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Health Service Journal
25 October 2007

View all stories from this issue.

  • All Our Yesterdays

    October 24, 1941, Public Assistance Journal and Health & Hospital ReviewBoard of Trade information regarding the number of coupons that had to be surrendered for the purchase of uniforms to be worn by civilians was published this week.‘As uniform wearers do save on their non uniform clothing, they will be allowed to surrender coupons on a reduced scale, on the basis of the type of uniform supplied,’ it said.For men, a jacket was five coupons and trousers four. A greatcoat
  • Ambulance network boosts 999 'clout'

    The ambulance service will gain greater 'political clout' through a new NHS Confederation network.
  • Andrew Castle on improving procurement processes

    Collecting and interpreting data is an essential part of supply chain management
  • Anna Donald on healthcare in Australia

    Returning to Australia from the UK brings to mind the differences betwen the two countries' healthcare systems, in particular Australia's clear separation of insurance and provider powers
  • Barnet

    The chief executive of Barnet, Enfield and Haringey Mental Health trust has left the trust after less than three months in the job, HSJ has learnt.Interim chief executive Martin Brown, who is an associate director at consultancy firm Mental Health Strategies and former head of health at the Audit Commission, replaced former chief executive John Newbury-Helps who left the organisation in July. Mr Brown was expected to remain in post for six months until December when the t
  • Barometer: public health October 2007

    October has seen a tentative increase in confidence over halting the rise in childhood obesity by 2010, according to this month's HSJ Barometer of public health directors. August's low of 2.91 has risen to 3.52 out of 10.
  • Behind closed doors: is Kent infection scandal a one-off?

    Maidstone and Tunbridge Wells’ Clostridium difficiledeaths drew intense scrutiny. Alison Moore looks at what went wrong, how it was kept quiet and lessons for the rest of the service
  • chief exec resigns

    David Law, the chief executive of troubled West Hertfordshire Hospitals Trust, has resigned in the wake of its poor annual health check performance.The trust was one of four that failed to move up from 'weak' ratings in both quality of services and use of resources.
  • Clinical networks - delivering world-class commissioning

    Clinical networks have proven to be a valuable tool in delivering effective service provision and commissioning. Peter Melton explains
  • Community matron intervention tools

    Gina Jones at Coventry primary care trust has kindly supplied NHS Networks with some community matron intervention tools developed by the PCT. These are now available to download from the community matrons network.
  • Creating a viable national maternity service

    Confidence in flexible community midwifery services should transform current reliance on acute settings, writes Marina Colville
  • Cycle to work scheme booklet

    The London NHS travel plan network has published a guide to the government’s cycle to work scheme in collaboration with the London Cycling Campaign. The scheme provides employees with tax-free loans to purchase bikes for commuting to work. The booklet includes a list of trusts currently operating the scheme.
  • David Amos on the Wanless report

    Six years have passed since the publication of Sir Derek Wanless's interim report on the long-term view for the NHS. What has changed since then?
  • David Peat on ending the enslavement of health inequalities

    Overcoming health inequalities that have built up over generations will take vision and determination
  • diabetes

    There is 'room for improvement' in the uptake of key diabetes control tests according to a report from The Information Centre for health and social care.The National Diabetes Audit, carried out by The IC on behalf of the Healthcare Commission, for 2005-2006 shows only 30 per cent of people are having all of the recommended tests although the level of achievement is increasing each year.The report, designed to monitor care and help ensure consistent quality across the country, sh
  • Duleep Allirajah on making patients' voices heard

    Proclaiming the virtues of choice and voice is all well and good, but what are primary care trusts doing to strengthen patients' involvement in commissioning?
  • Foundation trust applicants face an uncertain future

    It is widely accepted that the target for all trusts to become foundations by December 2008 will not be met. But what is the future for those that will not make the grade?
  • Foundation trusts applications: shape up or ship out

    The deadline for all acute trusts to apply for foundation status by 2008 has proved unrealistic. What now for those that have not made the leap? Helen Mooney reports
  • Health check ratings: primary care scores 'not like with like'

    The NHS Confederation has defended primary care trusts' apparently poor performance in the Healthcare Commission's annual health check, saying the results do not compare like with like.
  • Health profile: experts say child obesity targets may miss the point

    New targets to spur on efforts to tackle the nation's worst public health problems may not work, experts have warned.
  • Hospital choice: fewer options for patients

    Fewer patients are being offered choice of hospital, the latest patient choice survey shows.
  • How can we stop chief executives' rush to quit with a golden handshake?

    While experienced chief executives can be paid off even after gross misconduct, first-timers are often persuaded to take reputation-damaging jobs at failing trusts. Neither is acceptable - the health service needs to take more care of its talent, says Nigel Edwards
  • ill health

    Trusts will take on a greater financial burden when workers retire early due to ill health, under proposals launched this week by NHS Employers and trade unions. A three-month consultation is taking place on the proposals, which aim to give employers greater incentives for reducing sickness absence and ill health retirement. Further details and the consultation document can be found at
  • In this week's HSJ

    NewsThe National Association of Patient Forums has failed in a last-ditch attempt to prevent NHS organisations being allowed to host the new local involvement networks.West Hertfordshire Hospitals trust chief executive David Law has resigned following the trust's poor annual health check performance.The ambulance service will gain greater 'political clout' through a new NHS Confederation network. The network will combine the Ambulance Service Association,
  • Kate Silvester on managing staff, not parenting them

    In a hierarchical NHS, how can managers help create a world of equals where everyone contributes?
  • Keogh joins HSJ patient safety congress

    NHS medical director Professor Sir Bruce Keogh will be among the speakers at next year's inaugural Patient Safety Congress, which is being organised by HSJ and its sister title Nursing Times.
  • Local commissioning: DoH sets out skills PCTs will need

    The Department of Health has set out the skills primary care trusts will need to deliver its vision for world class commissioning in the health service.
  • Maidstone chair aims to regain trust of staff

    Maidstone and Tunbridge Wells trust has announced the appointment of an interim chair to steer it through the aftermath of the fatal outbreak of Clostridium difficile.
  • Media Watch: Cornwall trust achieves YouTube fame

    Just when the managers at Royal Cornwall Hospitals trust thought things could not get much worse, medical staff released a video mocking its performance.
  • Michael White on getting tough on obesity

    Politicians need to do more to tackle the growing obesity problem
  • Mystery over sudden exit of Barnet chief executive

    The interim chief executive of Barnet, Enfield and Haringey Mental Health trust has left after less than three months in the job, HSJ has learned.
  • National Association of Primary Care

    The new head of the National Association of Primary Care has called for GPs to be more accountable for their decisions.Mike Ramsden said 'GPs should be accountable for the cost effectiveness of the decisions they make'
  • new ambulance network

    The ambulance service is gaining greater ‘political clout’ through a new NHS Confederation network. The network will combine the Ambulance Service Association, which represents trusts, with the NHS C
  • New cardiac network website

    Shropshireand Staffordshire cardiac network has launched its new website. It contains information about heart diseases and procedures, local services, and the network's activities.
  • NHS London's got talent

    The capital's health authority is setting up a talent spotting programme to groom would-be chief executives.NHS London is setting about seeking and training those who have the potential to become chief executives of hospital and primary care trusts.NHS London chief executive Ruth Carnall said the authority wanted to develop the ability of talent people.‘We don’t expect them to be the finished article already, we want to spot and grow potential. They will need determinatio
  • NHS paying high price for sexual health

    The government's lack of commitment to sexual health is costing the NHS millions, charities have warned.
  • NHS Scotland to face independent scrutiny

    The Scottish government has outlined its plans for independent scrutiny of reconfiguration and service changes in NHS Scotland.
  • North Wales reconfiguration plans under scrutiny

    Welsh health minister Edwina Hart has sent NHS managers back to the drawing board over controversial plans to reconfigure services in North Wales.
  • Patient involvement: NHS organisations can host local networks

    The National Association of Patient Forums has failed in a last-ditch attempt to prevent NHS organisations being allowed to host the new local involvement networks.
  • Paul Allen on the will to succeed

    Sports psychology teaches us that a positive attitude and self-belief are the keys to success
  • Primary care's big challenge is acting on great expectations

    One of the stated aims in the Department of Health's vision of world class commissioning is to eliminate health inequalities. Not to reduce them, but to get rid of them altogether.
  • Private provision: Lamb calls for probe into ISTC waste

    Liberal Democrat health spokesman Norman Lamb has called for a formal investigation of independent sector treatment centres after HSJ revealed that the NHS paid for 50,000 operations last year that did not take place.
  • Public health networks reorganised

    The public healthelectronic networks project has now come to an end and the content of some of the sites has been moved to new sites.
  • Raising organisational energy

    Raising energy levels by just a small amount can yield great results for organisations, says Rupert Symons
  • Scots NHS24

    The troubled Scottish telephone helpline NHS 24 has lost its third boss in three years, this time after less than six months in post. Sandy Forrest, a former deputy police constable, stepped down last week. A statement said he had joined NHS 24 with a number of external commitments and it had not proved possible to keep these up. A spokesman denied it was linked to recent criticism of NHS 24 over delays experienced
  • Separating services: a guide for PCTs

    PCTs need to separate provider and commissioner services to demonstrate transparency, accountability and modernised regulation. Christian Dingwall explains how to achieve this
  • Staff engagement: getting it right

    After 18 months running the out-of-hours GP service in Cornwall, services company Serco has learned some valuable lessons about training and staff engagement
  • Takeover not a good option, say chief execs

    Chiefs executives at the worst-performing trusts identified by the annual health check have hit back at the threat of takeover.Health secretary Alan Johnson has asked health service chief executive David Nicholson to urgently meet the four rated weak’
  • The lessons of e-learning

    The medical profession has had a difficult relationship with IT recently. Yet, away from the media spotlight, there has been a quiet computer-led revolution in the world of medicine. Janet Husband explains
  • The Men and Pharmacy project

    Postmen are to be the first to benefit from a project launched by the Men’s Health Forum to encourage men to visit their local pharmacy.The Men and Pharmacy project aims to find out why men make only limited use of pharmacy services and how this might be improved.As part of the project men at Royal Mail sites will be targeted with specially-designed, ‘male-friendly’ information which will explain what services are offered by local pharmacies and encourage men to use them.
  • Thousands of doctors may be working illegally

    Human resources managers are becoming increasingly worried about the number of junior doctors still working without contracts.
  • Two new tools to help diabetes networks

    Developing a Diabetes Service: using the diabetes commissioning toolkit provides a systematic approach for everyone involved in diabetes networks on how to use the diabetes commissioning toolkit. It aims to bridge the gap between national policy and local services to commission effective diabetes services.
  • 'Urgent action' needed on poor money management, says Audit Commission

    One-third of NHS organisations are still in poor financial health - and a hard core requires 'urgent action'.
  • US health: Sicko's grim diagnosis

    It may be naive and polemical, but Michael Moore's controversial documentary Sicko reminds us we should treasure the NHS, says Noel Plumridge. Below, Empire magazine's Helen O'Hara reviews the film
  • Weird world health

    You never know what you've got til it's gone. As one Mark Smith of Newtown, south Wales, has found out after being banned under an Asbo from entering any NHS premises in the UK. Singularly capable of wrecking any trust's attemtps to meet the four hour A&E target, Mr Smith has received the ban after repeatedly faking drug overdoses and heart attacks to get overnight stays in hosptial - he was admitted to hospitals 320 times between 1993 and 2007. He has also been
  • West Herts chief steps down in wake of attacks from three local MPs

    West Hertfordshire Hospitals trust chief executive David Law has resigned following the trust's poor annual health check performance.
  • Worst-performing trusts defiant at threat of takeover

    Chief executives at the trusts identified by the annual health check as the worst performing have hit back at the threat of takeover.
  • Your Humble Servant: Maidstone and Tunbridge Wells

    Whoever said the British had no stomach for public executions? Maidstone and Tunbridge Wells trust has demonstrated just how popular they can be.

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