All Service redesign articles – Page 170
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News
Dual diagnosis guidance published
Guidance on improving the care received by people with both a mental health and drug problem has been launched by national director for mental health Professor Louis Appleby.The guidance recommends that all mental health clinical staff have the skills to assess and manage a substance misuse problem and that substance ...
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HSJ Knowledge
Kate Silvester on waste and value
Do work that adds value, cut out the rest, and you will save time and money as well as providing a better service.
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HSJ Knowledge
The real impact of shifting care from hospitals to the community
CSIP was asked to evaluate the shift of resources from inpatient wards at Folkestone to a comprehensive range of health and social care services provided in the community.
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News
GP czar calls for family doctors to do hospital roles
GP czar Dr David Colin-Thome has made a clinical case for widening the role of GPs to include roles traditionally found in hospitals.In a report to health secretary Patricia Hewitt he says family doctors could carry out more minor operations, take responsibility for the six-week post surgery follow up and ...
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HSJ Knowledge
Book now for Good Management Live
Following the success of Good Management Live 2006, HSJ is pleased to hold a second series of GM Live events in association with the NHS Institute for Innovation and Improvement, and sponsored by the Integrated Service Improvement Programme and Connecting for Health.
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News
BMA in urgent care warning
Doctors are being edged out of urgent care in favour of non-medically qualified staff, the BMA has warned.Responding to the Department of Health's Direction of travel of urgent careconsultation, the BMA said it was concerned that primary care trusts were re-shaping urgent care around ...
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News
Rise in 13-week waits
More than 180,000 patients were waiting for more than 13 weeks for hospital treatment in England at the end of December, an increase of more than 15,000, according to government statistics.The number of patients waiting more than 20 weeks also rose, by 2,000, last month to 46,000.See the full figures ...
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Comment
Clinical engagement: the beginning of reform is the end point
The fall-out from Sir Gerry Robinson's TV programme on NHS management continues, and this week two very different commentators address the central issue of what is holding back managers and clinicians from working together properly.
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News
PCT could slash 90 per cent of staff
A troubleshooter chief executive plans to strip an ailing primary care trust down to its core functions and reduce the number of staff from 300 to 30.
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News
Calls for mental health emphasis in primary care
Policy makers should ensure opportunities to improve mental health in primary care are always considered, according to a report by the Mental Health Foundation and the Pharmaceutical Schizophrenia Initiative.The report Primary Concerns: A better deal for mental health in primary caresays practice-based commissioning needs ...
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News
MPs slam £900m construction project failure
The Commons public accounts committee has slammed the failed development of the £900m Paddington Health Campus.A report on the collapsed scheme said NHS staff were out of their depth and bad decisions were made worse by appalling planning and cost forecasting.Read the report here
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HSJ Knowledge
Neil Griffiths on measuring and managing
'My concern though is that the dashboard will be working in a vehicle in which we still have the clutch pedal on the passenger side, the brake in the back and the steering wheel in the boot.'
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News
Five-point plan for older people's services unveiled
NHS national director for older people's services Professor Ian Philp has recommended a five-point plan to improve older people's services.His report Recipe for Carehighlights: early intervention; long-term conditions management; early supported discharge; acute hospital care when needed; and partnership working.Professor Philp acknowledged that this ...
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News
Spotlight on lung cancer care
A report gives detailed information on 25,000 people in England and Wales with lung cancer
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News
DoH: reforms cutting unnecessary appointments
The Department of Health says GPs are sending fewer patients to hospital for unnecessary appointments following government reforms to give practices a greater say in procurement and provision of services.Evidence from early practice-based commissioning adopters shows that practices have cut patient referrals for hospital treatment by between 25 and 33 ...
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Comment
NHS independence: removing politicians will leave a hole that must be filled
Would an 'independent' NHS create a worse provider monopoly than British Leyland or set it lose from the targetitis of Whitehall? Who would hold the reins of scrutiny - regulators, Parliament or local councils? Where are the models - the BBC, Scandinavia, Oregon or New Zealand? Is independence even a ...
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News
Public wants politics left out of treatment decision, says survey
Decisions on NHS treatments should be made by clinicians, public representatives and managers - and not politicians, according to a MORI poll for the NHS Confederation.
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News
Hewitt rejects council's block on closure of mental health clinic
Health secretary Patricia Hewitt has overruled objections from local councils and agreed to the closure of a south London emergency clinic for people with mental health problems.
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News
Hewitt rejects council's block on closure of mental health clinic
Health secretary Patricia Hewitt has overruled objections from local councils and agreed to the closure of a south London emergency clinic for people with mental health problems.
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News
Lib Dems condemn 'depressingly familiar' Tory policies
Liberal Democrat health spokesperson Norman Lamb has called the findings of the Conservative policy commission on the NHS 'depressingly familiar' and claimed that giving GPs total control of their budgets would lead to greater health inequalities.He said: 'There can be no doubt that GPs are the backbone of the primary ...