Service design – Page 135
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News
GPs fail to help with appointments audit
Primary care trusts have been unable to complete an audit of the number of GP appointments provided by practices because GPs have refused to hand over the information, following British Medical Association advice.
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News
London healthcare overhaul could worsen inequalities
Plans for a major overhaul of healthcare in London could make inequalities worse if they do not target those who currently miss out, says a groundbreaking assessment.
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News
PCTs pressured to lose provider arm
Strategic health authorities are forcing primary care trusts to divest themselves of their provider functions, PCT chiefs have claimed.
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Comment
Michael White on Darling's budget
By the time you read this, Alistair Darling's first Budget will have reinforced Gordon Brown's latest promise to make our great public services more competitive and accountable to their customers. They are all Blairites now.
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News
Central control 'hits reform'
Market-based reform in the NHS is being crushed by central direction. The answer is to put money in the hands of patients and to empower clinicians, says a new report.
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News
NHS surplus should be spent on GP services, says Alliance
The NHS Alliance is calling on the NHS to use this year's surplus to ensure extended GP opening hours offer real benefits to patients.
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HSJ Knowledge
Kate Silvester on lean or just mean
Managing a system where all patients get their first definitive treatment within 18 weeks of GP referral will sort the mean from the lean thinkers.
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HSJ Knowledge
Doctor-manager relationships: the big fight
NHS hospital power has long been in the hands of two sets of people: managers and clinicians, and tension has occasionally spilled out of the ring. In the latest article in our series on 60 years of the NHS, Daloni Carlisle looks at the dynamics
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Comment
Noel Plumridge on topping up NHS care
It is a long time since NHS care was unequivocally free. Over half a century ago, in the final days of a post-war Labour government that was proud to nationalise not just healthcare but the 'commanding heights' of the British economy - coal, steel, the railways - a certain outspoken ...
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HSJ Knowledge
Home-grown change will reshape the NHS
The number of primary care trusts needs to reduce further, but another top-down reorganisation should be avoided - this time world class commissioning will drive a natural, bottom-up change
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News
England's waiting times no better than Wales
Statistics on waiting times in England and Wales have led to questions over the value for money of initiatives to reduce waiting times in England.
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News
Patient affairs lead is 'not a new czar'
The Department of Health has appointed a new diabetes czar and a director of patient and public affairs.
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News
Changes needed to gastric bleeding practice
The UK Digestive Federation has called for changes in working practices to prevent unnecessary deaths of patients with acute upper gastrointestinal bleeding.
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News
Children's cancer plans to be announced
Future plans for children's cancer services in Scotland are due to be announced today by health and well-being secretary Nicola Sturgeon.
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HSJ Knowledge
Health Foundation welcomes Brown's self-management pledge
The Health Foundation has welcomed prime minister Gordon Brown's emphasis on increasing support for patient self-management in his recent speech on the NHS.
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Comment
Simon Stevens on local pay and national prices
When doctors everywhere are being urged to become more evidence based in their clinical practice, a standard retort is that health policy makers should do the same.
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HSJ Knowledge
'Twas ever thus: why Darzi is 90 years too late
In 1920 Lord Dawson, physician-in-ordinary to George V, called for the creation of what we now call polyclinics in a report that was well received even by the BMA. So why did his idea never take off, ask Ian Kendall and John Carrier
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News
Neurosurgery drive for Scotland
A national service for neurosurgery is to be set up in Scotland, with current services in Aberdeen, Dundee, Edinburgh and Glasgow retained.
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HSJ Knowledge
What a carve-up: the future of SHAs
After 18 months, the role of reconfigured strategic health authorities still does not seem clearly defined. So what does that mean for the future, asks Helen Mooney
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HSJ Knowledge
Helen Bevan on the shape of things to come
I'm proud to be a Coventry resident. Among Coventry's many attributes are a) it's the home of the NHS Institute and b) it has its own Ikea store.