Service design – Page 112
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Comment
Lesley Wright on lean thinking and respecting NHS staff
Managers and clinical staff interested in lean healthcare often stall at the same point: 'We want to adopt lean thinking but want to call it something else. 'Lean' is hard to sell to our staff.'
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HSJ Knowledge
Rethinking NHS out of hours care
A fictitious 82-year-old who likes a drink has helped a PCT to rethink how it delivers out of hours care. Daloni Carlisle explains
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News
Alan Johnson opens England's first GP health centre
Health secretary Alan Johnson is today opening the first GP health centre in England.
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Leader
Drive down NHS costs, raise quality: just a normal day at the office
While Alistair Darling's speech in the Commons on Monday barely mentioned the NHS, the small print of the chancellor's pre-Budget report spells the end of the era of rapid funding growth and big surpluses.
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Comment
Mark Hackett on healthcare and customer confidence
Some years ago our commissioners grasped the reality of market dynamics and sought to break traditional monopolies in healthcare provision. Cue the local opening of one of the country's largest independent sector treatment centres.
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News
Quality accounts: pressure on to pick a winning combination
In 18 months, trusts will have to produce their first quality accounts, based on a selection from hundreds of indicators. Dave West asks how trusts should choose their criteria, and how to act on what they find
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News
Person based allocations could help tackle health inequalities
Department of Health officials are drawing up a system to target health inequality funding towards the most deprived individuals in primary care trusts' areas, health secretary Alan Johnson has revealed.
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News
Panel warns of European working time directive's risks
Growing concerns about NHS staffing could lead to service change plans neglecting accessibility and safety, the Independent Reconfiguration Panel has warned.
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Comment
Complex public health problems need social innovation
The North West has made great strides in improving services but with complex problems persisting it will also take a process of social innovation to find creative solutions
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HSJ Knowledge
Give lifesaving care at a stroke
An Essex trust is proving what fast stroke response can achieve, by introducing a specialist acute unit. Mark Hunter explains
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Leader
Data tsunami will swamp trusts unless commissioners get a say
The clinical data revolution came closer this week with the unveiling of the approach for improving quality and a survey on what to include in quality accounts.
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News
SHAs urged not to abuse their power
Strategic health authorities have been warned not to impose their strategies on primary care trusts through the world class commissioning process.
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News
GP commissioning costs lots and delivers little
A major study into practice based commissioning has found it to be an 'expensive investment' that has delivered little in terms of better services for patients or financial savings.
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News
More than 100 step up with integrated care scheme bids
The Department of Health has received more than twice as many bids than expected to set up integrated care schemes.
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News
Obesity leaves eating disorders in the shade
While national guidelines have stimulated change in crisis areas of mental health, eating disorders are only just beginning to receive the attention and specialist services sufferers need. Alison Moore reports
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News
London hospitals jostle to run specialist stroke units
London's hospital trusts are clamouring to be named specialist stroke centres as the capital embarks on centralising major acute services.
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News
Local NHS managers will get free choice of quality measures
The Department of Health has published an ambitious framework for improving the quality of NHS care but its architect Lord Darzi has warned it is likely to get off to a slow start.
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News
Implementing the next stage review
A recent paper published by the NHS Institute for Innovation and Improvement, The Next Leg of the Journey: how do we make High Quality Care for All a reality?, identified key success factors for implementation of the next stage review, amid concern that many NHS organisations lack capability.
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News
PCTs may face bill for top-up refunds
Primary care trusts could come under pressure to refund tens of thousands of pounds to patients who have paid for top-up treatment.
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News
London reconfiguration plans face legal challenge
Reconfiguration plans in London backed by health secretary Alan Johnson will be challenged in court by campaigners.