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Health Service Journal

View all stories from this issue.

  • A matter of trust

    One challenge of merging health and social services in a pioneering trust is allaying the fears of both camps that the other will dominate, writes Pat Healy.
  • Angry MPs call for end to 'blurred roles' between health and social services

    Weed all about it:
  • Ashworth: the findings

    The allegations made by former patient Stephen Daggett were 'largely accurate'.
  • Assessment centre's restricted role

    Consultation has begun on proposals to create a Scottish Health Technology Assessment Centre to evaluate new treatments and advise on their use.
  • Box 1. Initial set of PCG functions: July 1998

    Improve the health of the population within the primary care group
  • Bringing in a common currency

    Spending on salaries is much the same as spending on patient services
  • Capital punishment

    A snapshot survey of A&E departments highlights lengthy waits for admission in many London hospitals even before the holiday pressures began.
  • Collecting charges: how the new unit will work

    The task of collecting the charges will be given to the compensation recovery unit, which is part of the Benefits Agency. It will levy a flat- rate fee of £354 for patients treated in accident and emergency departments or outpatient clinics, and a daily rate of £435 for those admitted to hospital as inpatients.
  • Culture shock

    Paddy Cooney seems particularly well qualified for his job as chief executive of the Avalon Somerset trust, due to become the integrated mental health provider Somerset Partnership on 1 April.
  • Days like this

    Anticipating Mrs Thatcher's NHS white paper... junior doctors' hours... nurses' grading appeals... suspended doctors...
  • Enquiring mind

    The late Brendan Devlin's contribution to evaluating surgical practice was ahead of its time and has had a lasting impact. Kaye McIntosh reports.
  • Environmental 'showpiece' gets £25.7m overhaul

    St Mary's Hospital trust has been given the go-ahead for a £25.7m programme to replace the hospital's steel cladding.
  • Events

    Items are entered free for public sector, voluntary and professional organisations, but we need at least six weeks' notice of your event. Please send details to Uli Jaeger, HSJ, Greater London House, Hampstead Road, London, NW1 7EJ. Fax: 0171-874 0254.
  • Events

    Items are entered free for public sector, voluntary and professional organisations, but we need at least six weeks' notice of your event. Please send details to Uli Jaeger, HSJ, Greater London House, Hampstead Road, London, NW1 7EJ. Fax: 0171-874 0254. E-
  • Future Perfect: the findings

    Change takes time - despite a great amount of activity, there was little transformation in services.

    Introducing Gadfly, an everyday story of trust folk. Appearing fortnightly...
  • Galbraith denies union claims of a recruitment crisis in Scotland

    Scottish health minister Sam Galbraith has issued a letter to Labour MPs denying claims by health unions that there is a recruitment crisis in Scotland.
  • GPs' retainer scheme 'offers model for NHS'

    A £3m project to promote part-time work in general practice could be 'a model for the NHS', leading GPs have argued.
  • Hancock's half hour

    Royal College of Nursing general secretary Christine Hancock gives blood at the RCN's central London headquarters.
  • In brief

    The Crown Prosecution Service has dropped manslaughter charges against two doctors at Great Ormond Street Hospital for Children - a specialist registrar in paediatric anaesthetics and a registrar in haematology - over the death of a 12-year-old patient wrongly given an injection of vincristine into the spine rather than into a vein. Prosecutors decided a catalogue of mix-ups at the hospital, rather than gross negligence by the doctors, was to blame. This is at least the seventh occasion on wh
  • In favour of outreach, 'fretting' about rights

    I was sorry to see that Michael White has misread the source of the King's Fund's 'fretting' (politics, 17 December).
  • In person

    Derek Smith, chief executive of King's Healthcare trust, is leaving at the end of this month to become managing director of London Underground. He has led the trust for nine years. The trust's director of finance and information services, Patrick Butcher, will become acting chief executive until a successor is recruited.
  • In person

    Derek Smith, chief executive of King's Healthcare trust, is leaving at the end of this month to become managing director of London Underground. He has led the trust for nine years. The trust's director of finance and information services, Patrick Butcher, will become acting chief executive until a successor is recruited.
  • Investment in training and team-building would pack a punch in boosting public confidence in the NHS

    'Silent majority' highlights some crucial issues. While many in the NHS would accept the theory that lay members have a role, uncertainty about how to involve them proactively leads to woolly thinking and the appearance of tokenism.
  • Keep taking the tabloids - and find a bed to stay in

  • Key points

    Research in Birmingham involving GPs, the health authority and the local medical committee found support for umbrella arrangements for some primary care group functions.
  • Laying it on the line over disparate expectations of PCG board members

    Primary care groups
  • Long-stay care ruling puts duty on NHS

    Compiled by Clare Dyer
  • Long-stay care ruling puts duty on NHS

    Health authorities suffered bruising defeats in the High Court just before Christmas in two challenges by patients to decisions on the use of healthcare resources.
  • Managers moonlight to make up for low pay

    Half of NHS managers do not think they are well paid and one in 10 has a second paid job, according to a Unison survey published as part of its campaign for higher pay.
  • Mental health plan 'failure' exposed

    The government's radical overhaul of mental health policy fell victim to inertia, short-term thinking and underfunding when put to the test in a two-day simulation exercise.
  • Milburn motors on

    Although Alan Milburn was technically health secretary Frank Dobson's understudy, the new NHS primary care programme will arguably go down in history as Milburn's reforms.
  • Monitor

    There comes a time in politics when you just have to come clean about that shameful secret before someone outs you. So Monitor wants to hear no sniggering now that the man who gave fundholding its academic credibility has admitted his embarrassing and somewhat perverse peccadillo. Yes, former Labour parliamentary candidate turned SDPer Professor Nick Bosanquet has taken the final step, and - according to one of Monitor's favourite magazines, the true-blue CMS Bulletin - now serves on the exec
  • News

    More than half of Northern Ireland's trusts expect to run out of money before the end of the financial year, according to a British Association survey which concluded that the province's hospital service was in 'severe distress'. The survey found that eight out of 14 responding trusts had lost beds over the past year and 13 had had beds blocked by patients medically ready for discharge, a problem blamed on underfunding in social services.
  • Nouvelle Labour's latest dish

  • One for the road

    The Road Traffic Bill will make it easier for the NHS to claim back treatment costs for crash victims. But will it be worth doing? Seamus Ward finds out
  • Patients win right to use medical records access act in litigation

    A court ruling has now made it clear that there is nothing to stop patients using the Access to Health Records Act - which was never intended to be used in litigation - rather than the standard litigation procedures.
  • Projects Editor

    We are looking for a new member of the team to help develop a range of activities branded with the HSJ name. Part of this role will be to establish how wide-ranging these activities should be, but we expect they will cover conferences, debates, seminars, awards, online services, briefing papers, research reports, books and other publications. The challenge is to spot the opportunity and devise the best format for getting the information across.
  • Proud of our record of treating homeless people and helping to rehabilitate them into society

    Having read your news story, 'Homeless using A&E due to poor GP access', (page 7, 17 December) I felt compelled to write about the reality of working with the homeless population.
  • Psychiatrists reject 'failure' of care policy

    The Royal College of Psychiatrists has challenged popular public assumptions that care in the community has failed.
  • Psychopathic disorder Therapy, rather than punishment for children, adolescents and adults

    I would like to clarify several points in response to HW Griffiths' letter on psychopathic disorder (17 December).
  • Ready sorted

    news focus; Health authority and trust chief executives in the capital have already experienced the forthright management style of Nigel Crisp, the man running the new London region.
  • Rushed deadline for three-way merger

    Hospital managers in Kent have been ordered to merge three acute trusts in less than four months.
  • Sex-change judgement appeal

    North West Lancashire health authority is seeking leave to appeal against a judgement quashing its decision not to fund gender reassignment surgery costing £7,000-£9,000 for three male-to-female transsexuals.
  • Short cuts: Alliance against assault follows smacking research

    An alliance has been launched under the name Children are Unbeatable! to lobby for children to be given the same legal protection against assault as adults. Around 200 organisations, including a number of medical royal colleges, are involved. The Department of Health last week received research from Save the Children and the National Children's Bureau showing that 'most' children describe smacking as hitting, and arguing that smacking children can 'reinforce cycles of violent behaviour'. The
  • Short cuts: First Scots integrated health and social care facility

    The Scottish Office has given the go-ahead for an £11m integrated health and social care facility - the first of its kind in Scotland.
  • Short cuts: Hayman details £10m of colorectal cancer projects

    Junior health minister Baroness Hayman has unveiled details of how £10m set aside for improving colorectal cancer services will be spent. Examples include £104,000 for a 'fast-track' clinic in Eastbourne and £36,000 for Birmingham Women's Hospital to investigate genetic links in the disease, which kills 20,000 people a year. Health authorities will be expected to 'report on the benefits 12 months after funds are received'.
  • Short cuts: New test for surgeons' hand-eye co-ordination

    A computer test aimed at assessing whether a surgeon has sufficient hand- to-eye co-ordination to profit from training in keyhole techniques has been developed by the psychology department of Hull University, with funding from East Yorkshire Hospitals trust. The test measures the speed and accuracy with which a subject can trace around a shape in a range of conditions.
  • Short cuts: PFI-funded hospital to go ahead on greenfield site

    Swindon and Marlborough trust has been given planning permission for a replacement for Princess Margaret Hospital after deputy prime minister John Prescott decided not to call the plans in for a public inquiry. The private finance initiative-funded hospital will be built on a greenfield site on the edge of Swindon, and opponents claimed this would contravene government green belt and sustainable development policies. A consortium headed by Tarmac Special Projects now hopes to complete the hos
  • Short cuts: Trusts told to set up 'robust' breast cancer systems

    Trust chief executives have been told to put 'robust systems in place' to track urgent referrals from GPs involving suspected breast cancer. Trusts will also be expected to monitor referrals from February to 'test the new reporting instructions' and provide updates for health authorities on progress towards meeting the government's target of ensuring that all such referrals are seen by a specialist within two weeks.
  • Size does matter in ambulance performance

    In your article about performance indicators (news, page 2, 10 December) it would have been helpful if you had pointed out that the London Ambulance Service received more complaints than other ambulance services because it is considerably larger than any other service in the country.
  • Supra troupers

    A study into the development of one city's primary care groups found backing for a supra-PCG, which would monitor standards and provide management support. Judith Smith and colleagues explain
  • The icepick man cometh

    New health minister John Denham is happy to be called a moderniser after a Bennite past. But will his appointment mean a leadership vacuum at a crucial stage of policy development, asks Patrick Butler.
  • The top 10 earners: Road Traffic Act income, England 1996- 97

    Trust Income
  • 'There is a crisis. I'm not denying it'

    Hospitals have buckled under the strain of this year's winter pressures. Thelma Agnew and Laura Donnelly report HSJ's findings, as health secretary Frank Dobson gives his verdict:
  • There is little evidence that psychiatrists can treat personality disorder

    Michael Howlett (letters, 26 November) makes a strong case for psychiatrists to become more involved in managing psychopathic disorder. But he treats it as a single entity, which is understandable as many psychiatrists (including HW Griffiths, to whose letter he was responding) talk about it in this way. It is less confusing to differentiate between personality disorders and situations where the term 'psychopathic disorder' is used or misused.
  • Time-wasters

    About half the calls made to Nottinghamshire Ambulance Service over the holiday period were a 'waste of time', claims trust spokesman Phil Morris.
  • Top trust is left without a leader

    One of Scotland's most prestigious trusts has been left without a chief executive after new recruit Malcolm Stamp announced his intention to stay on at Norfolk and Norwich Health Care trust.
  • 'Urgent' Scots intensive therapy unit report due

    Scottish health boards ordered to review provision of intensive therapy and high dependency units must report to chief medical officer Sir David Carter next month.
  • Verdicts mixed after Ashworth unit probe

    this week

    It is a hard life as an expert medical witness. Slaving away for just £124 an hour to prepare your evidence, and going to court for £870 a day - it's barely enough to keep the Woolf from the door.
  • When stuck in a hole, the thing to do is stop digging

    Labour's mental health policies may lead to inertia and short-termism

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