Service design
-
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 ...
-
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 ...
-
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
-
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
-
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
-
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
-
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
-
CommentThe NHS must get more out of the EPRs it has purchased
Almost every trust now has an electronic patient record but unless they are used correctly, the promised productivity, prevention and AI benefits will remain beyond reach, argue The Health Foundation’s Holly Krelle and Alex Lawrence
-
CommentReal-time patient feedback should drive service improvement
Annie Williamson explores why past NHS reforms have failed, and why empowering staff, patients, and local systems is essential if the health service is to survive and thrive
-
NewsStreeting greenlights eight reconfigurations
Wes Streeting has declined to intervene over eight NHS service reconfigurations since taking up his post last summer, HSJ can reveal.
-
CommentThe tiny number of contract disputes reflects well on NHS commissioners
Andrew Taylor, head of the Independent Patient Choice and Procurement Panel, highlights the key lessons for the NHS and private providers from the first year of the Provider Selection Regime.
-
CommentNHSE took the wrong road on eye care – will DHSC make better choices?
Ministers may have wrestled back healthcare policy from NHS England, but bold decisions are needed to drive a real shift from hospital to community, explains Adam Sampson, chief executive of the Association of Optometrists
-
CommentAs a trust CEO, I believe volunteers are of key strategic importance
Glen Burley highlights how strategic volunteering within NHS trusts is improving efficiency, tackling health inequalities, and enhancing patient care – proving essential to modern healthcare delivery and operational success
-
CommentSplit-screen thinking is the secret to balancing short- and long-term goals
To navigate the complex challenges facing the NHS and global healthcare, “split-screen thinking” offers a framework for addressing urgent issues while also driving innovation for a sustainable future, explain trust CEO Richard Mitchell and University of Leicester professor Kamlesh Khunti
-
CommentHow to solve the NHS's endemic waste problem
Giving staff a share of savings, enabling patients, and streamlining governance and capital processes, will help reduce the NHS’s endemic waste problem, says Sir John Oldham.
-
CommentThe NHS may have to prioritise the less sick to recover elective performance
Institute for Fiscal Studies research economists Olly Harvey-Rich and Max Warner analyse NHS elective reform strategies, highlighting the need for increased activity, demand reduction, and patient prioritisation to meet the 18-week waiting time target by 2029
-
CommentHas the government’s health mission gone missing?
Sarah Woolnough critiques the government’s health mission, urging for clearer focus on broader health goals beyond the NHS, with steps to tackle health inequalities and prevent long-term fiscal challenges
-
CommentNHS stroke care can be a postcode lottery
Innovative transformation of stroke services has the potential to save lives, prevent disability, and reduce spending, writes Deb Lowe
-
CommentShifting care into the community can save both people and the planet
Jennifer Ekelund, NIHR’s interim head of climate, health, and sustainability, makes the case for the role of research in decarbonising the health and social care system – leading to better outcomes for patients and the planet
-
CommentA management code of conduct must contain more than good intentions
The regulation of NHS managers must drive real change by addressing root causes, prioritising patient safety, and ensuring accountability without repeating past failures, writes Roger Kline