Service design – Page 189
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Comment
We can work it out: dementia and the baby boomers
As the baby boomer generation ages, it will present some expensive challenges to services for people with dementia. Alison Moore reports
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Comment
Simon Stevens on powering reforms
Almost everywhere you look, it is possible to see the NHS equivalent of electricity transmission losses
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News
Barometer: acute trusts jan 2007
Confidence in achieving the 18-week target was high among our panel of acute trust chief executives, with the average figure rising from 6.2 to 6.72 since October 2006.
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Comment
Order in the house: will legislation strike the right balance?
The supervised community treatment order is the latest legislative tool aimed at tackling 'revolving door' patients. But does it go too far? Mark Gould hears the pros and cons
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Comment
A freedom framework will unite former foes
With the debate about freedom from political interference raging, strategic health authority chief executive Mark Britnell outlines his model for compromise and wonders what an NHS charter might contain
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Comment
Anna Donald on turning cogs in a blancmange
'Most doctors would struggle to conceive of a hospital in anything other than descriptive terms'
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News
Conservatives call for free hospital parking for vulnerable people
Hospital car parking should be free for the most critically ill patients, say the London Assembly Conservatives responding to the latest Department of Health guidelines.Elizabeth Howlett, Assembly Member for Merton and Wandsworth and deputy chair of the assembly health and public services committee said:'We are calling on the government to ...
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News
Seasonal gloom at the BMA
The British Medical Association has picked up on health secretary Patricia Hewitt's comment that the NHS has had its 'best year ever' by publishing its own review of the Best of Years, the Worst of Years.Overall, it says that while there have been some ...
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News
Think tank slams NHS reform
The think tank Reform has accused the NHS of failing to develop a coherent vision for change, and warned that unless the government tackles 'centralised, dysfunctional bureaucracy', its funding and policy achievements will go to waste.Author Ian Smith, a private sector manager interviewed for the NHS chief executive's post this ...
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News
DoH puts safety first
The Department of Health has issued a report on improving support patient safety in the NHS.Safety First - a report for patients, clinicians and healthcare managerssays the National Patient Safety Agency should be 'refocused' on collecting and analysing information through its national reporting and learning system, and that this should ...
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News
Private provider queries future of comprehensive NHS care
The NHS will be forced to abandon its founding principle of providing a comprehensive service 'free at the point of delivery' by 2015, a leading private sector provider has predicted.
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News
Operating framework: updated principles put new emphasis on dignity
The Department of Health is consulting on a set of 10 principles to which all NHS organisations and contractors must sign up.
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News
NICE publishes guidelines on obesity in adults and children
The National Institute for Health and Clinical Excellence has issued its first ever national guidelines addressing both the prevention and treatment of obesity in adults and children.It says diet changes and exercise, supported by behaviour change, should be the first-line treatment for adults who are overweight or obese, followed by ...
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News
High-impact changes for GUM services released
A guide to 10 High-impact Changes for Genitouninary Medicine 48-hour Accesshas been published. The measures include developing a separate pathway for low-risk patients, reviewing current access arranagments and reorganising clinic opening hours.Read the guide ...
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News
Audit finds little improvement in continence care
The second audit of continence care in the NHS has seen little improvement over the past 12 months, the Royal College of Physicians has found.The Healthcare Commission-backed audit found that only 37 per cent of hospitals, and 10 per cent of mental health care sites have a written continence policy.Read ...
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HSJ Knowledge
Quality beyond NHS borders
What does quality in healthcare now mean, how is it measured around the world and how well do the NHS's systems measure up globally? Simon Leary and Rachel Abbott report
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News
Service reconfiguration
While there may well be a case for focusing resources on a smaller number of acute sites, there is a huge issue about accessibility and convenience, which doesn't sit well with the supposedly consumer-friendly modern NHS.
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Comment
Nicolaus Henke on Michael Porter's partial answer
The Harvard Business School guru's book Redefining Healthcareis a fascinating but flawed study of reform from which the NHS could learn, says McKinsey's head of global health systems
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News
Alberti: managers are not believed, instead clinicians must lead
The reports launched this week, written by national emergency access director Professor Sir George Alberti and national heart disease and stroke director Professor Roger Boyle, argue that traditional accident and emergency departments are not the best places to treat many patients, writes Daniel Martin.
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News
News analysis Trusts feel impact as PFI and payment by results collide
Four days after arrival in post, new trust chief executive Mary Wells found herself working with a crisis team sent in to turn around a maternity unit in serious trouble. Eighteen months later, Daloni Carlisle hears what was wrong and how it was tackled