decade.
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LeaderGPs stung by maternity services rebuff
Who should commission maternity care? Health secretary Andrew Lansley has decided it should not be part of the “great majority” of services that GPs will eventually be responsible for.
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LeaderNHS management challenge stays much the same, rich or poor
On 25 April 2002 HSJ gave its verdict on Gordon Brown’s decision to lavish unprecedented riches on the NHS.
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LeaderHSJ Finance: helping you achieve NHS efficiency
This week HSJ introduces a new section in the magazine. HSJ Finance has two goals: to explore how increasing financial pressures are impacting on the NHS, and to plot the developing relationship between the service and the private sector.
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LeaderWe need NHS managers to tackle the first financial crisis since 1987
Today the government’s spending review will be announced and the implications for the NHS will start to become clear.
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LeaderFollow the leaders – or waste billions of pounds every year
Variability is the curse of any large organisation. The most successful corporations spend considerable time and cost in identifying and resolving variations in performance.
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LeaderThe coalition’s honeymoon is in danger of being called off
Momentum is a priceless asset in public sector reform. New governments tend to have momentum - commonly called “the honeymoon period.”
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LeaderYour idea could redefine the health service
What is the big idea that will guide and inform the development of the NHS throughout the next decade?
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LeaderThe NHS has too many hospitals - something’s got to give
Bristol, Alder Hey, Mid Staffordshire; some hospital trusts are forever synonymous with failures which shone a light on problems found throughout the NHS. Could South London Healthcare Trust and Heatherwood and Wexham Park Hospitals Foundation Trust be about to join them?
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LeaderLansley acknowledges lack of readiness for GP commissioning
GPs need to significantly overhaul their skill sets before they embrace commissioning.
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LeaderThe hurricane of protest over NHS pay can be calmed by honest debate
How much, in this age of austerity, should NHS staff or contractors be paid? Using the number of comments on HSJ’s website as a guide, no subject is of greater interest or importance.
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LeaderConflicting messages from the top hint at growing resistance
Have the tone of messages from the NHS chief executive and health secretary ever been as different as those emerging from Sir David Nicholson and Andrew Lansley? At last week’s health questions in the House of Commons, ministers got stuck into “pen pushers”. Contrast this language with Sir David’s latest ...
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LeaderIt’s not just commissioning – who will fill the PCT vacuum?
Margaret Angier had news for the readers of the Sheffield Telegraph. The chair of a local mental health group, Ms Angier wrote to the paper about the government’s health reforms.
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LeaderThe health community remains doubtful of Cameron’s big idea
Does the “big society” have any relevance to the future of the NHS?
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LeaderNHS spending debate focuses on the wrong type of consultant
Why is health secretary Andrew Lansley still acting like an opposition politician? That is the question raised by the government’s haranguing of primary care trusts for their use of management consultants.
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LeaderThe accountability of overspending GPs
The British Medical Association has declared GP consortia must be “democratically accountable” to practices. And they “should act with integrity and leadership when considering the accountability of practices”.
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LeaderAlarm bells sound as financial scrutiny falls victim to the cuts
Amid the sound and fury surrounding the abolition of the Audit Commission there was little comment on how it would affect the NHS.
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LeaderHelp shape the 2010 Hospital Guide
The history of Dr Foster’s Hospital Guide is a microcosm of the last decade’s debate over healthcare quality.
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LeaderWorld class commissioning: this ridiculed plan might just be working
World class commissioning arrived too late and burdened with a name that virtually guaranteed ridicule. But, unfashionable though it may be to say, it is beginning to deliver results.
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LeaderUnder the radar guidance ends hospital closure moratorium
The revised guidance on hospital reconfiguration was slipped out last week at the height of the summer holiday period.