Service design – Page 172
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News
Rise in 13-week waits
More than 180,000 patients were waiting for more than 13 weeks for hospital treatment in England at the end of December, an increase of more than 15,000, according to government statistics.The number of patients waiting more than 20 weeks also rose, by 2,000, last month to 46,000.See the full figures ...
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News
PCT could slash 90 per cent of staff
A troubleshooter chief executive plans to strip an ailing primary care trust down to its core functions and reduce the number of staff from 300 to 30.
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Comment
Clinical engagement: the beginning of reform is the end point
The fall-out from Sir Gerry Robinson's TV programme on NHS management continues, and this week two very different commentators address the central issue of what is holding back managers and clinicians from working together properly.
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News
Calls for mental health emphasis in primary care
Policy makers should ensure opportunities to improve mental health in primary care are always considered, according to a report by the Mental Health Foundation and the Pharmaceutical Schizophrenia Initiative.The report Primary Concerns: A better deal for mental health in primary caresays practice-based commissioning needs ...
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News
MPs slam £900m construction project failure
The Commons public accounts committee has slammed the failed development of the £900m Paddington Health Campus.A report on the collapsed scheme said NHS staff were out of their depth and bad decisions were made worse by appalling planning and cost forecasting.Read the report here
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News
Five-point plan for older people's services unveiled
NHS national director for older people's services Professor Ian Philp has recommended a five-point plan to improve older people's services.His report Recipe for Carehighlights: early intervention; long-term conditions management; early supported discharge; acute hospital care when needed; and partnership working.Professor Philp acknowledged that this ...
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HSJ Knowledge
Neil Griffiths on measuring and managing
'My concern though is that the dashboard will be working in a vehicle in which we still have the clutch pedal on the passenger side, the brake in the back and the steering wheel in the boot.'
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News
Spotlight on lung cancer care
A report gives detailed information on 25,000 people in England and Wales with lung cancer
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News
DoH: reforms cutting unnecessary appointments
The Department of Health says GPs are sending fewer patients to hospital for unnecessary appointments following government reforms to give practices a greater say in procurement and provision of services.Evidence from early practice-based commissioning adopters shows that practices have cut patient referrals for hospital treatment by between 25 and 33 ...
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News
Hewitt rejects council's block on closure of mental health clinic
Health secretary Patricia Hewitt has overruled objections from local councils and agreed to the closure of a south London emergency clinic for people with mental health problems.
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News
Hewitt rejects council's block on closure of mental health clinic
Health secretary Patricia Hewitt has overruled objections from local councils and agreed to the closure of a south London emergency clinic for people with mental health problems.
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News
Public wants politics left out of treatment decision, says survey
Decisions on NHS treatments should be made by clinicians, public representatives and managers - and not politicians, according to a MORI poll for the NHS Confederation.
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Comment
NHS independence: removing politicians will leave a hole that must be filled
Would an 'independent' NHS create a worse provider monopoly than British Leyland or set it lose from the targetitis of Whitehall? Who would hold the reins of scrutiny - regulators, Parliament or local councils? Where are the models - the BBC, Scandinavia, Oregon or New Zealand? Is independence even a ...
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News
Lib Dems condemn 'depressingly familiar' Tory policies
Liberal Democrat health spokesperson Norman Lamb has called the findings of the Conservative policy commission on the NHS 'depressingly familiar' and claimed that giving GPs total control of their budgets would lead to greater health inequalities.He said: 'There can be no doubt that GPs are the backbone of the primary ...
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News
DoH signs prisoner healthcare agreement
The Department of Health has signed a national partnership agreement with the Home Office covering the healthcare needs of prisoners.This updates the original agreement signed three years ago and covers all public sector prisons in England.Read the agreement here
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HSJ Knowledge
Innovation: pulling the dragon's teeth
A Dragons' Denstyle business incubator helping those suffering from mental ill-health is being starved of funds as it falls between departmental responsibilities. Naomi Chambers and Leigh Wharton describe its benefits
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News
Gail Richards on achieving 18-week targets
Efforts to meet the 18-week target are intensifying, as the growing number of articles, tools and workshops show. Are we focusing our energies in the right place?
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News
Data on ISTCs' clinical quality is 'extremely poor', says Healthcare Commission
National data on the clinical quality of independent sector treatment centres is 'incomplete and of extremely poor quality', according to a review by the Healthcare Commission.
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News
Gerry Robinson and the NHS
Management guru Sir Gerry Robinson's televised stint at Rotherham foundation trust to reduce waiting lists might have worked better in a trust that has not already achieved so much to place it on a more business-like footing.
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Comment
No quick fixes but Sir Gerry did find room for improvement
Last week's BBC2 programme, Can Gerry Robinson fix the NHS?, may not have fixed anything by itself but has certainly got the NHS talking. Inevitably there is a range of views about both the diagnosis and cure put forward by the business guru during his stint ...