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Health Service Journal
27 September 2007

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  • Ali Mohammed on motivating staff

    'Research has already been done demonstrating that there is a basket of measures which together produce better staff morale and motivation, lower absence and, most importantly, better patient care'
  • All Our Yesterdays

    September 26, 1941, Public Assistance Journal and Health & Hospital ReviewThere was a report this week on the administration of feeding services, where the joint guidance of the National Council of Civil Service and the Women’s Voluntary Services for Civil Defence was called upon.‘These two bodies are working together to co-ordinate voluntary effort with regard to community feeding in appropriate areas.’The Women’s Voluntary Service ran around 1500 canteens all over the c
  • Andrew Castle on innovation in obstetrics

    A dip into the history of obstetrics shows how inventiveness is one of its trademarks, says Andrew Castle
  • Barometer: primary care trusts in September 2007

    Financial optimism is still riding high, according to the latest Barometer survey of primary care trust chief executives. Confidence in breaking even at the end of 2007-08 stands at an all-time high of 9.45 out of 10, up on August's figure of 8.73.
  • Beating bullying at work

    Bullying in the workplace is alive and well. And, according to a recent survey, a lack of management skills is one of the reasons it has been allowed to continue. Rebecca Allmark sifts through the results
  • Bradshaw denies 'going cold' on use of private sector firms

    Health minister Ben Bradshaw has told HSJ he is 'puzzled' by suggestions that Labour is reneging on use of the private sector.
  • BUPA to help with commissioning at Hillingdon primary care trust

    Hillingdon primary care trust has confirmed BUPA as the company that will help it commission services under the Department of Health's external commissioner list.
  • Cardiac telemedicine takes off

    Cardiac telemedicine has moved decisively from pilot to practice. Joshua Rowe explains how it is revolutionising care and saving the NHS money
  • Care from the community

    A redesign of the mental health support worker role values personal experience and diversity. Siobhan Chadwick and Alison James describe the development
  • Commissioning reforms were 'right thing at the wrong time', admits Britnell

    Trusts were asked too early to move care out of hospitals into the community, the Department of Health's director-general of commissioning has said.
  • Councils try to grab half a per cent of all NHS funds

    Battle lines have been drawn between local government and the NHS in the run-up to the Treasury's next public spending round.
  • Data on mental health patient safety must be presented accurately

    Chris Heginbotham’s commitment to the well-being and safety of mental health inpatients is sincere and I share some of his concerns, but I must set the record straight about the more alarming aspects of the impression created by his recent interview, writes Louis Appleby
  • Dave Lee on Darzi's tour

    'Mental health has occasionally painted itself as the eternal Cinderella, with the result that some commissioners feel obliged to treat it accordingly'
  • Department should explain itself on race

    The new health secretary is passionate about tackling health inequalities. With race a central factor, he will be appalled at the catalogue of race equality failures at the Department of Health that the Commission for Racial Equality claims to have unearthed.
  • Dismissing improvement programmes misses the point

    Alan Maynard's criticism of the quality improvement efforts under way for more than a decade in the NHS, and specifically of the role of the Institute for Healthcare Improvement in that work, abounds with misunderstandings, write Stephen Thornton and Don Berwick
  • DoH 'letting down ethnic minorities'

    The Department of Health has been found to have failed in its race equality duties and accused of being ‘obstructive’ to a Commission for Racial Equality probe.
  • Final salary pension scheme saved after four years of negotiations

    Senior managers' pension contributions will rise by 2.5 per cent as part of a new pensions deal for NHS employees finalised last week.
  • Foundation trust performance gets damning verdict

    A financial analysis by York University's Centre for Health Economics shows differences in financial performance between foundation trusts and non-foundation trusts did not change when they were created in 2004. It says: 'The foundation trust policy per se has not made a significant difference to their financial management.'
  • Government admits £1.7bn GP overspend

    The government spent £1.7bn more than planned on general practice between 2003-04 and 2005-06, the latest figures reveal.
  • Guide to starting a health social enterprise published

    Ten steps to starting a social enterprise in health and careis a new guide to the factors that should be considered by those thinking about setting up a health or care-related social enterprise.
  • HART teams

    Emergency chiefs fear commissioners will balk at paying for an ambitious plan to allow specialist paramedics into the heart of major incidents including terrorist attacks. Commissioners have questioned how running costs for Hazardous Area Response Teams (HART) will be funded, HSJ has learned.
  • Health hotel: exploring inequalities

    At the 'Access to all areas' event speakers will address the uneven picture of public health, and ask why - despite some progress - gaps are still widening. Helen Mooney reports
  • Health hotel: the road less travelled

    What is the safe distance to a hospital? Adrian O'Dowd examines the implications of reconfiguring services
  • Health hotel: wheels of change

    Every year on the party conference circuit, the key debates around health happen at the Health Hotel. HSJ looks at this season's big issues
  • Helping people back to work

    Long-term staff absence can be very damaging to NHS organisations, and tackling the problem individually could prove to be the most effective solution. Jean Brading reports on what can be done to make a difference on the front line
  • In this week's HSJ

    NewsGordon Brown has put patient safety at the top of the government's priorities for the acute sector, promising stronger rules on hospital cleanliness.Improving the morale of staff is not the first aim of Lord Darzi's review of the future of the NHS, health secretary Alan Johnson has admitted - but 'buy-in' by employees will be essential to its success.The Department of Health has been found to have failed in its race equality duties and accused of bein
  • Jail deaths probe

    The Sainsbury Centre for Mental Health is investigating the impact of powers allowing judges to lock up prisoners indefinitely.
  • Johnson at odds with prime minister over alcohol licensing laws

    Health secretary Alan Johnson has publicly dismissed the chief medical officer's concerns about extended licensing hours - a view that now appears to put him at odds with his own prime minister.
  • Labour conference: health secretary tackles flagging morale and 24-hour drinking

    Improving the morale of staff is not the first aim of Lord Darzi's review of the future of the NHS, health secretary Alan Johnson has admitted - but 'buy-in' by employees will be essential to its success.
  • Labour conference: localist messages do not cover a nasty whiff of central control

    The speeches at Labour's annual conference mapping out the principles for Gordon Brown's stewardship of the NHS highlighted the tensions with which the new ministerial team is grappling.
  • Leicester chief resigns after failed PFI project

    The chief executive of one of the country's biggest trusts has stepped down from his job amid claims that he was made a scapegoat for an abandoned private finance initiative deal.
  • Lisa Rodrigues on the traits of executives

    Being a chief executive is a wonderful job for those with a well-developed sense of responsibility. I read somewhere that more leaders are firstborn children than any other family position and I can understand why. As the first child, you are automatically expected to take responsibility for your siblings. If, like me, you are the first child and also a girl, this gets amplified, although my brothers would say it just made me bossy.
  • Media Watch: for and against healthcare privatisation

    HSJ readers will be well aware of the three-month battle to get health secretary Alan Johnson off the fence and spelling out his policy on the private sector.This week that battle spilled off the pages of HSJ and the Financial Times and into The Times and The Guardian. A coincidence? We couldn't possibly comment.
  • Medical secretaries play a key role in the NHS

    Media reports on problems in the NHS are mainly centred on the plight of medical and nursing staff and the way patient care is affected.However, there is a knock-on effect on other key staff in the NHS, who also work under immense pressure. I refer to medical secretaries and personal assistants, who provide essential administrative support to clinical teams.
  • Michael White on the conference season

    'The conference experience is to go home feeling that whatever interest brought you, it is worth doing for the rest of the year'
  • Michael White on this year's Labour conference

    I filed this column, from Labour's Bournemouth conference, a little later than usual this week. Gordon Brown had brought the annual leader's speech forward by 24 hours (he is in such a hurry, that man) and I wanted to catch what he had to say.
  • Network know-how

    If you are setting up a healthcare website, the trick is to let users shape the content, says Bill Douglas
  • NHS Networks annual conference and awards

    The second National NHS Networks annual conference will be held inLondonon Tuesday 6 November and the progr
  • Noel Plumridge on lessons from Northern Rock

    Healthcare providers should not ignore the difficulties facing other sectors, writes Noel Plumridge
  • Nuffield Orthopaedic Centre trust considers merger

    Nuffield Orthopaedic Centre trust is considering a merger with the neighbouring Royal Berkshire Hospitals Foundation trust, HSJ has learned.
  • Nuffield Trust appoints interim director

    Healthcare policy charity the Nuffield Trust has appointed Neil Goodwin as interim director.
  • Orphan drugs: economies in treating rare disorders

    Transparent mechanisms for deciding on the use of high-cost drugs for rare disorders are needed, says Michael Sobanja
  • Outgoing deputy CMO says overseas applications are NHS's biggest problem

    The outgoing deputy chief medical officer has called on ministers to make a quick decision on what to do about overseas doctors applying for training posts in 2008.
  • Patient engagement: pull together for a patient-centred NHS

    Sustaining the strides made in NHS patient engagement will rely on clinicians and managers embracing change, says Stephen Thornton
  • Pilots make all the difference

    The article 'Pilots making little difference' states that, according to research, pilot projects that have focused on the government’s policy of shifting services from hospitals into the community have made little difference.
  • Primary care risk-taking could end in disaster

    Changes to primary care organisation suggested by the Confederation of British Industry could seriously damage the system, argues Martin McNicol
  • Private company to announce 12 new hospital sites

    A private healthcare company will announce sites for 12 new hospitals and five 'mini polyclinics' within the next two months.
  • Public consultation to decide on the NHS's next step

    Public 'juries' in 10 cities linked up live last week to kick off a huge consultation to help decide nothing less than the NHS's future. And the prime minister put in a suprise appearance. Helen Mooney reports
  • Rare diseases: adopt orphans

    A lack of knowledge and understanding is resulting in inequalities surrounding the prescription of drugs for rare diseases, reports Michael Sobanja
  • Role of diabetes networks in prevention of type 2 diabetes

    Nearly two-thirds of type 2 diabetes cases could be prevented, according to research, making prevention of the condition a key priority for the NHS.
  • Royal Society of Medicine specialist sections

    NHS Networks is in the process of creating pages in the register of networks for approximately 60 specialist sections of the Royal Society of Medicine, covering subjects as diverse as rheumatology, transplantation, food and health, sleep medicine and coloproctology.
  • Safety first as government gets tough on causes of superbugs

    Gordon Brown has put patient safety at the top of the government’s priorities for the acute sector, promising stronger rules on hospital cleanliness.
  • Spot checks on dignity standards welcomed

    Unannounced spot checks in acute hospitals have had a cautious welcome from managers after a report exposed failures in patient dignity.
  • Support for changes to organ donation rules

    A poll of NHS Networks site users suggests that two-thirds of NHS staff support the chief medical officer’s suggestion to change the organ donation system inEnglandfrom opt-in to opt-out.
  • Transferring assets to social enterprises - the perks and quirks

    NHS organisations have a great opportunity when transferring assets to social enterprises – particularly with the scope afforded by NHS Estatecode, the guidance on managing their estate for disposals other than sales at open market value. Jane Donnison explains
  • Weird world health

    A colleague has alerted us to a Myth of the Month website run by the Health and Safety Executive, which seeks to assuage rumours that the HSE is responsible for some of the rather over enthusiastic risk assessments taking place across the land. It is worth a look. Some of our favourite myths include 'hard hats for trapeze artists', 'egg boxes banned in craft lessons' and the perennial Autumnal tabloid favourite 'kids must wear goggles to play conkers'.
  • With choice comes responsibility

    Patient choice is here to stay. But more needs to be learned about who wants it and why, say Martin Roland and Marianna Fotaki
  • Your Humble Servant on nurses and news from planet Monitor

    The Department of Health’s main drive is to get the nurses not to be so grotty, while on planet Monitor they are celebrating a multi-million-pound foundation trust surplus.

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