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Health Service Journal
25 September 2008

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  • And the smoking ban played on

    One year on Ann Shuttleworth considers the effects of the smoking bans in England and Scotland and other efforts to make people quit
  • Andrew Lansley wins strong support from NHS managers

    Andrew Lansley has won respect from managers for his detailed knowledge of the health service. Can he transfer this to the Cabinet if the Conservatives win power? Rebecca Evans asks him
  • Andrew Lansley's recent statement on public health

    Shadow health secretary Andrew Lansley's recent statement on public health has set out the Conservatives' stall in this area. He has weighed in to criticise parameters such as deprivation indicators. He is no doubt
  • Are we killing psychiatric patients with food?

    High-calorie meals and little exercise mean psychiatric inpatients often put on weight and damage their health. Sharmila Menon looks at how hospitals can manage the problem without violating patients' rights
  • Ben Bradshaw: NHS top-up debate will never be resolved

    Health minister Ben Bradshaw has said the dilemma of whether to allow co-payments will never be resolved but that a compromise may be found in adjusting the way drug effectiveness is measured.
  • Catching mental illness early

    New primary care teams are helping to catch people early in the spectrum of mental illness. Stuart Shepherd explains
  • Charities support Labour on health interventionism

    Charities and activists have told Labour not to shy away from tackling access to GP services and to ignore jibes about the 'nanny state'.
  • Communicating major change in the NHS

    How can you woo the workforce into embarking on change rather than alarm them with the unknown? Dominic Walters explains
  • Developing user-led standards in mental health

    Developing user-led standards has increased patient involvement and improved the quality of care at one mental health trust. Tony Leiba and Caroline Mathiason explain
  • DH faces turmoil over tariff regime

    Is there going to be tariff turmoil for the second time in three years?
  • DH intervention forces cancer rethink

    A primary care trust has been forced to review its plans to centralise specialist gastrointestinal cancer services after what is believed to be an unprecedented intervention by the Department of Health.
  • Dr Foster Intelligence sheds 10 jobs

    Healthcare information provider Dr Foster Intelligence has made 10 redundancies as part of an ongoing shake-up.
  • Emma Dent on finding yet another GP

    Having undergone the physical and mental strain of moving I have my reward - not only living in my very own flat but a GP practice with more than one doctor, operating out of a purpose-built surgery.
  • Equitable access to primary care

    Andrew Daly explains how the Department of Health's equitable access to primary medical care programme is working to improve patient care
  • Foundation trust row over corporation tax

    Foundation trusts are wrangling with HM Revenue and Customs over its plan to levy the 28 per cent corporation tax on their commercial profits.
  • Giving up smoking is hard to do

    How can stop smoking services attract people from ethnic minorities? NICE guidance may offer the answer, writes Rosie Cameron
  • Gordon Brown promises free prescriptions for cancer patients

    Gordon Brown promised to abolish prescription charges for cancer patients as part of a 'new settlement' focusing on fairness.In what had been described before he spoke as the speech of his life, the prime minister's announcement that he would scrap the charges for cancer patients from April was well received in the conference hall.
  • Hatching a new breed of NHS executive

    Despite signs the NHS is now taking leadership development seriously in the wake of the next stage review, SHAs will have to challenge current thinking if they are to create a cultural change
  • Health service can affect health inequalities

    Few would disagree with your point that a reduction in income inequality would help to reduce health inequalities. But few primary care trusts in poor health areas will agree with the idea that the health service can do n
  • Hilary Thomas on caring for the whole patient

    My 75-year-old father has recently had a coronary angiogram and been referred for bypass graft surgery. When I was a cardiology senior house officer in the Jurassic period, he would never have been referred for such surgery at this age.
  • HIV services: caring for older patients

    As people with HIV/AIDS live longer, services must adapt to meet the needs of more patients and the first generation of HIV-positive pensioners. Emma Dent reports
  • Hospital trust may split into two organisations

    Epsom and St Helier University Hospitals trust is considering splitting into two new organisations.
  • Impressive maternity services

    Your article suggested primary care trusts in East Sussex were 'slammed' for 'failing to consult on plans for a radical redesign of maternity services'. This is not the case. The independent reconfiguration panel said it was 'impr
  • Improving inpatient mental health services

    The Healthcare Commission review of acute inpatient care, Pathway to Recovery, marks a milestone in the ongoing effort to achieve a step change in the quality of inpatient mental health services.
  • Jeremy Porteus on NHS networking

    It was during the shoulder-padded, champers-quaffing decade of excess known as the 1980s that the term 'networking' became popular.
  • John Coakley on the quest for medical leadership

    There seems to be an increasing demand for clinical, and in particular medical, leadership. Lord Darzi's next stage review recommendations and the reviews of healthcare being conducted across strategic health authorities will not work without it.
  • Kotter's theory of urgency in use

    I see John Kotter's new book, A Sense of Urgency, has surfaced as number one on the bookshelf.
  • Let's do away with nurses' stations

    When are ward nurses going to surgically remove themselves from the nurses' station and increase their time with the patients?
  • Media Watch: NHS complaints

    First they complained about the service, now they are complaining about the complaints system.
  • Michael White on the global financial crisis

    By the time you read this, Labour's 2008 party conference in Manchester will be over and Gordon Brown will still be prime minister, despite whatever has happened or not in the interval.
  • Moral hazard 102 for health managers

    Through reforms in the 1990s and now in the 2000s, the NHS has been developing and apparently maturing, by accident and design, a type of competitive, mostly internal market structure.
  • Moral hazard just too complicated, apparently

    I have received feedback from two managers and my personal chief exec on my moral hazard blog.
  • Naomi Chambers on health and education

    With all the emphasis on world class commissioning, it is important to remember that primary care trust boards are tasked with improving the health of the population they serve, not just with the delivery of healthcare.
  • NHS data breach furore could derail reforms

    Service reforms are at risk of being derailed by the 'hyperbole' surrounding government data breaches, Dr Foster Intelligence has warned.
  • NHS managers told to take ownership of finance

    The pending reorganisation of the Welsh health service should be used to improve financial management, the auditor general for Wales has said.
  • Nicky Jonas on NHS volunteers abroad

    Volunteering offers stressed-out NHS managers the chance to make a difference in the developing world and learn valuable new skills that can give them an edge when they return home.
  • Noel Plumridge on a family's care crisis

    On Friday morning, Mum was readmitted to hospital. She is 85 years old and vulnerable to infections, with a provisional diagnosis of leukaemia.
  • Out of hours care standards to be applied to urgent care

    National standards for out of hours providers could be extended to cover some in-hours services.
  • Partnership plan for top-ups

    Advances in medical technology and drug treatments mean it is more important than ever that the health service and private sector work together to create a system which works in the best interests of all patients.
  • Paul Allen on the war for NHS talent

    First the bad news. According to the chancellor of the exchequer, this country is experiencing the harshest economic conditions in 60 years. On a more upbeat note, GCSE and A-level results are at an all-time high and more young people than ever are going into higher education.
  • PCT campaigns against domestic violence

    Hull teaching primary care trust is to attempt to tackle the problems of domestic violence by using a social marketing campaign aimed at male perpetrators of attacks.
  • Prizes for world class commissioning winners

    Primary care trusts that are successful in world class commissioning may win the right to name the salaries of their senior managers and non-executive directors.
  • Sift through the ashes of smoking

    Could the death toll have been lowered by offering nicotine replacement therapy on the NHS earlier? Emma Baines looks through the policy history of smoking cessation
  • Smoking supplement: fired up

    Stopping smoking is the single most important thing smokers can do to improve their current and future health.
  • Stephen Ramsden on harm to patients

    Why is there no public outcry about the harm we cause patients in hospital? Or about the avoidable deaths that happen week in, week out?
  • Stop-smoking case studies: quitters can win

    Now the most motivated ex-smokers have stubbed out their last cigarette, Ingrid Torjesen finds out how services are reaching out to the less enthusiastic would-be quitters
  • The failure regime numbers game

    Your coverage misrepresented the Department of Health's failure regime policy. The figure of 2.1 per cent does not take account of the swift action that would result from the new performance regime or Monitor's compliance framework. Effective recovery action will mean the regime for unsustainable provid
  • The future of patient and public involvement

    Lord Darzi's review and the new local involvement networks have pushed public engagement to the top of the health policy agenda. Robina Shah speaks to national patient and public affairs director Joan Saddler about her plans for increasing public involvement
  • The potential of integrated data

    As data quality improves, GP extraction services become available and doctors become more adept at commissioning, it is likely more commissioning decisions will rely on the integration of primary and secondary care datasets.
  • The trouble with the Welsh NHS

    You can't beat the Welsh, can you? Twenty-two Local Health Boards giving money via block contracts to about a dozen hospitals.
  • Time to get facts straight on NHS failure rates

    Following HSJ's revelation last week that the Department of Health is projecting 2.1 per cent of trusts will fail each year for the next 20 years, we have been accused of misrepresenting policy.
  • Transformational leadership in a transformed NHS

    To make patient care truly effective, all doctors need to develop the skills of transformational leadership, as Graham Neale explains
  • Trusts on edge as draft payment by results tariff runs into trouble

    The Department of Health could be heading for a re-run of the chaos that saw the publication of the 2006-07 payment by results tariff just one week before the start of the financial year.A draft tariff for 2009-10 is being road tested in secret in the West Midlands, but sources suggest it is so inaccurate it is causing trust income to fluctuate by up to 18 per cent.
  • Trusts urged to act on blood clots advice

    Hospital trusts are being urged to adopt new guidelines designed to prevent blood clots that kill up to 25,000 people a year.
  • Unregistered NHS trusts to pay out under immigration shake-up

    Dozens of trusts face compensation payouts and a temporary ban on recruiting overseas staff because they are not on an official Home Office immigration register.
  • Virgin grounds proposals to run GP surgeries

    Virgin Group has effectively put on hold its ambitious plans to take over and run GP surgeries, casting doubt on the prospects for private involvement in primary care.

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