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Health Service Journal

View all stories from this issue.

  • A brighter future?

    The Institute of Health Research at Lancaster University is seeking to tackle problems in rural health in a two-year research project. It aims to address the health needs of the farming community and their exclusion from health services - a result of farming and health service timetables clashing.
  • All bull?

    Lord Phillips' £27m inquiry into BSE reveals serious failings at the DoH as well as at MAFF. But it's pretty timid stuff, reports Patrick McCurry
  • Avoid HR: botulism's better

    Recently a writing commission for a firm of publishers has been keeping me busy moonlighting.
  • BBC grilling procures a Crisp but variant reply

    If history isn't busy worrying about something more important, it may record that Alan Milburn was the first MP to congratulate Michael Martin, the new speaker, on his first day at work - having voted for him rather than for his Geordie neighbour, Dr David Clark, as Tony Blair probably wanted.
  • Cancer experts call for action on GMC's confidentiality rules

    General Medical Council rules on patient confidentiality are threatening cancer research and monitoring of the national cancer plan.
  • Changing attitudes takes time and willingness

  • Clever Trevor

    Trevor Jones,49, has spent almost all his working life in local government and the NHS. Born in Penshaw, County Durham, he became a local government trainee accountant in 1969.In 1978 he was appointed regional auditor and senior assistant regional treasurer with the Northern regional health authority.
  • Coming soon to the NHS near you. . . the main players

    Acute General Healthcare Group, BUPA and Nuffield Hospitals account for nearly 60 per cent of the independent acute hospital markets.
  • Days like this

    Health authorities are being allowed to delay paying creditors just months after the Commons social services select committee condemned the practice as 'deplorable. Falling receipts from land sales and the need to clear underlying deficits before the start of the internal market on 1 April have driven some HAs to consider delays until after the end of the financial year.
  • Deacon gives Scottish blood transfusion service all-clear

    Scottish health minister Susan Deacon is refusing to consider compensation after a 12-month investigation cleared the Scottish National Blood Transfusion Service of any blame for infecting haemophiliac patients with hepatitis C.
  • Dear Mel. . .

    As the chief officer of a community health council I am a bit worried about what I and my council members will do once CHCs are abolished. Any ideas?
  • Doctors want to spend more time with patients

    The British Medical Association's general practice committee wants GPs to double the time they spend with patients from seven minutes to up to 15 minutes. The BMA says that an average GP carries out 10,000 consultations per year but cannot spend enough time with each patient to guarantee a quality service for all. GPs are being asked their views on ways to modernise the service in the light of the NHS plan's aim for all patients to be guaranteed a GP appointment within 24 hours. Hamish Meldru
  • Equal pay case to boost salaries for women managers in NHS

    A ground-breaking equal pay case has forced the Department of Health to review the way salaries are determined for top women managers.
  • 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:020-7874 0254.
  • Flight arrivals

    The policy of 'dispersing' asylum seekers has strained local health services and highlighted the need for a healthcare strategy. Alison Moore reports
  • For experienced eyes only

    Making clinical governance work for you Ruth Chambers and Gill Wakley Radcliffe Medical Press 266 pages £19.95
  • Health committee: government response

    The government has published its response to the Commons health committee's report on mental health.Noting the committee's concerns about the experience of black and minority ethnic users and continuing inadequacies in services, it promised to charge its mental health taskforce to tackle the issues.But it responded to the select committee's demands for the closure of the three special hospitals by flagging up extra investment in secure services.
  • Health without a care

    What constitutes health improvement? And with so many differing definitions, what chance has it got, ask Stephen Abbott and Steve Gillam
  • Health workers 'most content'

    Health sector workers are 'the most content' with their work life, compared with those in central and local government or the private sector, a survey has revealed.
  • Historic concordat sparks new fears of workforce crisis in NHS

    The government has launched its concordat between the NHS and private healthcare sector, putting it on a formal footing for the first time and raising fears it will worsen the staffing crisis in the NHS.
  • hospital infections

    Nearly one in 10 patients acquires a new infection in hospital, at a cost to the NHS of around £931m. And some of it could be avoided, reports John Appleby
  • How the notion of 'trivia' can help define the clinical content of general practice

  • HSE moves in to stem violence against staff

    The Health and Safety Executive has ordered a Scottish primary care trust to take immediate action to protect vulnerable staff from potentially violent and aggressive patients.
  • In Brief

    Microbiologists say they are winning the battle against hospital-acquired infections like Methicillin resistant staphylococcus aureus (MRSA).Dr Bob Masterton and colleagues from Western General Hospital in Edinburgh have discovered that levels of resistance to antibiotics have stopped rising for the first time in 10 years.
  • in person

    Eric Jakeman has been appointed finance director of Bromley Hospitals trust. He was previously deputy finance director.
  • IoD attacks 'quangos and talking shops'

    The Institute of Directors says the NHS Plan will result in more bureaucracy with 'more quangos, committees and other talking shops' in a new research paper Management, Mutuality and Risk: better ways to run the National Health Service.
  • Ledward victims seek compensation from HA

    Victims of the disgraced surgeon Rodney Ledward, who died from pancreatic cancer last month, say they will be seeking financial compensation from East Kent health authority. Detectives were on the verge of bringing charges against Mr Ledward, the self-styled 'fastest gynaecologist in the South East', and had been looking to extradite him from his home in southern Ireland. Six widowers claim that he botched operations that led to the deaths of their wives, and dozens of criminal assault allega
  • Local services 'must be responsible for bringing prison care up to scratch'

    Local NHS mental health services should take the lead in ensuring that levels of care for prisoners match current good practice in the NHS, according to a report by the government's working group on prison nursing.
  • Mental health experts attack plans to detain without trial

    The government is pushing ahead with controversial proposals to detain dangerous people with severe personality disorder without trial.
  • monitor

    Ann Widdecombe - now there's a lady, sighs Monitor. Some suggested her proposals to fine, or possibly maim, cannabis users were the product of an unclear mind. The rest of the Tory Party turned on the fragrant lady, taunting her with smoky reminiscences of their drug-addled past. But our sturdy wannabe home secretary stood firm, even when best brownie Yvette Cooper joined the: 'I tried it and it wasn't for me' party.
  • MPs pack meeting over replacements for CHCs

    More than 50 MPs packed a meeting of the all-party group on community health councils last week. Vice-chair of the group Labour MP Deborah Shipley said there was 'standing room only' at the meeting, requested by junior health minister Gisela Stuart. Ms Shipley said there was 'a need for more thought' on the roles of patient liaison and patient advocacy. Being a liaison officer for a trust was 'very different from being a patient advocate', she said. An HSJ source said 'Gisela was given a very
  • NHS chief is more than just flavour of the month

  • NHS is a rich resource of archive material

  • NHS must identify barriers to ethnic jobs

    NHS organisations must identify any barriers to employing staff from Asian and other ethnic communities to ensure that hospitals and other services reflect the community they serve, says health minister John Denham. Launching a package of measures to improve recruitment from ethnic groups, Mr Denham said that all NHS organisations must set local targets for recruiting from ethnic groups, particularly in areas where there was poor representation that does not reflect local demographics. While
  • NHS ordered to act now amid fears over winter

    The NHS has been ordered to speed up the expansion of intermediate care services, spend more on social services and buy capacity from the private sector amid fears that it is facing a winter crisis.
  • Nicer leaders are not really what patients need

  • Nightmare as beds in homes'disappear'

    'It's a nightmare. It's the single most intractable issue that we have ever had to face. Staff are quite exhausted by it and we haven't even started the winter yet.'
  • No shame, no blame: what the report says

    In its plea for openness, the inquiry lacks conviction.The report, published last Thursday, runs to 16 volumes.Despite advocating openness as 'the correct approach'it is characterised by a cautious tone and a reluctance to pinpoint blame.Indeed, the summary document, published alongside the report, shies away from any criticisms of individuals, 'which should only be read in their proper (4,000 page) context'.
  • Number of members struck off UKCC register increases again

    The UK Central Council for Nursing, Midwifery and Health Visiting has reported a rise in the number of members being struck off.
  • Nurses to be given extended powers to prescribe

    Around 10,000 nurses are to be given extended powers to prescribe a range of drugs and medicines for minor ailments and injuries, and chronic conditions like asthma and diabetes. Last week junior health minister Lord Hunt launched a consultation document on the plans, which arose from the 18-month-long Crown report, which recommended an extension of nurse prescribing rights. The Department of Health has already allocated £10m from 2001 to 2004 to train more nurses to prescribe. Under the
  • Partnership is a necessity not merely a fashionable solution

  • Private wings, ruffled feathers

    Will the private sector gallantly rescue the NHS from winter turmoil and long waiting lists - or will it simply poach trained NHS staff and sell their services back to the taxpayer at a profit? Tash Shifrin reports
  • Public consultations have to give all the facts and allow the public to make up its own mind

  • Ready for take-off, but concordat could nose-dive

    Warm embrace of private healthcare by Labour is high-risk strategy
  • Shame about the 'evidence'

    Phillips report on BSE must give politicians of every hue pause for thought
  • Shot down

    The government's target of more than half of people over 65 being vaccinated against flu this winter seems unrealistic in view of general practice organisation, Punam Mangtani and Jenny Roberts report
  • Stocking to be head of agency

    Director of South East regional office Barbara Stocking has been named director of the NHS Modernisation Agency.
  • Suits you, sir

    The new chief executive of the NHS in Scotland is a manager's manager. Colin Wright looks at the implications of the appointment
  • Tales of the expected

    The highs and lows of acute sector demand are far more predictable than is often thought, and can be planned for in summer and winter, write Tony Jewell and Hilary Spiers
  • The big check-up

    Regulating doctors Edited by David Gladstone Institute for the Study of Civil Society 73 pages £5
  • The human side of supervision

    Successful supervision in health care practice Promoting professional development Edited by Jenny Spouse and Liz Redfern Blackwell Science 188 pages £16.99
  • The killing fields

    Shocking levels of suicides among farmers are pointing to a gap in rural mental health services. Claire Laurent reports on possible remedies
  • Trusts told to prepare for new fuel crisis

    Trusts are being told to stockpile supplies and fuel, and regional offices must be ready to provide round-the-clock crisis cover, if Britain hits a second fuel crisis.
  • Unkindest cut?

    Bill Clinton's government thought a massive programme of cuts to the health budget could be withstood by the industry. It may have been very wrong, writes Howard Berliner
  • Visits to homes

    The organisation of the influenza programme for those unable to attend the clinic was similar in all practices, which contacted homes for elderly people in their area asking for the names of those due to have influenza vaccinations.

    Should you ever be in Minneapolis, you could do worse than while away a few hours at the Museum of Questionable Devices. Happily, those of us unlikely ever to cross its threshold can examine the Battle Creek vibratory chair, McGregor rejuvenator and much more besides from the comfort of our own desks.
  • We're facing the same direction

  • What exactly is intermediate care?

    Everyone thinks intermediate care is a wonderful idea.But progress is hampered by uncertainty about what it means.

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