All Recession articles
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News
Clinicians raise concerns over IAPT as trusts set out merger drivers
Clinicians in Essex are worried about commissioners’ plans to send patients previously referred to secondary mental health professionals to a less specialised service, the chief executive of one of the trusts involved has told HSJ.
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Comment
Austerity kills – we must invest
Cutting back on health and social care is costing lives and money
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Comment
Noel Plumridge: increased demand is the answer, not the question
In 2009 the UK spent 9.8 per cent of its GDP on healthcare. The equivalent figure for 2008 was 8.8 per cent. Such a year on year increase shows theimpact of continuing investment in the NHS even as the recession took hold.
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Comment
Jon Restell: it's time to get behind the defenders of pensions
When you hear the word “pension”, do you bury your head in the sand? If so, I’ve got bad news.
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Comment
Clinical services should do their bit for efficiency, as well as productivity
Although lower than other public sector departments, the NHS still has massive efficiency savings targets to meet. A good start would be to address value for money in clinical procedures, write Christopher Peters and Stephen Chadwick.
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HSJ Knowledge
How a leaner integrated approach improved older person services at a reduced cost
Gateshead has taken a joint approach to improving services and reducing costs, with a particular focus on older people’s services and long term conditions. Sue Mundy and Eirian Lewis explain the leaner approach.
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HSJ Knowledge
Why effective internal communications have never been so important
A combination of strong communication, teamwork and camaraderie framed within trusting relationships will help achieve remarkable results in times of large-scale change and uncertainty, writes University of Nottingham chief executive Peter Homa.
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Comment
Performance surplus hides the fact many trusts are facing critical finance problems
Trusts with serious financial problems are in danger of being overlooked as a surplus on “aggregate performance” comforts some in the NHS. Nick Bosanquet looks at five ways to avert the hidden crisis.
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Comment
Andrew Dillon: the new mission for NICE
The white paper Liberating the NHS and the Health Bill currently going through Parliament describe a radically new architecture for the NHS together with a new, outcomes based approach to driving improvements in care.
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Comment
Can value-based drug pricing deliver a 'postcode lottery' alternative?
Value-based drug pricing is meant to reduce the postcode lottery but could end up achieving the opposite.
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Comment
Competition can work, but only with the right tactics
“Competition in health care should be tactical not ideological”. This was the main message from the “Competition versus integration in the NHS” debate organised by the Cambridge Health Network and the King’s Fund
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Comment
Bill Moyes: the reform agenda presents a massive opportunity
The government’s reform agenda for the NHS isn’t the beginning of the end of a primarily tax funded healthcare system. The reforms are probably the best way to preserve that for another generation or more. So, instead of focusing on the risks, let’s give more attention to the opportunities.
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Comment
What happens if the health reforms work?
Anyone looking at the future of the government’s reforms is always interested in the question: “What happens if this doesn’t really work the way the government wants it to?”
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HSJ Knowledge
No time to be reining in training
Public sector austerity is not an excuse to cut back on training and appraisals but a reason to forge ahead with them and make organisations stronger, writes Alison Moore
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Comment
Nick Bosanquet: Five steps to security
The pre-Christmas snow shower of documents did little to gather momentum towards better services. Rather, it added to the risk of planning blight for new organisations which have to find personnel and trial their powers and budgets. These are my five steps to rescue the change programme:
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News
Nurses cynical about increment freeze offer
More than 80 per cent of nurses believe their trust would fail to honour a proposed deal not to make compulsory redundancies over the next two years if they agreed to forego a pay rise, according to an poll by HSJ’s sister title Nursing Times.
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Comment
Incentives for doctors: the big chill will hit medics too
Incentives for doctors is not a bad idea but they should only be given for tangible improvements
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Comment
'People are skeptical of welfare spending'
As coalition ministers plough on with radical reforms of health and other public services, they should not take much comfort from this week’s social attitude survey suggesting Britain is now more right wing than in the Thatcherite 80s.