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Health Service Journal

View all stories from this issue.

  • 13th hospital deal signed

    A deal giving the go-ahead for a £67m, 347-bed hospital for Bishop Auckland, County Durham, has been signed at 10 Downing Street. It will be the 13th major hospital built under the PFI scheme.
  • Advice from rich man in Roller is not welcome

    Don't trust a man who drives a Roller to advise how to make a Morris Minor go faster. Roy Lilley (letters, 13 May) has ideas which are both good and original, 'but those which are good are not original, and those which are original are not good'.
  • Art of the possible the scientific way

    Evidence-based health promotion
  • Birthday conference cost IHSM dear

    The Institute of Health Services Management has collapsed into the second worst deficit in its history thanks largely to last year's financially disastrous NHS 50th birthday conference, according to figures released this week.
  • Bristol inquiry told of chief's loyal 'club'

  • Campaigners win council seats

    Campaigners fighting to stop Kidderminster General Hospital being downgraded have won 11 seats in local council elections.
  • Charters to lay down long-term care standards

    Local housing, health and social services bodies will be required to co-operate in drawing up joint charters setting out local standards on long-term care under draft government guidance published this week.
  • Confederate flagging

    news focus
  • Count the cost

    clinical audit
  • Coventry plan is sent to Dobson

    A £200m private finance initiative scheme to build a new hospital in Coventry has been referred to health secretary Frank Dobson by the community health council.
  • Crisis trust's non-execs get sack

    A community trust has lost its entire non-executive board following the intervention of health secretary Frank Dobson in a long-running boardroom feud.
  • Days like this

    Fears over executive members... White paper response divides... Ads 'broke conventions'... GPs' contract rebellion... Clarke's Euro defeat...
  • Defence mechanisms

  • Developing whirl

    career exchange
  • Do the continental

    news focus
  • Education change on the gender?

    Nurses and doctors at work
  • 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.
  • Frank discussion:

    Patricia Moberly, chair of Guy's and St Thomas' Hospital trust, chats to health secretary Frank Dobson and Professor Mike Richards during a ministerial visit to St Thomas' Hospital.

    career exchange
  • Government stops CHI covering private sector

    The government has overturned a Lords amendment to the Health Bill which would have allowed the Commission for Health Improvement to regulate both NHS and private hospitals.
  • Government under pressure to publish delayed PFI review

    A Labour MP opposed to the private finance initiative has tabled a series of parliamentary questions to flush out the government's promised PFI review.
  • HAs press for guidelines as refugees move to join families

    The government is being pressed to issue new guidance to health authorities and other agencies as Kosovar refugees airlifted to northern cities drift south to join family and friends.
  • How can podiatrists be regulated by other professions?

    Carol Harris's article, 'Toeing the line', (pages 24-25, 15 April) failed to express the concerns of the individual professions allied to medicine about the Health Bill. Current ministerial assurances to PAMs on retaining self-regulation are disinformation: self-regulation of the individual professions is not being proposed. State-registered professions that are currently self-regulating will become accountable to other professional groups.
  • How the survey works

    Men and women over the age of 16 were asked to rate their health on a five-point scale, ranging from 'very good' to 'very bad'.
  • in brief

  • in brief

    Seventeen trust non-executive posts fell vacant in 1998 and had not been filled by 1 May 1999, health minister John Denham has admitted. They included the chair's post at Chester and Halton Community trust, and two board places at East Surrey HA.
  • In on the act?

  • in person

    Tees and North East Yorkshire trust has seven board-level appointments. Moira Britton, who headed the former South Tees Community and Mental Health trust, is chief executive of the new trust. She is joined by chair Eileen Grace, a Labour councillor and deputy leader of Middlesbrough council. Dr Kathryn Gillen, Eleanor Young, Maureen Hamilton, Dr Alan Brighouse and Bill Gamble have been appointed as non-executive directors.
  • In the city: London health issues

    Detentions under the Mental Health Act in London are nearly twice as high as the national average;
  • Indefinite articles

  • Is your whistleblowing policy up to the job?

    Few of the draft policies by trusts and health authorities sent to Public Concern at Work comply with the new legislation. Indeed, the wording of some of them, no doubt inadvertently, makes it more likely that a member of staff will be protected if they make a disclosure to the media.
  • It's the pits

    news focus
  • Keeping track - the three different routes for claims

    Small claims: for claims up to £5,000 or personal injury claims up to £1,000. Designed to be informal and for the litigant in person. An unlikely forum for clinical negligence claims.
  • Key points

    A system for calculating the cost of clinical audits in terms of money and staff time has been in operation at Brighton Health Care trust since 1995.
  • Key points

    High-quality, dedicated management support was crucial to the GP commissioning pilots.
  • Lack of detail on PFI angers MPs

  • Last chance to resuscitate IHSM

    Radical action is only hope institute has of seeing in its 100th birthday
  • Laugh? He nearly cried

  • Lending a hand

    primary care groups
  • Lessons for PCGs from GP commissioning pilots

    primary care groups
  • Lib Dem takes health chair

    Kirsty Williams, the Liberal Democrats' Welsh Assembly member for Brecon and Radnorshire, has been appointed chair of its health and social services committee.
  • Made simpler: glossary of main new terms:

    Out In

  • Money talks: the price of a clinical audit department

    To calculate the hourly cost per person in the clinical audit department, we divide the total pay and non-pay annual cost of running the department (£156,878 in 1997-98) by the total person hours available each year (12,316 in 1997-98) to provide an hourly cost per person (£12.74 for 1997-98).
  • monitor

    As a patron of the arts, Monitor has been greatly troubled of late by the dearth of fresh young talent whose works might prove both a sound investment and an adornment to the walls of HSJ Towers. Happily, the search need go no further. The time has come to recognise the talents of a woman who has already made her mark on public life, is working on an eagerly awaited novel and now reveals herself as an artist of merit. Monitor speaks of none other than Ann Widdecombe. Dobbo may have flunked th
  • Mystery as chief resigns

    A Birmingham trust chief executive has resigned 'out of the blue' - prompting questions from unions.
  • NICE sets timetable for appraisals

    The National Institute for Clinical Excellence still hopes to produce its first set of guidelines and appraisals this year.
  • Not as bad as it looks: the accounts

    At first sight, the confederation's accounts look disastrous: turnover appears to have plummeted, with management costs soaring as virtually all other activity comes to a halt (see table, below).
  • Only 60 new jobs as counter-fraud unit starts

    I read with interest your news story 'Counter-fraud teams bring hundreds of jobs' (news, page 5, 29 April).
  • Our time has come

    open space
  • Paid cover for union reps has worked for us

    We read with interest the news item about paid cover for union reps being considered by the government (page 2, 6 May).
  • Patients sent to private hospital face ops after eye injection error

    An independent inquiry has been set up to investigate how 19 patients came to be injected with a potentially blinding solution at a private hospital as part of a blitz on NHS waiting lists.
  • Preventing and dealing with harassment - a case study

    Hammersmith Hospitals trust has introduced a number of measures to prevent harassment. The trust has a general policy for dealing with harassment at work and management guidance on handling incidents. This includes mechanisms for:
  • Raid on Welsh capital budget finances 'record' HA payout

    this week
  • Rating of IT arrangements (August to October 1998)

    Interviewees were asked to rate IT arrangements using a 1-5 scale.

    1 Department of Health. First-Class Service, quality in the new NHS. HMSO, 1998.
  • Research aims to define equity and where the worst inequities apply

    It is interesting to read of progress with health improvement initiatives and health action zones.
  • Rising young star who argues over the bill

    westminster diary
  • Rock-a-bye

    Jenny Hope (left), midwifery manager at Arrowe Park Hospital, Wirral, helps Nichola Brown with her newborn son, David, and an elevating cot designed to help disabled parents care for their children. Ms Hope designed the cot in consultation with occupational therapists Mandy Whalley and Gaynor Reid after a disability audit at the hospital. It showed that access to a conventional cot can be difficult for wheelchair users or those who have difficulty reaching or lifting. Prototypes built by spec
  • Separated at birth

  • Short cuts 'Appalling' racism found in psychiatric hospitals

    A Mental Health Act Commission visit to collect information on patients from black and ethnic minorities found 'appalling instances' of poor treatment. More than 150 commissioners visited 110 psychiatric hospitals this month to investigate their policies, procedures and practice. The findings are due to be published in October. Commissioner Kamlesh Patel, director of the University of Central Lancashire's ethnicity and health unit, said that while there was evidence of some good practice, the
  • Short cuts Dental health group calls for water fluoridation law

    The National Alliance for Equity in Dental Health, an umbrella body for 40 royal colleges, medical organisations and charities, has called for a government commitment to introduce legislation to force water companies to fluoridate supplies when asked to do so by a health authority to be included in the 'imminent' public health white paper. The alliance claims that 50 HAs are currently unable to implement water fluoridation policies because of water company vetoes, and says action would preven
  • Short cuts HAs' reviews of acute services point to cost-cutting

    Three-quarters of health authorities in England and Wales have undertaken a recent review of acute services without official instruction from the Department of Health, according to an unpublished NHS Support Federation survey of directors of public health. Only 10 per cent of HAs carrying out a review had a budget surplus, while 55 per cent were in deficit - suggesting the reviews could have been motivated by a need to make savings, according to the federation. Thirty-four per cent of respond
  • Short cuts Hillingdon chief to head London's millennium work

    Philip Brown, chief executive of Hillingdon Hospital trust, has been appointed to co-ordinate work on the year 2000 problem in London by the regional office of the NHS Executive. His appointment coincided with figures showing that 16 NHS organisations were classed as making 'unsatisfactory' progress on year 2000 issues in March - a jump from six in December. Regional director Nigel Crisp said a series of 'in depth' meetings had been set up to examine the problems, but claimed patient safety w
  • Short cuts MDU welcomes guidance on PCG board liabilities

    The Medical Defence Union has welcomed guidance from the NHS Executive clarifying the position of GPs serving on primary care group boards. The guidance says PCG chairs and non-executives who act 'honestly and in good faith' will not have to meet the cost of 'any personal civil liability which is incurred' in carrying out their duties and can seek personal civil liability indemnity from trusts or HAs to cover the work. Dr Christine Tomkins, head of professional services for the MDU, said: 'In
  • Short cuts Multiple sclerosis charity wants NICE action on drug

    The Multiple Sclerosis Society is calling for the National Institute for Clinical Excellence to look at the provision of beta interferon to ensure it is 'available equitably to those patients whose consultants believe they will benefit from it'. In an adjournment debate in the House of Commons, MP John Bercow also urged the government to ensure the hugely expensive drug was funded before NICE issued guidelines, and to 'be open about whether NICE decisions will be dependent on how much money i
  • So much ammunition to fire at the sitting-duck ministers

  • The changes: main points to watch for

  • The price regulation scheme is dead, long live better purchasing in the NHS

  • The right to fertility treatment

    Currently, the NHS limits its funding of fertility treatment. However, article 12 of the convention enshrines the right to found a family (see box 1), which could allow patients to claim fertility treatment on the NHS as of right. Diane Blood succeeded in securing the frozen sperm of her husband, who had already died following meningitis, so that she could be impregnated.*
  • Unions furious as trust cuts nurses' pay award

    Nursing unions have been angered by a Glasgow trust's attempt to claw back part of its nurses' pay.

    When the Foreign Office barred diplomats from attending beanos and booze-ups sponsored by the tobacco industry earlier this month, noted anti-smoker and health secretary Frank Dobson was naturally on hand to welcome the move as 'yet another example of us translating words into action'.
  • We're no HAS beens - we're here and busy

    David Hunter makes reference to 'the Health Advisory Service' in terms which could be interpreted as critical and convey an impression that the organisation is no longer active or influential ('Live from Leeds', 6 May).
  • What ever would the mayor say?

    news focus
  • What the European Convention on Human Rights says

    Article 2: 'Everyone's right to life shall be protected by law. No one shall be deprived of his life intentionally...'
  • What's happening: EU health programmes so far

    Existing EU health programmes aim to complement rather than substitute for the public health activities of member states. Several action programmes have emerged in the context of the 1991 Maastricht Treaty: on AIDS and other communicable diseases, on cancer, drug dependence, health promotion measures, heart monitoring, pollution-related diseases, injury prevention and rare diseases.
  • When can a patient be allowed to die?

  • Woolf at the door


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