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Health Service Journal
1998-11-05

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  • Action points for employers

    Establish which employees the regulations apply to, especially those who do not provide a 'continuous service' or are not directly involved in patient care.
  • Ahead of the field

    Are the health needs of people who live in the countryside on the government's agenda at last? Janet Snell reports on a recent forum
  • Barred from help

    The Michael Stone case underlined the link between mental illness and crime, but what can be done to help ex-offenders with psychiatric problems? Lynn Eaton reports
  • Boning up on London's past

    The Museum of London's new exhibition tells the capital's history through the remains of its ancestors. Mark Crail found it fascinating
  • Boning up on London's past

    The Museum of London's new exhibition tells the capital's history through the remains of its ancestors. Mark Crail found it fascinating
  • Boning up on London's past

    The Museum of London's new exhibition tells the capital's history through the remains of its ancestors. Mark Crail found it fascinating
  • Call to end rationing in ovarian chemotherapy

    More than 100 MPs have backed calls for urgent action to give equal access to the most effective chemotherapy treatment for ovarian cancer after a survey alleged most health authorities are rationing the treatment.
  • Care propellers

    The Dutch are driving forward ambitious, if underfunded, plans for a national, integrated network of trauma care - complete with helicopters. Tony Sheldon reports
  • Chancellor finds extra £250m to cope with winter pressures

    Chancellor Gordon Brown found an extra £250m 'winter cash' for the NHS in his pre-budget statement on Tuesday.
  • Clinical governance needs 'extra powers'

    Only six per cent of top healthcare professionals are confident that managers have 'sufficient powers' over healthcare teams to tackle poor clinical practice.
  • Doctors to lose merit cash for misconduct

    Top hospital doctors face the loss of distinction awards worth up to £56,000 a year if the conduct of their personal or professional lives 'undermines confidence' in the system, guidance issued to the NHS this week confirms.
  • DoH circular will encourage joint work by health and social services to protect children in care

    The Department of Health is about to issue a circular telling health authorities and trusts how to work with local authorities to improve services for children in need or in care.
  • Dr JAF Napier of the Welsh Blood Service, who confuses income and salary (Letters, 24 September)

    Dr JAF Napier of the Welsh Blood Service, who confuses income and salary (Letters, 24 September), urges that I be burnt at the stake for suggesting half of all consultants earn more than the average of £100,000. It is, of course, possible that the private practice gravy-train slows significantly after the Severn bridge, and distribution of income is highly skewed. This is evident from the figures published by the independent sector.
  • Fall from grace?

    Do recent incidents mean Victoria Infirmary trust in Glasgow deserves the attentions of a clinical inquiry 'hit squad' any more than other trusts? Barbara Millar says opinion is divided
  • False economies survive change in government

    It was reported that two long-haul aircraft nearly collided above us recently. Although we hope nothing like this happens, there is the risk - which is all the more reason for local hospitals increasing the number of reserve beds needed to ensure waiting lists and times are reduced short-term and kept that way long-term. Reserve beds iron out the blips due to emergencies, and the build-up of recuperating and elderly patients with no suitable after-care place.
  • Feeling nervous as trusts fall for a quick fix of PFI

    David Stelmach (Letters, 15 October) feels it is not the role of the Society of Radiographers to influence trusts in their choice of cost- efficient ways to acquire technology. The society would argue it owes such a responsibility to the professions operating in medical imaging and oncology, to the healthcare services in the UK and - above all - to the general public.
  • HA in data protection probe

    Leicestershire health authority may face investigation by the Data Protection Registrar after allegations that a university obtained names and addresses from its confidential patient database.
  • Hopes hang on Hutton Mental health policy analysts ministerial changes with anxiety

    As any senior civil servant will tell you, a change of minister can have a more drastic effect on a department than a change of government. So mental health policy analysts are holding their breath with the arrival of John Hutton to succeed Paul Boateng as junior health minister. Labour's mental health plans are at a sensitive stage. The first draft of a national service framework is being circulated, a review of the Mental Health Act is in progress - and next week the government is due to un
  • Hospital beds

    The UK has been losing more beds than almost every other OECD country since 1979. John Appleby says that throughput could now compromise quality of care
  • How will the regulations be enforced?

    The regulations on working time, night work limits and health assessments in hospitals will be enforced by the Health and Safety Executive. The HSE will bring cases before a magistrates' court or crown court. In most cases, employers will receive an improvement notice giving them a minimum of three weeks to remedy the situation. Employers will face criminal charges and an unlimited fine or a two-year jail sentence.
  • I read with interest Steve Ainsworth's article 'Phoney wars' (15 October).

    I read with interest Steve Ainsworth's article 'Phoney wars' (15 October). Although the original intention of the writers of the appropriate part of the Statement of Fees and Allowances (SFA or 'Red Book') was that 'telephone advice' would not attract a fee, it is unimportant as the wording did not support this (it was written when telephones were less common, and patients were less 'telephone literate').
  • jhgdfkgj ouiugo oijdfghpo poikpo;ghl

    Health secretary Frank Dobson last week promised to publish figures on the number of assaults on staff when he launched a joint campaign to stamp out violence in the NHS.
  • kuhdgblk uyhdfgiu iuyhtgoiip0oyh

    The Government's policy of charging for some social care services might be reviewed if it could be proved that charging was 'cost ineffective,' a senior Department of Health official has suggested.
  • monitor

    Want to know about 'Ann's secret passion', as Monitor's favourite magazine headlines its exclusive two-page spread on our dear friend Ann Widdecombe? Let Cat World's November issue reveal all. 'Animals have always played a large part in my life,' says the woman who shares the Tory front bench with the likes of Peter Lilley and John Redwood. And yes, she does have a 'passion' for cats - though, um, no she doesn't actually have one as such. Phew, wouldn't want anyone to think she was just after
  • MPs act on 'missing link' between managersds; MPs act after evidence of 'poor communication' across the NHS

    MPs are to tackle 'poor communication' between managers and frontline clinical staff in a wide-ranging inquiry into the NHS workforce.
  • National cost index sparks controversy

    Managers leading trusts named as the most expensive in the country have accused league tables published this week of not comparing like with like.
  • NNHS Direct: who can be left holding the receiver?

    Dr Reynolds is not the first to air concerns about finding enough nurses to staff NHS Direct 'NHS Direct will need 15,000 more nurses', (page 3, 22 October). Professor Jeremy Dale mentioned this too ('Wired for sound', 29 January). But, whether or not recruiting nurses indeed proves to be a problem, we should consider whether other health professionals may be able to give telephone advice. London Ambulance Service is testing telephone advice given by ambulance paramedics, and initial results
  • Ombudsman in call for more payouts to complainants

    Health service commissioner Michael Buckley has said he would like to see more financial compensation paid to patients whose complaints about the NHS are upheld.
  • overmatter

    Funny old thing, coincidence. Barely had this column yoked Paul Boateng's name with that of Alun Michael in the 'Michael Stone' policy debate last week than fate linked them via Ron Davies's ill-fated stroll on Clapham Common. Minister B took minister M's job at the Home Office when he moved up to fill ex-minister D's shoes in Wales.
  • Researchers warn of 'gardening leave' rise

    Researchers have warned that a major government review of procedures for suspending doctors must look at the rising use of 'informal' suspensions as well as the formal disciplinary process.
  • Roof delays threaten Isle of Wight services

    Ministers have been attacked for delays in approving a £25m package of repairs to a 'flagship' hospital which had been hailed as an example of ground-breaking architecture.
  • Strategy fears as MPs shuffle

    The departure of junior health minister Paul Boateng from the Department of Health in the wake of the Ron Davies scandal has raised concerns about the future of the government's new mental health strategy, due to be announced next week.
  • Surgery costs are mixed but not matched The reference costs for surgery should be treated with caution

    Like all 'league tables' ever published on any aspect of the NHS, this week's reference costs for surgery have prompted the trusts which find themselves in conspicuous positions to dash for cover. And like all previous league tables, they offer plenty of cover.
  • Take a risk, share the vision

    At last we can begin to distinguish the mental health wood from the policy trees. The new values are 'safe, sound and supportive', and this encapsulates a range of priorities.
  • The support group

    Derek McLean, medical director of Dundee Teaching Hospitals trust, is to chair the support group to review patient care at the Victoria Infirmary. Other members:
  • The times they are a-changin'

    The working time directive will cost the NHS millions and impose heavy new responsibilities on employers. John Northrop and Keith Hearn explain
  • Too soon to pass judgement on Queen Mary savings

    Your news story, 'Downgrade of top acute hospital fails to produce planned savings' (page 4, 8 October) is premature in its judgement.
  • WEB WATCH

    In Whitehall, agriculture minister Jack Cunningham sits with his colleagues, peering over his new ministerial red boxes. Unlike the previous government, this one 'will publish any report on public health immediately it comes to us', he promises, the shiny novelty of high office not yet having worn off.
  • Why do patients die?

    Too little has been done to discover the reasons for perioperative deaths, says a report published this week. Lynn Eaton looks at how that is set to change
  • Why no amount of fixing can prevent the conspiracy theory

    Your cover feature on the role of the health service commissioner ('The fixer', 8 October) misses the point in relation to people's continued dissatisfaction with the NHS complaints procedures.

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