All Service redesign articles – Page 133
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News
Services must focus on recovery says report
Mental health services need to focus more on recovery and less on medication and symptom control, according to a policy paper published by the Sainsbury Centre for Mental Health. The paper says that radical change is needed to give service users more opportunities to get their lives back.
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Comment
David Woodhead and Valerie James on tackling decommissioning
Government is stepping away from setting central targets and relinquishing direct control over delivery. Locally identified needs and priorities will take their place. Directors of public health and commissioning will be at the vanguard of service reform in the health service and local councils.
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News
London healthcare overhaul could worsen inequalities
Plans for a major overhaul of healthcare in London could make inequalities worse if they do not target those who currently miss out, says a groundbreaking assessment.
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News
GPs urge PCTs to remain flexible
Primary care trusts will have to negotiate with family doctors over how to implement extended hours locally after the overwhelming majority of GPs voted to accept the government’s proposed deal.
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Comment
Doubts over super-regulator
You do not mention an important question for the new super-regulator, writes Don Redding. Will it exist to serve patients and service users, and if so, how will it engage with them?
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News
Ex-BBC man offers vision for health service charter
The former head of policy at the BBC has claimed the NHS could learn from the broadcaster as it strives to improve accountability and patient involvement.
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News
Central control 'hits reform'
Market-based reform in the NHS is being crushed by central direction. The answer is to put money in the hands of patients and to empower clinicians, says a new report.
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HSJ Knowledge
Partnership working: taking targets a la carte
The 198 national indicators will tear up the 'set menu' of national targets, so local partnerships can tailor priorities to local needs. But regulation of the system will need a rethink
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Comment
Michael White on Darling's budget
By the time you read this, Alistair Darling's first Budget will have reinforced Gordon Brown's latest promise to make our great public services more competitive and accountable to their customers. They are all Blairites now.
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News
PCTs pressured to lose provider arm
Strategic health authorities are forcing primary care trusts to divest themselves of their provider functions, PCT chiefs have claimed.
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News
GPs fail to help with appointments audit
Primary care trusts have been unable to complete an audit of the number of GP appointments provided by practices because GPs have refused to hand over the information, following British Medical Association advice.
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News
NHS surplus should be spent on GP services, says Alliance
The NHS Alliance is calling on the NHS to use this year's surplus to ensure extended GP opening hours offer real benefits to patients.
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HSJ Knowledge
Kate Silvester on lean or just mean
Managing a system where all patients get their first definitive treatment within 18 weeks of GP referral will sort the mean from the lean thinkers.
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HSJ Knowledge
Doctor-manager relationships: the big fight
NHS hospital power has long been in the hands of two sets of people: managers and clinicians, and tension has occasionally spilled out of the ring. In the latest article in our series on 60 years of the NHS, Daloni Carlisle looks at the dynamics
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HSJ Knowledge
Home-grown change will reshape the NHS
The number of primary care trusts needs to reduce further, but another top-down reorganisation should be avoided - this time world class commissioning will drive a natural, bottom-up change
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Comment
Noel Plumridge on topping up NHS care
It is a long time since NHS care was unequivocally free. Over half a century ago, in the final days of a post-war Labour government that was proud to nationalise not just healthcare but the 'commanding heights' of the British economy - coal, steel, the railways - a certain outspoken ...
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News
England's waiting times no better than Wales
Statistics on waiting times in England and Wales have led to questions over the value for money of initiatives to reduce waiting times in England.
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News
Patient affairs lead is 'not a new czar'
The Department of Health has appointed a new diabetes czar and a director of patient and public affairs.
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News
Changes needed to gastric bleeding practice
The UK Digestive Federation has called for changes in working practices to prevent unnecessary deaths of patients with acute upper gastrointestinal bleeding.
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News
Children's cancer plans to be announced
Future plans for children's cancer services in Scotland are due to be announced today by health and well-being secretary Nicola Sturgeon.