Health Service Journal
29 March 2012

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Leicester study leads to anti heart disease drive for women

CLINICAL: Women diagnosed with polycystic ovary syndrome are at increased risk of cardiovascular disease, according to a study by University Hospitals of Leicester Trust and Leicester University.
‘Block contract’ loses Southport and Ormskirk Hospital £1.6m

FINANCE: A ‘block contract’ with the trust’s main commissioners has lost it around £1.6m for the year to date, its latest finance report suggests.
£1.3m overspend forecast for Eastern Cheshire clinical commissioners

FINANCE: Eastern Cheshire clinical commissioning group was forecasting a 2011-12 overspend of £1.3m at the end of December, its latest finance report shows.
£550m of non-acute services to be put out to tender

Non-acute services potentially worth up to £555m over three years are being put out to tender by primary care trusts in Bristol and Gloucestershire.
Academic link up for Surrey and Sussex

STRUCTURE: One of Surrey and Sussex Healthcare NHS Trust’s has gained “associated university” status.
Acute sector faces wave of mergers and reconfigurations

The English NHS hospital sector is facing a wave of mergers, acquisitions and reconfigurations, HSJ’s extensive survey of trust chief executives has revealed.
Alan Maynard appointed to York CCG board

STRUCTURE: Vale of York Clinical Commissioning Group has announced the appointment of two lay board members, including experienced health economist Professor Alan Maynard.
Ambulance responses 'vary' in elderly fall cases

There are wide differences in how UK ambulance services respond to 999 calls from elderly people who have fallen, research suggests.
Analysed: procurement of non-acute services in Bristol and Gloucestershire

HSJ Local Briefing is our new in-depth analysis of the key issues facing the NHS’s major health economies. This week: procurement of non-acute services in Bristol and Gloucestershire.
Ann Tate to chair Ipswich

WORKFORCE: Ann Tate has been appointed the new chair at Ipswich Hospital Trust.
Barnet and Chase Farm face large QIPP disinvestment

FINANCE: The north London acute faces a disinvestment under the QIPP programme of £42m over the next three years
BBC turns to HSJ on health reform and struggling Yorks trust

Health Service Journal editor Alastair McLellan and senior correspondent Dave West have both featured on BBC programmes this week as NHS issues make the headlines across the country.
Bedford must save nearly £17m

FINANCE: Bedford Hospital Trust will need to make cost reductions totalling £16.9m in 2012-13 just to break even.
Bedford to continue hosting Milton Keynes Community Health Services

STRUCTURE: Bedford Hospital Trust is continuing to host Milton Keynes Community Health Services while a decision is made on its future.
Budget pledge aims to halt consultant tax loophole

A government pledge in the 2012 budget to clamp down on tax avoidance through the use of personal service companies could leave public sector organisations responsible for the tax and national insurance of contract staff.
Budget round-up: Osborne heralds tax cuts and local pay rates

Chancellor George Osborne has suggested local pay rates will be introduced for some public sector workers.
Building work starts to accommodate Princess Alexandra's second scanner

PERFORMANCE: Building work to accommodate a second CT scanner and change ways of working is underway at the Princess Alexandra Hospital.
Burnham attacks NHS reform risks

The government has “knowingly taken major risks with the National Health Service” and “ignored warnings from civil servants” in pushing through its controversial health reforms, shadow health secretary Andy Burnham has claimed.
Cambridge and Hinchingbrooke fall below 95pc A&E threshold

PERFORMANCE: Both Cambridge University Hospitals Foundation Trust and Hinchingbrooke Healthcare Trust fell below the 95 per cent standard for four hour waits in A&E in January.
Cambridgeshire and Peterborough CCG plans to provide commissioning support in-house

STRUCTURE: The proposed shadow Cambridgeshire and Peterborough CCG is planning to provide most of its support functions in-house - but may purchase some back office functions externally.
Cambridgeshire CS records surplus

FINANCE: Cambridgeshire Community Services Trust had a £570,000 surplus at the end of January - against a budgeted surplus of £270,000.
Cameron outlines alcohol pricing plans

The prime minister has announced plans to introduce a minimum price per unit of alcohol in England in a bid to ease the pressure drink-related cases are placing on the health service.
CCGs halt three-year activity rise

FINANCE: All three CCGs in Leicester have reduced emergency and outpatients activity in 2011-12 after three years of growth.
Charity challenges CQC over critical report

A charity has challenged the findings of a critical Care Quality Commission report on one of its homes for young people with learning disabilities.
Commissioners plan £28.6m disinvestment from UCLH

FINANCE: The central London acute and specialist trust faces a disinvestment under the North Central London cluster’s QIPP programme of £28.6m over the next three years.
Community hospitals consultation will be more than 12 months overdue

STRUCTURE: A long-awaited public consultation on the future of community hospitals on the Fylde Coast has been put back again, until “at least the summer” - a year after it was due to take place.
Competition panel to advise on CCG conflict of interest regulation

Providers are likely to have to complain to the NHS Commissioning Board before approaching Monitor with concerns about clinical commissioning groups’ conflicts of interest, HSJ has been told.
Competitive procurement for Peterborough's integrated urgent care service

STRUCTURE: NHS Cambridgeshire and Peterborough will go out to competitive procurement for an integrated urgent care service in Peterborough under its primary care and urgent care strategy.
CSSs to collaborate on national support functions

Commissioning support services are likely to be closely involved in the four national scale commissioning support functions, HSJ has learned.
Deficit reduces at Norfolk Community Health and Care Trust

FINANCE: Norfolk Community Health and Care Trust’s financial position improved slightly in January with a surplus of £857,000 for the month reducing the deficit for the year to date to £288,000.
Dementia professor to be appointed

WORKFORCE: Sussex Partnership Foundation Trust is to appoint a professor of dementia for the first time.
Doctor employed by trusts despite 'mercy killing' conviction

A foreign doctor convicted of the “mercy killing” of a patient in Spain later got a job with police in the UK, medical watchdogs have heard.
Doctors acting illegally over abortion consent, inspection shows

Doctors are breaking the law if they “pre-sign” abortion consent forms, the government has said.
Dorset County Hospital turns around finances

FINANCE: Dorset County Hospital Foundation Trust has achieved significantly improved risk rating from Monitor, a year after having being give the lowesrt rating for both finance and governance.
Ealing could save 40 per cent on its nursing bill, report says

WORKFORCE: The west London acute trust could save £13m on its £34m nursing cost if it matched the most efficient trusts in its class, an NHS London report said.
English nurses more confident in managers than European peers

Despite a high degree of scepticism, nurses in England appear to have more confidence in their managers than their counterparts in other countries, researchers have revealed.
Essex trusts form limited company with university and council

STRUCTURE: South Essex Partnership University Foundation Trust has formed a limited company with four other NHS trusts, Essex County Council and a university.
Ex-BT man joins East and North Herts

WORKFORCE: Former BT director Ian Morfett is to become chairman of East and North Hertfordshire Trust in April.
Exclusive: CCG authorisation requirements and timetable revealed

Clinical commissioning groups will have to meet 118 authorisation requirements to be approved to take over from primary care trusts in April next year.
Exclusive: commissioning board says CSSs 'on the cusp of failing'

“Too many” of the support services vital to the success of the new NHS clinical commissioning system are “on the cusp of failing”, according to leaked NHS Commissioning Board papers.
Exclusive: NHS Commissioning Board to appoint all CSS leaders

The NHS Commissioning Board has announced exclusively to HSJ that it will appoint all commissioning support service leaders this spring.
Exclusive: Treasury claws back £0.5bn from health budget

The Treasury has clawed back half a billion pounds that was allocated for health spending this year, prompting fears that the punishing NHS savings drive will go towards “general deficit reduction”.
Gateshead announces new public health director

WORKFORCE: Carole Wood has been appointed as the new director of public health for Gateshead and will take over when the current postholder, Alyson Learmonth, retires in May.
Government review reports 'exceptional set of challenges' for DH

The Department of Health needs to clarify and better communicate significant elements of its reforms, or risk implementation problems, according to a cross-government review.
Great Ormond Street faces £3m disinvestment from cluster

FINANCE: The central London specialist trust faces a disinvestment under the QIPP programme of £3m over the next three years.
Guidance on producing an any qualified provider implementation pack

The chance to produce an AQP implementation pack offered potent insights into how the service area should develop. Sheena Hennell explains how one PCT cluster went about their project.
Highest flu jab coverage in North for Royal Liverpool staff

WORKFORCE: There was a higher uptake of the seasonal flu vaccine among staff at the trust than in any other provider in the North of England.
How managing talent can transform health organisation development

Harnessing the leadership talent among an organisation’s staff can help drive a winning business transformation, as Simon Large and Steve Keyes from Bradford District Care Trust explain.
How to deliver on patient experience promises

Never before has patient engagement and experience had such a high profile - but, how can we make the most of this opportunity to make a real difference for patients?
How to inspire a generation of entrepreneurial leaders in healthcare

A major challenge for commissioners is how to foster clinicians with the potential to become entrepreneurs. Kingsley Manning has some advice.
How to keep on top of your organisation's information

Data loss is high profile these days, and the Information Commissioner’s Office is planning on reforming its approach to regulation and auditing. Stuart Knowles recommends that CCGs take this opportunity to get their house in order.
How to make patient experience out of this world

There has never been a better time to fine tune the “patient experience” – but it can seem a daunting task. Sam Hudson looks at how it can be achieved in manageable steps.
Increase in patient liberty restrictions - CQC

There has been a rise in the number of approvals for measures that allow hospital and care home staff to deprive people of their liberty.
Integrated care has no 'significant impact' on hospital costs

The greater integration of care has no significant impact on the cost of secondary care, with benefits cancelled out by “unexpected” increases in emergency admissions, a major review has found.
Interim chief bids for permanent role at Heatherwood and Wexham Park

WORKFORCE: Philippa Slinger, the interim chief of troubled Heatherwood and Wexham Park Hospitals Foundation Trust, has said she plans to apply for the role of permanent chief executive.
Isles of Scilly to get unique primary care contract

COMMERCIAL: NHS Cornwall and Isles of Scilly is seeking to procure a single accountable provoider to hold contracts for primary care and pharmaceutical services on the Isles of Scilly.
IT savings for Kent and Medway partnership

FINANCE: Kent and Medway NHS and Social Care Partnership Trust saved £500,000 by completing its rollout of the RiO IT system three months ahead of schedule.
James Paget launches new patient record system

FINANCE: James Paget University Hospitals Foundation Trust is launching a new electronic patient record this summer.
Keeping afloat: how trusts can survive under the new NHS failure regime

Takeover or oblivion are possibilities for some NHS organisations in the new order – so what are they doing to clutch victory from the jaws of defeat, asks Alison Moore.
Kent and Medway partnership behind on 28 day re-admission target

PERFORMANCE: Kent and Medway NHS and Social Care Partnership Trust has warned that it is behind with quality account plans to reduce the rate of re-admissions for adolescents.
Lansley condemns expensive GP phone calls

Patients should not be charged premium phone call rates to make an appointment with their GP, health secretary Andrew Lansley has said.
Lowest flu jab coverage in North for Greater Manchester West staff

WORKFORCE: There was a lower uptake of the seasonal flu vaccine among staff at the trust than in any other provider in the North of England this year.
Maitland moves to Peterborough and Stamford

WORKFORCE: Angus Maitland is to be the new chief operating officer at Peterborough and Stamford Hospitals Foundation Trust.
Manchester cancer research centre mulls recruitment drive for clinical academics

WORKFORCE: The Manchester Cancer Research Centre is contemplating appointing 40 to 60 clinical academics, latest board minutes for The Christie Foundation Trust state.
Media Watch: alcohol strategy fails to go down a treat

While large numbers of us enjoyed a beer in the spring sunshine last weekend, the government’s alcohol strategy got a pasting in many newspapers.
Mental health shake-up in Cambridgeshire and Peterborough

STRUCTURE: Mental health services are to undergo a major change in Cambridgeshire and Peterborough including the establishment of a 24/7 advice and referral centre to provide a single point of access.
Mental health trust in breach of authorisation despite 'improvement'

A mental health trust has been found in significant breach of its authorisation by Monitor, after the Care Quality Commission raised concerns about care.
Michael White: regional pay policy needs greater attention

What does George Osborne’s controversial Budget have in common with David Cameron’s minimum pricing strategy for alcohol and this week’s shambles over cash-for-access involving would-be Tory donors?
Mid Staffs medical director announces resignation

WORKFORCE: The medical director of Mid Staffordshire Foundation Trust has announced he is to resign, less than six months before the end of his contract.
Mike Farrar: eight immediate issues that are facing reform success

It’s time for real leadership to step up. Mike Farrar looks at the first eight things that need to be dealt with now if the reforms are to work.
Missed performance targets at University Hospitals of Leicester Trust still a concern

PERFORMANCE: Performance targets in a number of areas remain of concern to University Hospitals of Leicester Trust’s commissioners.
Monitor should toughen assessments following scandal - Bennett

Monitor’s executive chair has admitted it is “very likely” University Hospitals of Morecambe Bay had “deep-seated problems” at the time his organisation granted the trust foundation status.
Moorfields faces £1.7m disinvestment from cluster

FINANCE: The east London specialist trust faces a £1.7m disinvestment from the North Central London PCT cluster over the next three years.
Moorfields-run clinic opens at Bedford

SERVICES: More Bedford patients can now get specialist eye care without having to travel after the opening of a new clinic run by Moorfields Eye Hospital Foundation Trust.
MP calls for probe into regulator following Morecambe Bay scandal

PERFORMANCE: An MP has called for an inquiry into foundation trust regulator Monitor after its chairman admitted it was “very likely” there were deeper problems present at University Hospitals of Morecambe Bay when it was granted FT status.
MPs find CQC is 'not up to the job'

The Care Quality Commission is not up to the job of registering 10,000 GP practices during the next year and should not take on responsibility for regulating IVF services, MPs have warned.
New chief exec and chair for Croydon after current chair steps down

WORKFORCE: The chair of Croydon Health Services is stepping down shortly after the chief executive departed.
New maternity training aid for Western Sussex Hospitals

WORKFORCE: A new birthing simulator teaching aid is to be introduced at Worthing Hospital.
New NHS system threatens a tsunami of hospital mergers

June Hautot, the pensioner who confronted Andrew Lansley outside Downing Street last month, is a veteran of hospital closure campaigns.
NHS and pharmaceutical partnerships being deterred by 'misconceptions'

Opportunities for collaboration between the NHS and pharmaceutical companies are being missed due to “misconceptions” about the industry, guidance exclusively disclosed to HSJ has warned.
NHS Enfield to relocate GP surgeries

STRUCTURE: NHS North Central London and Enfield Council are working on a “re-location of GP practices out of unsatisfactory premises”.
NHS reform risk register reveals list of serious concerns

A version of the Department of Health’s risk register for the NHS reforms has been published on the internet, having apparently been leaked.
Nicholson: commissioning staff will know job fate by December

Commissioning staff will find out whether they have a place in the new commissioning system, and many will be transferred, by December, NHS Commissioning Board chief executive Sir David Nicholson has announced.
No more trips to Leicester for Peterborough kidney patients

SERVICES: Kidney patients in the Peterborough area are increasingly able to have their treatment close to home rather than travelling to Leicester.
Noel Plumridge: the hidden cost of foundation status

One of the hidden extra costs of foundation trust status is paying a bank for a “working capital arrangement”.
Norfolk and Norwich fails to hit four-hour standard

PERFORMANCE: The Norfolk and Norwich University Hospitals Trust has failed to meet the four hour standard for A&E for January, February and March so far.
Norfolk and Norwich's director of nursing retires

WORKFORCE: Norfolk and Norwich University Hospitals Foundation Trust director of nursing Nick Coveney is to retire.
Norfolk predicts £1m surplus

FINANCE: £20m of delayed investments will enable NHS Norfolk to return a £1m projected surplus this financial year.
North Essex's surplus is £0.5m ahead of plan

FINANCE: North Essex Partnership Foundation Trust was £1.64m in surplus at the end of January - £529,000 ahead of plan.
North Middlesex Hospital faces cluster disinvestment of £20.6m over the next three years

FINANCE: The north London acute faces a disinvestment under the North Central London cluster’s QIPP programme of £20.6m over the next three years.
North Middlesex Hospital submits capital plan to NHS London

STRUCTURE: The north London acute trust has submitted a request for capital investment to NHS London, whose capital investment committee will consider it in June.
Northern Lincolnshire and Goole FT reviewing stillbirth rates

PERFORMANCE: Northern Lincolnshire and Goole Foundation Trust is reviewing data on stillbirths, and may carry out an external review.
Older cancer patients' treatment restricted, Macmillan claims

Elderly cancer patients are being “under-treated” on the NHS because of assumptions made about their ability to cope, a charity warned today.
One compulsory redundancy follows QVH ward closure

WORKFORCE: One member of staff was made compulsorily redundant following the closure of a ward at Queen Victoria Hospital NHS Foundation Trust, according to board papers.
One hundred staff placed 'at risk' at Bedford

WORKFORCE: Nearly 100 staff have been placed ‘at risk’ at Bedford Hospital as the trust considers major changes to its wards.
Only one out of six bidders for 111 service met criteria

PERFORMANCE: Only one out of six bidders to provide a 111 call handling service and improved medical out-of-hours services for Norfolk met all the criteria.
Organisation and workforce efficiency - an HSJ special supplement

This week’s bumper 30-page HSJ supplement looks at efficiency in healthcare organisations, including exclusive articles on partnership working, estates management, workforce management and cost reduction, procurement and outsourcing.
Osborne: government departments face greater austerity after 2015 without welfare cuts

Chancellor George Osborne today warned that without further reductions in welfare spending government departments will face even deeper austerity after 2015 than in the current period.
Out-of-hours provider issued with performance notice

PERFORMANCE Out-of-hours provider Urgent Care Cambridgeshire has been issued with a performance notice by NHS Cambridgeshire and Peterborough after it failed to need the national quality requirement for routine telephone assessment over three months.
Oxford and Southampton named as trauma centres

STRUCTURE: John Radcliffe Hospital in Oxford and Southampton General have been named as the South Central region’s two major trauma centres.
Oxfordshire NHS and academic bodies form partnership

STRUCTURE: NHS and academic bodies have agreed to establish an “Oxford Academic Health Partnership”.
Patient ‘passport’ launched at East Kent Hospitals

PERFORMANCE: East Kent Hospitals University NHS Foundation Trust has launched an initiative designed to aid communication between the trust and patients with learning disabilities.
Patient confidentiality breaches at Herts Community Trust

PERFORMANCE: Seven breaches of patient confidentiality occurred in Hertfordshire Community Trust in the first nine months of the financial year - six of them in children’s services.
Patients must embrace telehealth too

Embrace innovation, embrace telehealth – is it really that simple? Patients must be on board with their treatment too.
PCT cluster chair to take over at Medway FT

WORKFORCE: Vernon Hull will be standing down as the long standing chair of Medway NHS Foundation Trust at the end of March.
PCT clusters to share chair

WORKFORCE: NHS Surrey chair David Clayton-Smith is to combine to role with that of chair for NHS Sussex.
Penalise poor performers 'robustly', Flory demands

The NHS’s deputy chief executive has used his latest quarterly report to direct the health service to “robustly bear down” on “persistent poor performer” organisations.
Peterborough forecasts small surplus

FINANCE: NHS Peterborough was £200,000 in surplus at the end of February and was forecasting a £300,000 year end surplus.
Plymouth Community Healthcare has C difficile free year

PERFORMANCE: Plymouth Community Healthcare has had no cases clostridium difficile in the past 12 months.
PM declares 'national crisis' over dementia care

The prime minister has declared that rising rates of dementia are “a national crisis” and launched a major drive to improve the lives of sufferers and their carers.
Probe into Nottingham University Hospitals dialysis deal

The NHS competition watchdog is investigating the trust’s award of two dialysis contracts, after a bidder accused it of a “blatant attempt to retain the incumbent provider”.
Q&A: Monitor outline details on changing failure regime

From next year, foundation trusts will face an unforgiving regime which introduces transparency to their funding - and could lead to them being dissolved and their services distributed to other providers.
Quarter of trusts consider negligence scheme exit

Seventy-two NHS trusts have consulted with a private insurance broker over leaving the NHS Litigation Authority for a commercial alternative, it has been claimed.
Queen Elizabeth forecasts £1.2m surplus

FINANCE: The Queen Elizabeth Hospital, King’s Lynn, Foundation Trust is forecasting a £1.2m surplus at the end of the year, against a £2m planned surplus.
Queen Elizabeth Hospital forecasts red rating over performance

PERFORMANCE: The Queen Elizabeth Hospital, King’s Lynn, Foundation Trust is forecasting it will be red-rated on performance by Monitor at the end of this quarter.
Queen Elizabeth Hospital gets extra funding to hit A&E target

PERFORMANCE: NHS Norfolk is providing extra funding to help the Queen Elizabeth Hospital, King’s Lynn, Foundation Trust meet A&E targets.
Queen Elizabeth's record keeping criticised by CQC

PERFORMANCE: The Queen Elizabeth Hospital, King’s Lynn has been criticised by the Care Quality Commission over its record keeping.
Readers' Letters - 29 March 2012

Why Harry Cayton is wrong on minimum staffing levels, and hardwiring the patient voice into the system
Regional differences in accidental injury death rates

The number of people who die from injuries such as falls, road accidents and poisoning varies dramatically aross England, research suggests.
Regulator's dual role still unclear

Monitor is still unclear about how it can justify its additional powers over foundation trusts once it becomes healthcare sectorregulator, its executive chair has told HSJ.
Royal Free authorised as Foundation Trust

STRUCTURE: The north London acute was today authorised as a foundation trust by Monitor.
Royal Free faces £25.6m disinvestment from cluster

FINANCE: The north London acute faces a disinvestment under the North Central London cluster’s QIPP programme of £25.6m over the next three years.
Sheffield Children's FT reports success in bone disease drug trial

PERFORMANCE: A drug trial in which Sheffield Children’s NHS Foundation Trust was the largest site has been successful, with promising results for babies with severe hypophosphatasia, who normally die after six months.
SHIP fails to cut emergency demand

PERFORMANCE: Hampshire primary care trusts are continuing to buck a national trend with rising demand for non-elective services.
Social enterprise chair named best in sector

WORKFORCE: Ian Church, chair of Central Surrey Health, has been named by the Sunday Times as the best non-executive director within the public service sector.
Southern Health to merge with Ridgeway Partnership

STRUCTURE: Southern Health Foundation Trust is to merge with the Ridgeway Partnership, it has been announced today.
Suffolk assets worth £29.2m set for NHS Property Services

FINANCE: Properties worth more than £29m look likely to be transferred to NHS Property Services Ltd if Suffolk primary care trust signs a deal with preferred bidder Serco.
Taunton and Somerset FT gets additional £5m

FINANCE: Taunton and Somerset Foundation Trust has received additional funding of £5m from NHS Somerset.
'Technology could change the way medicine is practiced'

Technology should be embraced by healthcare organisations as a tool for clinicians - and not confined to the realms of admin, argues Matthew Swindells.
Tees PCT cluster chief executive returns

WORKFORCE: Chris Willis has returned as chief executive of the NHS Tees PCT Cluster.
The relationship between pharma and the NHS is challenging, not cosy

The three-cornered partnership between the NHS, pharma and academic medicine can only benefit from a more open culture, says Timothy Evans.
Trust's bid to run disability services 200 miles away damaged risk rating

An NHS learning disability trust’s unsuccessful bid to take over the running of a similar service nearly 200 miles away led to its financial risk rating with Monitor deteriorating.
Two community hospitals face closure in Hertfordshire

SERVICE REORGANISATION: Two community hospitals in Hertfordshire could close as early as June - with patients requiring intermediate care supported in their own homes or in care homes.
UPDATED: Staff keep NHS pensions as Virgin's Surrey deal goes through

Virgin Care has signed a £500m community services contract with NHS Surrey under an arrangement which will see staff employed by a social enterprise.
West Suffolk invests £1.2m on breast screening

SERVICES: A £1.2m investment at West Suffolk Hospital is ensuring that patients get the most up-to-date breast screening.
West Yorkshire cluster gets new finance director

WORKFORCE: Ian Currell has been appointed as Cluster Director of Finance and will take up his post during April 2012.
Whittington Health faces a £19.8m disinvestment from its commissioners

FINANCE: The north London integrated care organisation faces a disinvestment under the North Central London cluster’s QIPP programme of £19.8m over the next three years.
Yorkshire and Humber demonstrates child asthma improvement

PERFORMANCE: A project to improve support for children with asthma has improved services and reduced costs, according to Asthma UK.
Yorkshire chief executive takes over additional PCT cluster

WORKFORCE: Christopher Long, chief executive of the Humber PCT cluster, has additionally become chief executive of NHS North Yorkshire and York from next month.

Alastair McLellan

Health Service Journal29 March 2012

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Health Service Journal
29 March 2012