Service design – Page 190
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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.
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News
Service redesign 'needs scrutiny', says Audit Commission
Local government must have a stronger voice in service redesign and commissioning decisions to ensure the public's concerns are heard by the NHS, according to Audit Commission chair Sir Michael Lyons.
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News
Blair woos big business skills to foundation cause
Unilever, GlaxoSmithKline Beecham and Cadbury Schweppes are among 12 FTSE 100 business giants that this week considered signing up to help high-performing foundation trusts achieve 'excellence'.
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News
Warks scales down charges
University Hospitals Coventry and Warwickshire trust has drawn back from wholesale changes to hospitals - but is likely to centralise more services at the new University Hospital in Coventry, built by private finance initiative.
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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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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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HSJ Knowledge
Building bridges
Effective communication and consultation are intimately bound up with the proposed reconfiguration of NHS services. Lynne Greenwood talks to trust staff who have already set their often controversial plans before the public, and asks what lessons they have learned.
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HSJ Knowledge
Sea change in health scrutiny
As the future of health scrutiny grows increasingly complex, healthcare professionals and local government must ride the wave and forge new relationships, reports Sasha Strong
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News
Management skills call for trainee docs
Doctors should learn management as part of their undergraduate training, the British Association of Medical Managers and the British Medical Association has said.
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News
Restructuring blamed for debt
A primary care trust saw its overspend rocket more than fivefold, partly because of last year's PCT restructuring, an Audit Commission report has concluded.
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News
Private companies to join support framework
The Department of Health is set to announce next week the list of private companies that have won a place on the government's national framework for procuring external support for commissioners, HSJ has learned.
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HSJ Knowledge
Early learners
Thirteen health communities have volunteered to be 'early achievers' for the tough new 18-week target. Alison Moore hears lessons from the pioneering trusts
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HSJ Knowledge
At your service
The government and PCTs are contemplating the benefits of community foundation trusts, but are they really the future for provider services, asks Kaye McIntosh
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HSJ Knowledge
Maternity care: eyes on storks
Government pledges on choice in maternity care are at odds with widespread reports of midwives crumbling under the pressure of slashed budgets, writes Daloni Carlisle