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Health Service Journal
11 October 2007

View all stories from this issue.

  • All Our Yesterdays

    October 9, 1936, Public Assistance Journal and Health & Hospital ReviewAs the Midwives Act of 1936 came into force ‘The Future of the Midwifery Service’ was discussed this week. The Act required local areas to secure full time employment of enough midwives to be able to attend women in their homes. This meant while working ‘not only as midwives but also as maternity nurses, during childbirth and from time to time thereafter for a period not less than the lying in period’. The lying in
  • alz

    The wife of an Alzheimer’s disease patient featured in a high-profile television documentary made a moving plea to break down barriers between health and social care.
  • Berkshire West Atos deal

    Berkshire West is the latest primary care trust to agree a contract with a private provider for GP services.Atos Healthcare, a division of Atos Origin, is to supply all services at a new health centre in Shinfield.And in line with Prime Minster Gordon Brown's pledge to make access a priority, the PCT's contract ensures that patients will be able to see a GP on two evenings a week and on Saturday mornings.Chief Executive of Berkshire West PCT, Charles Waddicor, said it was
  • BMA dubious about screening every patient

    The British Medical Association has called for 'hard data' on the effectiveness of screening all hospital admissions for MRSA.
  • BMA survey

    The British Medical Association has launched a survey of staff grade and associate specialist doctors on new contract proposals.
  • Boots could host 150 walk-in centres in its stores

    Private companies are lining up to provide the extended access to family doctors called for by Lord Darzi in the interim report of his review into the future of the NHS.
  • changes at the top

    Barking, Redbridge and Havering NHS Trust has been asked not to give any further information on its chief executive stepping down by the Strategic Health Authority.A statement from the trust cited the reason for Mark Rees sudden departure as 'in light of the London health strategic plans and the objective to achieve foundation trust status, there now needs to be a commitment over the next five years to drive further changes.'When asked to elaborate a trust spokesman said they we
  • Chief executive steps down

    The chief executive of Barking, Redbridge and Havering NHS Trust has stepped down just a week after asking staff to come up with cost-cutting ideas to save£10m.A statement from the trust said Mr Rees, who has been chief executive for four years, had decided that this was 'the right moment to move on'.
  • Choosing Health tackles health inequalities in prisons

    Lifestyle initiatives are being taken into prisons to deliver healthy living messages to the most disadvantaged groups in society, writes David Williams
  • Complaints

    Patients are being let down by the way NHS trusts inEnglandhandle complaints, according to the Healthcare Commission.The commission found wide variation in the way complaints were dealt with - and a failure to act on any problems they threw up.The audit focused on 32 trusts where concerns had been raised - 12 were found to have'significant lapses'.The
  • Confed tells clinicians to stand up for sacked chief executives

    The head of the NHS Confederation has called on clinicians to 'march on the street' if their chief executives are sacked.
  • Conservatives defend district general pledge

    Shadow health secretary Andrew Lansley has defended the Conservative party's pledge to 'save' district general hospitals.
  • Darzi report message is clear: reform faster

    Lord Darzi's interim report for his review of the NHS clears the way for private sector providers to break the logjam over GP access.
  • Data Briefing: new era of mental healthcare insights

    National mental health policy is moving on from the detailed specification of service inputs required by the national service framework to a greater focus on care outcomes.
  • David Woodhead on healthcare for heartbreak

    The health impact of personal distress on service users as well as staff can be heavy and is a real public health challenge, says David Woodhead
  • Diagnostics firm Atos found inadequate

    A private provider has been slammed in an internal Department of Health report for its management of an NHS diagnostics deal - but local trusts were also criticised.
  • DoH may pull private scanning schemes

    The Department of Health is reviewing plans to add private sector diagnostic capacity in five of its seven proposed schemes.
  • Employers praise proposal to overhaul workforce planning

    NHS Employers has welcomed Lord Darzi's proposal to overhaul workforce planning.
  • Family doctors should prescribe English lessons, Royal College of GPs chair proposes

    GPs should be able to prescribe language lessons to patients who struggle with English, the chair of the Royal College of GPs has urged.
  • GPs can't tackle obesity alone

    GPs have a role to play in tackling obesity but are by no means the only players in trying to halt the ‘epidemic’, senior medical officers agreed at the Royal College of General Practioners' annual conference.
  • Health developments: doctors on the football pitch

    Sports stadiums are proving mutually attractive as shared sites for NHS health centres, and interest in such ventures is on the increase. Lynne Greenwood is your commentator
  • Healthcare Commission lists a catalogue of failings in handling of C difficile outbreaks

    A Kent trust has been slated by the Healthcare Commission for failing to protect patients against infection.
  • HSJ magazine delivered to your desktop

    This week, HSJ comes straight to your desktop. This is to help our readers enjoy the magazine despite recent disruptions to the postal service. Both registered users and subscribers can download the latest news, features and classified listings in PDF format by clicking the links below. In order to receive HSJ magazine every week, click on how to subscribe.
  • Infection control: we are here for the patients, not targets

    The Healthcare Commission's damning investigation into outbreaks of Clostridium difficile at Maidstone and Tunbridge Wells trust drives home the message of its report last week on the lack of engagement of some acute trust boards with what is happening on their wards.
  • Jon Allen on lessons from private equity

    NHS organisations can learn a lot from the ways private equity operators turn tight cash control to effect, says Jon Allen
  • Julian Topping on the value of occupational health

    The NHS could be a standard setter in healthy workplaces, says Julian Topping, and the new edition of the NHS Employers handbook will be invaluable
  • Ken Jarrold on giving constructive feedback

    If press reports are to be believed it will not be long before information about the performance of individual surgeons of all specialties is in the public domain. I am sure the royal colleges are preparing members for this major change of culture and practice and the rest of us need to be thinking hard about it, too, says Ken Jarrold
  • Leadership: what not to do

    Management development gurus have written a motivational book of 'what not to do' for would-be great leaders, writes Stuart Shepherd
  • Legal briefing: Alzheimer's drug ruling

    The High Court hearing this year over the issue of the NHS funding drugs for treating Alzheimer's disease forced NICE to state its principles with great clarity. Now it has to stick to them, says David Lock
  • Leicester interim chief

    An interim chief executive is to be paid£33,000 a month to run a hospital trust – thought to be one of the highest salaries the NHS has ever offered.Consultant Derek Smith, brought in at University Hospital of Leicester trust following the resignation of Peter Reading last month, is to be paid£100,000 for an initial three months’ work.David Morgan, staffside chairman at the trust, said: ‘Most of
  • Managers stuck in the middle feel pressure from all sides

    Middle managers feel stressed. Constant firefighting and balancing conflicting demands of senior management and junior staff are just two of the reasons - but most still enjoy their jobs. Nigel Edwards and Claire Mallett analyse an HSJ and NHS Confederation survey
  • Media Watch: an odd week in politics

    This week kicked off in strange fashion. While prime minister Gordon Brown finally decided not to call an election, and the Conservatives cried foul, health secretary Alan Johnson revealed that he was 'not good enough' to become prime minister himself.
  • Mental health at work: down should not mean out of a job in the NHS

    People with mental health problems often get chewed up and spat out of work. The NHS can lead the way in breaking a vicious circle that has a high price for both employee and employer, says Steve Shrubb
  • Michael White on Brown's bottler government

    What a political week! The NHS may have ended up with a better-than-expected settlement from Alistair Darling’s comprehensive spending review, but voters will not be grateful to ‘Bottler Brown’ and his mates for a while.
  • Monitor applicant deferrals

    Aspirant foundation trusts will only be given three months to remedy inadequate foundation plans before they are pushed back to the end of the waiting list to beomce a foundation trust, according to the Monitor, the foundation trust regulator.In a drastic move Monitor has slashed the amount of time it will allow NHS trusts applying for foundation status to defer their application before they have to begin the process again from the beginning.At present Monitor allows trusts to d
  • NHS Employers and BMA publish findings on practice funding

    NHS Employers and the British Medical Association’s GPs committee have published a joint report on the outcome of the consultation on the review of the global sum allocation formula for practice funding.
  • No U-turn on IT programme, says DoH

    The Department of Health has denied it is reviewing the national programme for IT or NHS Connecting for Health.
  • Noel Plumridge on what the spending review means for health

    In an exclusive, Noel Plumridge explains how the government's spending round will affect the health sector
  • Occupational health: making workplaces healthy

    The latest edition of the NHS's guidance on healthy workplace practices is a greatly expanded resource, reports Stuart Shepherd
  • Online resources for healthy workplaces

    Stuart Shepherd dips into NHS Employers' latest update of The Healthy Workplaces Handbook, also known as the 'Blue Book' – and now also available online
  • Paul Jennings on measuring clinicians

    How does a primary care trust measure the performance of its GPs? Some things are relatively easily counted: operations, visits to the clinician. It is harder to count things that really matter, such as standards of care, the competence of the clinician, training, and the outcome for the patient. Paul Jennings explains
  • PCT denies new director has conflict of interest

    Hampshire primary care trust has appointed a new director of commissioning - on secondment from commissioning firm Humana.
  • Report questions strategic health authorities' role in junior doctor 'crisis'

    An independent inquiry into the junior doctors' recruitment 'crisis' has called for a national committee to scrutinise strategic health authorities' workforce planning.
  • Service design: how does it feel to be our patient?

    An unusual change project drafted in anthropologists to explore patients' experiences. Stuart Shepherd takes a look
  • SHAs warned over weak foundation trust applications

    The Department of Health has issued a stark warning to strategic health authority chiefs to send 'only the strongest' trusts to Monitor to be assessed for foundation status.
  • Simon Stevens on the spending review's hidden shallows

    Although comprehensive spending review negotiations consume hundreds of person years in Whitehall, this effort is largely pointless, argues Simon Stevens
  • Smokers who can't quit

    The Royal College of Physicians has been accused of sending out mixed messages on smoking in its report Harm reduction in Nicotine Addiction: Helping people who can't quit.The report called for a new approach, it said smokers who can't quit should be given nicotine products that will satisfy their addiction without killing them.Professor John Britton, chair of the RCP Tobacco Advisory Group, said while most efforts on smoking are aimed at preventing people from starting and
  • Spending review: Darling surpasses expectations with a 4 per cent funding boost

    The NHS has been given a major boost with a higher than expected funding increase of 4 per cent a year over the next three years.Chancellor Alistair Darling said in the comprehensive spending review on Tuesday that spending on health will increase from £90bn this year to £110bn by 2010-11.
  • Sport set to replace crime for priority offenders

    Prolific and priority offender schemes recognise that 80 per cent of crime is committed by 20 per cent per cent of offenders. One of the key pathways is improving offenders' mental and physical health.
  • Stephen Ramsden on doctors leading patient safety

    Doctors' involvement in a hospital's patient safety drive is bringing about transformation, says Stephen Ramsden
  • Stressed middle managers want better-defined roles

    Middle managers feel anxious at work and are unclear what their employers expect of them, a joint HSJ/NHS Confederation survey has revealed.
  • The seven failings of really useless leaders

    Professional development gurus have identified all the pitfalls for aspiring great leaders and put them into a book. Stuart Shepherd reports
  • wales violence

    The Welsh Assembly has set up a task force to tackle violence and aggression against NHS staff.Its remit is to improve information sharing, incident reporting and the way the service works with the police and the Crown Prosecution Service.The taskforce, to include union representativ
  • Young offender pilot adds drive and motivation

    Paul is a young offender living inside HMP Young Offenders Institute, Swinfen Hall in the West Midlands. In 2006 he was one of the first to complete the prison health trainer training programme.
  • Your Humble Servant: the dreaded healthcheck

    It's that time of year again when we all have our excuses ready to explain away the annual healthcheck. The Healthcare Commission team are practising their best po faces by seeing who can best disguise any sign of pleasure while having a butt plug pushed to the max.

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