Service design – Page 84
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Comment'It's time for a one year maximum wait'
Problems with waiting times are far from insurmountable - they just require the will to change, argue Rob Findlay and Anthony McKeever.
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HSJ Local
Durham & Darlington FT launches community palliative care
STRUCTURE: County Durham and Darlington Foundation Trust is supporting a community palliative care response team with St Teresa’s Hospice and Marie Curie Cancer Care.
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HSJ KnowledgeThe critical factors for an efficient acute medical care unit
Three elements decide the efficiency of an acute medical care unit, and its success or failure. Paul Glynne and colleagues advise on what they are, and the difference the unit is making at University College London Hospitals Foundation Trust.
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SupplementsA blueprint for improving hepatitis C services in London
Hepatitis C is a growing problem in London but many sufferers are not getting the care they need. This special supplement, from Kosh Agarwal and colleagues’ at the London Joint Working Group for Substance misuse and Hepatitis C, outlines a blueprint for treating the disease.
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Comment'Healing our finances needs a long term, not short term, strategy'
The financial problems of the NHS are extremely serious – but more like anaemia than haemorrhage. It is the financial equivalent of a long term medical condition, says Nick Bosanquet.
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HSJ KnowledgeHow scenario planning can inspire creative approaches to innovation
Supporting and organising efforts to create and use innovative technologies is more difficult than ever but a recently developed set of future scenarios may help spur some creative planning, write Clive Savory, Joyce Fortune and Geoff Peters.
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HSJ Local
NHS Derbyshire overcomes opposition to standardise services and income for GP practices
FINANCE: A primary care trust has won agreement from its GPs to move to a more standard contract and income, including a pay cut for some practices, despite the threat of legal action from some.
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HSJ KnowledgeHow a holistic approach to healthcare drives better value
Services are often fragmented across systems and even within organisations, causing waste. True value in healthcare, says Kate Hall, comes from smoothing patient pathways.
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HSJ KnowledgeA blueprint to improve services for patients with hepatitis C
Hepatitis C is a growing problem in London but many sufferers are not getting the care they need. Kosh Agarwal and colleagues present a blueprint for treating the disease.
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Comment'An important moment in public health history'
Ruth Hussey, the woman at the heart of smoothing the public health shake-up, says there will be great gains after the strains. She talks to HSJ deputy news editor Steve Ford.
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HSJ KnowledgeHow enhanced recovery in acute trusts can improve quality and outcomes
A programme that aims to accelerate recovery after elective surgery could have wider benefits that lead to improved patient and staff outcomes, leaner practices and higher quality. Helen Scrimshire and colleagues report from Nottingham Iniversity Hospitals Trust.
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HSJ KnowledgeHow predictive modelling can help reduce risk, and hospital admissions
Accurate prediction of patients at risk is central to preventing admissions, but funding to develop predictive models has been withdrawn by the DH. Geraint Lewis and colleagues look at some of the tools available to local commissioners now charged reducing admissions.
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HSJ KnowledgeHow a weather forecasting service can reduce COPD hospital admissions
Hospitals are routinely troubled with rising admissions and demand during the winter months, but using a Met Office forecast alert can help patients stay healthier, and help hospitals better manage their services.
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CommentCourage, leadership and public support are needed to avoid nightmare scenarios
We all know that the financial situation facing the NHS is the greatest challenge the health service has faced. Courage and public support are vital if the NHS is to survive, says Mike Farrar.
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HSJ KnowledgeBreathing space: how one trust's approach to respiratory pathways is improving outcomes
Royal Bolton Hospital introduced “patient gateways” to improve its respiratory pathway, with great success. Brian Bradley and colleagues explain how they did it.
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Comment'We cannot tolerate incompetence in the search for sustainability'
The turnaround of one factory into an efficient, clean, collaborative and effective faciility should shame healthcare organisations into doing more to make sure sustainability in the NHS becomes less an ideal and more a way of working, writes Sir John Oldham.
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HSJ KnowledgeHow care bundling drives down mortality rates in pneumonia care
The North West London Hospitals Trust, implementing a care bundle approach, has reduced mortality rates for patients with pneumonia. Trish Winn and Sunder Chita explain how.
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HSJ KnowledgeImproving mental health screening for individuals in police custody
Mark Rapley and Dr Simon Sandberg find out how mental health assessments are changing in Lambeth custody suites - and the benefits that could be adopted as a result.
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SupplementsAchieving efficiency in the NHS - a special HSJ supplement
This week’s HSJ features a special 27-page supplement devoted to efficiency in the NHS.
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Comment'Healthcare without competition is financially unsustainable'
Despite increased competition raising fears, in some quarters, for the future of the NHS, now is not the time to play it safe - but to harness its power to do great things, says Sir Stephen Bubb.