All Service redesign articles
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Comment
The NHS must get more out of the EPRs it has purchased
Almost every trust now has an electronic patient record but unless they are used correctly, the promised productivity, prevention and AI benefits will remain beyond reach, argue The Health Foundation’s Holly Krelle and Alex Lawrence
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Comment
Real-time patient feedback should drive service improvement
Annie Williamson explores why past NHS reforms have failed, and why empowering staff, patients, and local systems is essential if the health service is to survive and thrive
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News
Streeting greenlights eight reconfigurations
Wes Streeting has declined to intervene over eight NHS service reconfigurations since taking up his post last summer, HSJ can reveal.
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Comment
The tiny number of contract disputes reflects well on NHS commissioners
Andrew Taylor, head of the Independent Patient Choice and Procurement Panel, highlights the key lessons for the NHS and private providers from the first year of the Provider Selection Regime.
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Comment
NHSE took the wrong road on eye care – will DHSC make better choices?
Ministers may have wrestled back healthcare policy from NHS England, but bold decisions are needed to drive a real shift from hospital to community, explains Adam Sampson, chief executive of the Association of Optometrists
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As a trust CEO, I believe volunteers are of key strategic importance
Glen Burley highlights how strategic volunteering within NHS trusts is improving efficiency, tackling health inequalities, and enhancing patient care – proving essential to modern healthcare delivery and operational success
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Split-screen thinking is the secret to balancing short- and long-term goals
To navigate the complex challenges facing the NHS and global healthcare, “split-screen thinking” offers a framework for addressing urgent issues while also driving innovation for a sustainable future, explain trust CEO Richard Mitchell and University of Leicester professor Kamlesh Khunti
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How to solve the NHS's endemic waste problem
Giving staff a share of savings, enabling patients, and streamlining governance and capital processes, will help reduce the NHS’s endemic waste problem, says Sir John Oldham.
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The NHS may have to prioritise the less sick to recover elective performance
Institute for Fiscal Studies research economists Olly Harvey-Rich and Max Warner analyse NHS elective reform strategies, highlighting the need for increased activity, demand reduction, and patient prioritisation to meet the 18-week waiting time target by 2029
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Comment
Has the government’s health mission gone missing?
Sarah Woolnough critiques the government’s health mission, urging for clearer focus on broader health goals beyond the NHS, with steps to tackle health inequalities and prevent long-term fiscal challenges
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Comment
NHS stroke care can be a postcode lottery
Innovative transformation of stroke services has the potential to save lives, prevent disability, and reduce spending, writes Deb Lowe
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Comment
Shifting care into the community can save both people and the planet
Jennifer Ekelund, NIHR’s interim head of climate, health, and sustainability, makes the case for the role of research in decarbonising the health and social care system – leading to better outcomes for patients and the planet
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Comment
A management code of conduct must contain more than good intentions
The regulation of NHS managers must drive real change by addressing root causes, prioritising patient safety, and ensuring accountability without repeating past failures, writes Roger Kline
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Comment
How universities can help identify the right local health policies
Higher education institutes are driving workforce transformation and innovation in healthcare, partnering with ICSs to create sustainable, scalable solutions that enhance population health and address real-world challenges
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Comment
Build, don’t buy consultancy expertise
The NHS should build its own consultancy units, and not rely on external contractors, argues Fraser Battye
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News
Streeting backs ‘compelling’ cancer restructure
Wes Streeting has backed a contested move by NHS England to restructure children’s cancer services that fall short of quality standards, despite local objections.
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Comment
The five tests the government’s neighbourhood health policy must pass
Duleep Allirajah, chief executive of The Richmond Group of Charities coalition, welcomes the neighbourhood health guidelines’ focus on those with complex health needs but asks how we’ll know if it’s really making a difference for patients
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Comment
The NHS needs to make it easier for patients to complain
A new report calls for improvements to the process of NHS complaints to help the NHS develop a stronger listening and learning culture, writes William Pett, head of policy and public affairs at Healthwatch England
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Comment
Hospitals are suffering from an identity crisis
The hospital model is outdated and struggling. It’s time to rethink its role, structure, and integration within a prevention-focused healthcare system, writes Rosie Beacon
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Comment
The NHS is holding the economy back by failing to share its data
Matthew Swindells writes about how unlocking AI’s potential in the NHS can boost productivity, improve patient care, and free clinicians from admin tasks by prioritising simpler, proven technologies like RPA and machine learning