Service design – Page 173
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News
A&E doctors struggling to cope, says report
A report by the British Medical Association says NHS debt is taking its toll on accident and emergency departments in England.Despite efforts from staff to tackle A&E waiting times, a survey conducted by the BMA and the British Association for Emergency Medicine suggests departments are struggling to sustain the four-hour ...
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Comment
Rotherham chief executive Brian James on why Gerry Robinson can't fix the NHS
'Disappointingly, Sir Gerry never seized the opportunity to explore and challenge consultants as to how they could be more efficient and productive, which is ultimately the key to eradicating waiting times. The opportunity was sacrificed for a much simpler story of consultants versus managers, with both sides presented as stereotypes.'
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News
Stephen Thornton on shared leadership
'Changing people's behaviour when they have been in the same job for years is one of the hardest things to do. Safer patient initiative teams now think less in terms of 'why won't he do that for me?' and more in terms of 'how can I get him to do ...
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HSJ Knowledge
Andrew Castle on root causes
How often do we find ourselves in the same old situations at work? Things are not going ideally, we know what is going to happen and, eventually, it does. How often, when we are in these situations, do we step back and analyse why it has happened and how we ...
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News
Multimedia advice pioneers wanted
The Department of Health and NHS Direct are calling for primary care trusts to come forward to bid to become the the early adopter for a new NHS Health Direct service to provide multimedia advice supporting personal health improvement. The internet, digital television and mobile phone service was proposed in ...
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News
Two years after deadline, over half of crisis teams not ready
Fewer than half of England's crisis resolution teams are fully set up, according to a leaked Department of Health report.
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News
News Analysis: Is it new hope for 'No Hope' as cliffhanger reaches final reel?
Birmingham's Good Hope Hospital trust might at last put its troubles behind it if its acquisition by a neighbouring foundation trust goes ahead. Helen Mooney chronicles the hurdles that have stood in the way and asks if the move is likely to be replicated
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News
Reconfiguration could save £1bn a year
Patients who stay in hospital longer than necessary are using 13,000 extra NHS beds every year, a report from the Institute for Public Policy Research has said. This could be slashed by providing specialist services in fewer places and transferring more care outside hospitals.Download the full report here
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News
Gateshead Health foundation trust: safety check on blood
Mismatching blood in transfusion operations can be deadly. So when a national audit revealed some worrying gaps in safety measures, Gateshead Health foundation trust was quick to respond
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News
Live and direct: cutting waiting times
HSJ's Sutton Coldfield GM Live event proved an excellent platform for sharing successful service redesign strategies
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HSJ Knowledge
Quicker diagnosis makes good timing
Strides towards the 18-week patient pathway have been made in Blackpool, where a trust slashed diagnostic waits. Varya Shaw reports
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HSJ Knowledge
Helen Bevan on transformational learning
Every so often, I come across research or evidence that gives me profound insight into why things happen the way they do. I experienced just such an epiphany in December, when I led a workshop on transformational learning at the Institute for Healthcare Improvement Forum, the largest healthcare improvement gathering ...
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Comment
David Woodhead on lessons from Peru
'I met a group of local women who were trained in contraception and hygiene; they each had trained six women, who in turn were training others. The process had increased their confidence. And in the basement was a co-operative bakery which provided affordable bread but also made a profit.'
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News
Heart disease deaths down 35 per cent
Investment and reform in services to tackle coronary heart disease is saving lives, says a progress report on implementing the national service framework for CHD today. Shaping the Futuresays premature deaths from CHD are down 35.9 per cent since 1996, on course to meet ...
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News
Draft workforce strategy reveals glut of consultants and shortage of nurses
HSJ reveals the draft NHS pay and workforce strategy for 2007 spending review.
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News
Workforce plans predict 'bitter opposition' and 'volatility'
The NHS is facing a huge oversupply of consultants and a shortage of thousands of nurses, junior doctors and GPs, a draft government strategy has revealed.
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News
Trusts falling short of 18-week target
Trusts are currently only treating 35 per cent of patients within the 18-week target, the Department of Health has said.
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News
News Analysis: Next era of reform will hinge on Brown being as bold as Blair
With Gordon Brown almost certain to take over as prime minister this year, and his reputation for springing surprises, people in the health service are beginning to wonder what it will mean for them and the NHS reform landscape. Daniel Martin looks for clues
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News
Ruth Hussey on sustainability
'Sustainable development is good management. Consider the cost of energy - good management expects efficient energy use. Consider the difficulty in recruiting staff - good management develops skills to meet its needs from the local community. Consider disadvantaged communities - good management procures goods and services locally'
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HSJ Knowledge
No cash, lots of commitment
Deprivation in leafy Staffordshire provided an interesting challenge for Dr Zafar Iqbal