Service design – Page 190
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HSJ Knowledge
The maths behind real case management
It seems a deceptively simple plan - if you can identify the relatively small number of patients likely to use acute services intensively, you can concentrate on simpler, cheaper and more effective preventative care. It was a promise first held out in work by Kaiser Pemanente in the US and ...
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Comment
Malcolm Lowe-Lauri on clinical engagement
'A meeting of minds gets enormous impetus when the fog of data is converted into information'
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Comment
'Turnaround teams' - a sticking plaster for a severed limb?
The ability to commission effective and efficient services is completely divorced from strategies to implement and provide cost-effective services, argue Angela Bate and Cam Donaldson
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Comment
Skilled analysts of little use to the NHS
Do external consultants working in NHS organisations really deliver the goods? Birmingham University's Jonathan Shapiro argues that they may know how to diagnose problems, but cultural signposts pass them by
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Comment
Cliff Prior profile: 'The only thing you can't predict is where it will go'
In his new job heading a group of not-for-profit organisations, former Rethink chief executive Cliff Prior will have a key role in reshaping community services. But first he has to explain what it is all about
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Comment
Malcolm Lowe-Lauri on the right targets
Once upon a time the word target used to have many in healthcare reaching for their crucifixes, or whatever else was needed to ward off evil spirits.
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News
Laura Donnelly on honesty and political risks
'Admitting that the NHS does not always offer a 'world-class service' is a high political risk'
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Comment
Michael White on politics
'Voters are losing patience with Labour's performance - and its excuses'
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News
Malcolm Lowe-Lauri on a year of imagination
'I'd like us to look back on a time when people came to a big shed and had 10 minutes with the expert'
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News
'I say what I think - it can be uncomfortable'
Emergency access czar Professor Sir George Alberti has spent his career as an outspoken agent of change. Here he reveals how he prefers to eschew politeness and tackle controversy
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Comment
Data briefing: Better Care, Better Value indicators
The NHS Institute for Innovation and Improvement recently published the Better Care, Better Value indicators for the second quarter of this financial year. They can be analysed to give some insight into what is happening across the country.
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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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News
BMA urges members to petition on slow PBC implementation
Primary care trusts that are not implementing practice-based commissioning can expect to receive a letter from GPs asking them to take action.
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News
Hewitt prioritises PBC after GPs and managers dismiss impact
Health secretary Patricia Hewitt has promised that support for practice-based commissioning will be an 'absolute priority' for the NHS over the next year.
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News
Simon Stevens on the great pbc debate
PBC is desirable but sadly not workable as a universal mechanism. It wasn't in the 1990s, and it isn't now
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News
'Micro-management' fears spark debate on regulation
Fears are growing that trusts could be shackled by increasing control from the centre as government and regulators attempt to get a tighter grip on performance.