Service design
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NewsTech problem delays elective reform target
Concerns have been raised about NHS England watering down a key target for its controversial “advice and guidance” scheme, just weeks ahead of the October deadline.
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Insight BriefingsEarly cancer detection and the pandemic
The NHS has committed to getting the number of cancers diagnosed in stages I and II up from 54 per cent to 75 per cent by 2028, but GP referrals tumbled and screening programmes came to a virtual halt as the service was hit by covid-19. HSJ bureau chief Ben ...
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Insight BriefingsWhy outpatients are a mountain of risk and a land of opportunity during the pandemic
The UK’s most well-regarded waiting list expert Rob Findlay joins HSJ’s performance lead James Illman to tackle one of the NHS’ most pressing challenges: the colossal outpatient backlog. The NHS has talked about transforming these non-urgent services. But failure to deliver the substantial changes needed has seen what experts warn ...
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HSJ InteractiveWill covid-19 close the integrated care gap or widen it?
It is time to rapidly shift our focus onto the primary, community and social care frontline to make our vision for integrated care a reality, writes Conor Burke
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HSJ InteractiveThe new dawn of hospital groups: unlocking value
As hospitals look beyond their own institutions and partner with other organisations and alliances, Ben Horner, Stephen Sutherland and Jonathan Scott explore the benefits and how leaders can develop the right combination strategies
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HSJ InteractiveBuilding resilience through a whole system approach
Nicola Mortali explores the concept of resilient organisations and how they work to reduce instability and variability across their wider health ecosystems
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HSJ InteractiveActing on the insights of population health
To reap the potential benefits of patient data, ICS leadership should take measures to identify programmes of work and make population health mainstream, suggests Brian Waters
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HSJ InteractivePartnership defined by purpose and shared values will make a difference
Rob Webster on how West Yorkshire and Harrogate Health and Care Partnership has set out common points of agreement on its purpose, principles and approach and is working towards providing optimum healthcare to its people
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NewsSix ‘neighbourhoods’ seek investors to ‘derisk’ expansion
Six “neighbourhood health” projects are being pump-primed by government to secure millions of pounds of private investment.
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CommentThe NHS is not ready for the revolution in dementia care
Dementia care could follow cancer’s path of transformation, but only if the NHS addresses longstanding weaknesses in diagnosis, workforce capacity, data and local delivery
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CommentCancer alliances have been reborn
Cancer alliances show how regional collaboration – not endless NHS restructuring – can drive early diagnosis, embrace innovation, and solve deep-seated workforce challenges
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NewsGrasp ‘politically unpopular’ mergers or face more deaths
Politically unpopular and “very difficult” decisions are required to tackle rising maternal death rates and improve safety, a leading academic has warned.
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NewsNHSE staff could be kept out of DHSC
Ministers and officials are considering whether to keep some NHS England functions and staff separate from the Department of Health and Social Care when the organisation is abolished next year, HSJ has learned.
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CommentMental health summer surge must be paid proper attention
Heat and seasonal demand are pushing mental health trusts past capacity – the summer surge needs the same national priority as winter
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NewsRecognise negative impact mutual aid can have on performance, pleads trust CEO
The chief executive of a trust that has fallen 34 places in NHS England’s provider performance league table has complained that the ranking fails to take into account its efforts to help neighbours.
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CommentThe best trained surgeon is not always the right medic for the job
The NHS should commission surgery from those doctors most appropriate to perform it. This does not always happen
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CommentBurnham’s devolution plan could make damaging ICB reforms even worse
Repeated NHS reorganisations risk losing local knowledge, weakening relationships and delaying the practical work needed to improve neighbourhood care
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CommentRelationships matter, but so do data and incentives
Strategic commissioning works when relationships and systems are built together. West and North London is investing in both, and this is what that looks like in practice
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CommentDon’t let the NHS colonise social care
Neighbourhood health offers real potential, but social care must retain its own purpose rather than become an extension of NHS priorities
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CommentA true test of NHS leadership?
Tackling racism in the NHS requires more than standards and compliance. It needs leaders with the courage to stand up for staff and act when discrimination occurs