Service design – Page 187
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HSJ Knowledge
What's quality?
With the emphasis on financial turnaround and the 18-week target, the primary focus of most organisations is finance and delivery. Patient experience and service quality do not seem to get the same attention. But does better-quality healthcare cost more money, or less?
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HSJ Knowledge
Danger signals on safety
There is little doubt that theHealthcare Commission's healthcheckrating is far more searching than its predecessor, the star-ratings
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HSJ Knowledge
Technology: why the Conservatives are pushing for root and branch reform
The centralisation of Connecting for Health and a lack of local leadership are proving an important battleground for Conservative policy debate. Steve Mathieson looks at the detail
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HSJ Knowledge
NHS bureaucrats are holding back change
Ian Smith got to within touching distance of the NHS chief executive job last year. Here he makes the case for managers to revolutionise their focus and free themselves from Whitehall
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HSJ Knowledge
How to commission high quality, low cost health care
The 152 new primary care trusts are tasked with becoming strategic commissioning bodies. This means they must procure a range of provision for local people, which meets their health needs and delivers health improvements, by securing the highest value for their limited money. Stating the task is easy. Delivering it ...
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HSJ Knowledge
Local health community Demonstrators
The NHS Integrated Service Improvement Programme is working with strategic health authorities to support the change agenda.
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News
How Buckinghamshire is moving opthalmology closer to home
There is a lot of rhetoric about moving care closer to home but how easy is it and can quality be maintained?
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News
Practitioner view: Measuring outcomes in mental health and social care
Measuring outcomes is a direct way to improve the quality and accountability of services. It can help us to improve our understanding of the impact of services on people's lives. Those who use services and carers need reassurance that treatments and care provided are producing results for them as individuals, ...
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News
Mike Cooke on mental health
'We have to dance, sing and juggle, often at the same time - and now we need more proof we are accountable'
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News
Autonomy is key to applying lessons from private sector
'Do NHS managers really believe the 'myth' that public sector values are at odds with what Tony Blair called 'proper business management techniques'?'
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News
Efficiency drive lies at the heart of PM's uncompromising message
The prime minister's interview with HSJ this week poses important questions for health service managers. Among the familiar - the NHS is important, managers do a good job - are some more subtle but pointed messages.
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Comment
Mark Britnell on starting life as an SHA chief exec
'I recently chaired a conference where it was put to me that I would be neither a poacher nor a gamekeeper but rather the pheasant!'
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Comment
Ten leaders who could put reform progress back on track
What do we know of the chief executives who will be running the new strategic health authorities from next week?
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News
Don't leave unhappy medics to stew
'And there will be more points of conflict to come, such as the issue of where doctors work as opposed to where they are needed.'
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Comment
Good buy to all that: the need for procurement focus
With the government set to become a major purchaser of public services far more attention must be paid to the procurement process, warns Ann Rossiter of the Social Market Foundation
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Comment
Laura Donnelly on primary care leaders
One argument is that new strategic health authority chief executives, keen to assert authority and be seen to do so, are indulging in an exercise otherwise known as 'don't think much of yours?'
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Comment
Sophia Christie on primary care
'The challenge of the last three years has been demand management. The focus for the next two years must be a considered challenge to activity attribution.'
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Comment
Progress is about perception as headlines and reality clash
While optimism over the NHS is low, the public's feelings about services and choice are more positive. These contradictory perceptions mean GPs, managers and the DH have their work cut out ensuring patients 'interpret' reforms favourably, write MORI's Ben Page and Jonathan Nichols