Service design
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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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CommentWe need shared accountability for neurology care
The publication of NHS England’s neurology service specification represents a pivotal opportunity to transform care for millions, but success depends on sustained local leadership and implementation beyond organisational boundaries
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CommentHow further education can relieve pressure on the NHS
Further education colleges across England are already delivering successful preventive health initiatives but remain underutilised and underfunded, according to a new report that calls for better partnership working to ease NHS pressures
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CommentThe NHS must stop worshipping false idols if it wishes to improve
The NHS has clung to false hopes that interventions, prevention programmes and AI will unlock spare cash, but real change requires decommissioning services and moving money, not just reducing activity
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CommentEffective remote monitoring requires much more than choosing the right tech
A major evaluation of remote blood pressure monitoring reveals 10 key lessons for the NHS, highlighting that effective implementation requires more than just deploying technology – it needs systems that patients and staff trust, understand and value
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CommentThe neighbourhood care model that is already making a difference
With 27 centres offering drop-in cancer support without appointments or waiting lists, Maggie’s believes it has already built the neighbourhood health model the NHS is trying to design
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News‘Urgently’ cut ADHD waits to match other services, NHS told
An NHS England-commissioned review says the service should “urgently reduce” ADHD wait times “and require the same standards… as those for physical health”.
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HSJ PartnersRemote patient monitoring: the NHS’s missing data set for system transformation
Luscii’s Jonathan Lewis shares how live patient data, integrated into shared care and population health, could unlock prevention-first care at scale
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NewsNHSE’s improvement teams axed
NHS England’s elective, emergency care and mental health improvement support teams are being axed – and their staff and functions merged into the Getting it Right First Time programme, HSJ has learned.
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CommentThe neighbourhood health service risks becoming a conceptual muddle
The government’s ambition to establish a neighbourhood health service will fail to move from rhetoric to reality without a clearer clarity of purpose and measures for success, writes Matthew Taylor
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CommentGovernment reforms are leaving managers without a lifeline
The NHS risks breakdown, not from clinical shortages alone but from the silent collapse of corporate systems that sustain frontline delivery, writes Colin Graham
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CommentThe 366 words that could reshape the NHS
The 10-Year Health Plan introduces integrated health organisations as a potential way to reshape provider roles, giving them greater autonomy and responsibility over whole-population health budgets, writes David Williams
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CommentImprovements in cancer care are benefitting some more than others
England’s cancer plan must amplify patient voices, address inequalities and improve support, ensuring person-centred care across pathways from diagnosis to survivorship, says Olli Potter
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CommentCompetition between GPs and pharmacies is hampering service integration
Community pharmacies are vital to NHS reforms, but funding, workforce, collaboration and digital barriers threaten their expanded role, write RAND Europe’s Robert J. Romanelli, Saoirse Moriarty and Maggie Bradford