All Service redesign articles – Page 186
-
News
Seasonal gloom at the BMA
The British Medical Association has picked up on health secretary Patricia Hewitt's comment that the NHS has had its 'best year ever' by publishing its own review of the Best of Years, the Worst of Years.Overall, it says that while there have been some ...
-
News
Private provider queries future of comprehensive NHS care
The NHS will be forced to abandon its founding principle of providing a comprehensive service 'free at the point of delivery' by 2015, a leading private sector provider has predicted.
-
News
Operating framework: updated principles put new emphasis on dignity
The Department of Health is consulting on a set of 10 principles to which all NHS organisations and contractors must sign up.
-
News
NICE publishes guidelines on obesity in adults and children
The National Institute for Health and Clinical Excellence has issued its first ever national guidelines addressing both the prevention and treatment of obesity in adults and children.It says diet changes and exercise, supported by behaviour change, should be the first-line treatment for adults who are overweight or obese, followed by ...
-
News
High-impact changes for GUM services released
A guide to 10 High-impact Changes for Genitouninary Medicine 48-hour Accesshas been published. The measures include developing a separate pathway for low-risk patients, reviewing current access arranagments and reorganising clinic opening hours.Read the guide ...
-
HSJ Knowledge
Quality beyond NHS borders
What does quality in healthcare now mean, how is it measured around the world and how well do the NHS's systems measure up globally? Simon Leary and Rachel Abbott report
-
News
Audit finds little improvement in continence care
The second audit of continence care in the NHS has seen little improvement over the past 12 months, the Royal College of Physicians has found.The Healthcare Commission-backed audit found that only 37 per cent of hospitals, and 10 per cent of mental health care sites have a written continence policy.Read ...
-
News
Service reconfiguration
While there may well be a case for focusing resources on a smaller number of acute sites, there is a huge issue about accessibility and convenience, which doesn't sit well with the supposedly consumer-friendly modern NHS.
-
Comment
Nicolaus Henke on Michael Porter's partial answer
The Harvard Business School guru's book Redefining Healthcareis a fascinating but flawed study of reform from which the NHS could learn, says McKinsey's head of global health systems
-
News
Alberti: managers are not believed, instead clinicians must lead
The reports launched this week, written by national emergency access director Professor Sir George Alberti and national heart disease and stroke director Professor Roger Boyle, argue that traditional accident and emergency departments are not the best places to treat many patients, writes Daniel Martin.
-
Comment
Comment: National directors sign up to reform
No-one ever argues with the case that clinicians at every level are integral to successful service reform. But it is a truth observed more in the intention than the action. It is therefore welcome, although a little late in the day, for the government to wheel out two national clinical ...
-
News
Comment: Why a US management guru has vital questions for the NHS
'Michael Porter's book has caught the imagination of many of the most influential voices in NHS reform and has been occupying minds at the highest level throughout this year.'
-
News
News analysis Trusts feel impact as PFI and payment by results collide
Four days after arrival in post, new trust chief executive Mary Wells found herself working with a crisis team sent in to turn around a maternity unit in serious trouble. Eighteen months later, Daloni Carlisle hears what was wrong and how it was tackled
-
News
New stroke toolkit will save lives
National director for heart disease Professor Roger Boyle has issued new guidance and a toolkit providing advice to commissioners on good practice on improving stroke services. It highlights key issues to consider and summarises supporting resources.The toolkit, ASSET, is to assist NHS commissioners modernise stroke services. By using their own ...
-
News
PCTs 'should have more responsibility for prisoners'
Primary care trusts should be given responsibility and funding for the treatment of prisoners outside jail, to ensure that decisions not to treat people within the prison walls are based on clinical imperatives.The 'escorts and bedwatches' study, jointly funded by the Department of Health ...
-
News
Sir Liam: public health was rushed
The chief medical officer for England has revealed that he was given just two hours to insert a reference to public health into the Department of Health's key policy document, Commissioning a Patient-led NHS.
-
News
Alliance warns of NHS emergency
The NHS will face a 'medical emergency' if it fails to get clinicians - especially GPs - on board for its reform agenda, according to NHS Alliance chair Dr Michael Dixon.He told the National Institute for Health and Clinical Excellence conference that new professional executive committees must include greater clinical ...
-
News
Hospital campaigns could cause 1,000 unnecessary deaths: think tank
The Institute for Public Policy Research has concluded that campaigns to save services currently provided in district general hospitals could lead to more than 1,000 unnecessary deaths a year.Associate director Richard Brookes said: 'On the strength of the evidence, people should be out on the streets campaigning for changes to ...
-
News
Scottish mental health delivery plan published
The Scottish Executive has published a mental health delivery plan, including basic mental health training for everyone who works with children, halving admissions of children and young people to adult beds and reducing anti-depressant prescribing and repeat hospital admissions for mental illness.To read the plan click ...
-
News
Czars make case for service reconfiguration
National director for emergency access Sir George Alberti has published a report setting out the clinical case for reconfiguration of access to emergency care services. And national director for heart disease and stroke Professor Roger Boyle has published a report setting out the clinical case for reconfiguration in heart disease ...