Service design – Page 120
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Comment
Noel Plumridge on a family tragedy
When the mobile phone leaps into life before 8am, it's usually ominous. Yesterday was no exception, with a text from my sister Amy: 'Tony has been in a terrible accident and is fighting 4 his life. Everyone pls pray 4 him.'
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News
Huge contrasts found between UK nations
Patients in the UK’s four nations have dramatically different experiences of the NHS, HSJ can reveal.
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News
Dragons' Den inspires trusts
I read with interest the item 'PCT 'dragons' hunt fresh ideas'. Last autumn in South West Essex primary care trust provider services, we launched a 'new innovations initiative' which was based on the TV series Dragons' Den. We established our initiative to help with developing a culture of innovation across ...
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News
Innovative commissioning leads to cost savings
It is not just surgery where the NHS must speed up its innovation. Imaginative approaches to commissioning exist and early indications from Northern Ireland suggest significant cost savings are available to those prepared to embrace them.
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Comment
Michael White on the golden age of the NHS
I have been sitting in patchy sunshine reading Rejuvenate or Retire? the Nuffield Trust's anthology to mark the NHS 60th anniversary.
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News
Entrepreneurial GPs are due respect
Sophia Christie's allegations that GPs are 'venal' and 'breathtakingly callous' are unfair. I am a GP of 26 years' standing. I am vice chair of our (large) local medical committee and a board member of our practice based commissioning consortium. I have spent considerable time recently, with a great deal ...
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HSJ Knowledge
Service integration - the future of the NHS
Working with the North West Clinical Leaders Network made redesigning local services on the Wirral less of a struggle, as David Rowlands explains
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Comment
Jon Restell on keeping managers in the NHS
Sixty per cent of the people who will make up the NHS workforce in 10 years are already employed in the service. This is the latest fancy dan statistic to drop into any workforce discussion.
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HSJ Knowledge
Delivering 18 weeks: the steps to success
Meeting the December 18-week referral to treatment target will be a challenge for many hospitals, especially those that missed the March milestone. Heather Lawrence, Kieran Brett and Michael Macdonnell explain how Chelsea and Westminster foundation trust hit the target nine months early
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Leader
Young promises new regime will deliver speed and independence
The language used by the chair of the Care Quality Commission in her interview with HSJ was typically clear, robust and ambitious.
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HSJ Knowledge
Improving quality: a perfect 10 from patients
The next stage of NHS reform will be about improving quality - and an ambitious outcomes measurement regime will be crucial, say Jon Sussex and Adrian Towse
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News
Guilty by emission as carbon cuts loom large
The NHS emits a million tonnes of carbon a year, but it must cut this figure drastically. Helen Crump asks whether trusts are giving this issue the priority it requires and highlights some innovative ideas.
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News
Cornwall cancer treatment centralisation plans
Your comment on our proposals to relocate upper gastrointestinal cancer surgical services to improve clinical outcomes was very perceptive in setting out the challenges we face.
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News
Disgusted by Cornwall cancer conflict
I read with disgust your comments on the planned removal of cancer services from Cornwall to Plymouth.
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Comment
Linda Havard on unlocking clinical leadership
Lord Darzi's next stage review focuses on the importance of healthcare delivery, but at the expense of the details. Are local authorities up to the challenge of meeting the review's grand vision?
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HSJ KnowledgeAdmissions up for treatable illnesses
Ambulatory care sensitive conditions are long-term health conditions that can often be managed with timely and effective treatment without hospitalisation.
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News
Malcolm Lowe-Lauri on following Darzi
I have been hearing talk along the lines of 'Darzi will never take off'. Some of this is wishful thinking (fearful acute trust) or something like first night nerves (empowered but apprehensive PCT).
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News
Reconfiguration panel is left kicking its heels
The independent reconfiguration panel has been left with no referrals to examine after delivering three reports to the health secretary.
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HSJ Knowledge
Devolved power flows through Darzi's vision
The next stage review's warm reception was testament to the staff and patient engagement that informed it. Now, says NHS chief executive David Nicholson, that local ownership will energise its implementation
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News
Holistic approach to sexual health
One element of GP involvement in sexual health services which I think has been missed from the report by the Independent Advisory Group on Sexual Health is their potential role in practice based commissioning.