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Health Service Journal
4 October 2007

View all stories from this issue.

  • A clinical vision for service redesign

    When clinicians were asked to design their ideal service, common design rules quickly emerged. As Nigel Edwards and William Dunlop explain, these closely matched the views of patients
  • Academic health science centre launched

    Imperial College Healthcare trust, the UK's first academic health science centre, was launched on Monday.
  • All Our Yesterdays

    October 1, 1954, Hospital and Social Service JournalA report by the Leeds City Medical Officer report on the city’s mental health services praised mental health social workers this week. ‘Nothing is too much trouble. Whether it is witnessing milk forms, taking youths and girls for interviews, helping and reassuring the mother in those low grade distressing cases for which institutional care cannot yet be found, (they) are contributing in no small measure their share to true preventativ
  • Ambulance trusts worry commissioners will neglect specialist service

    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.
  • Appeal against Alzheimer's drug decision

    Pharmaceutical companies are appealing a High Court judgement that upheld the National Institute for Health and Clinical Excellence's decision to restrict the use of anti-dementia medicines for NHS patients in the early stages of Alzheimer's disease.
  • BMA says more funds are key to boosting GP access

    The chairman of the British Medical Association has told a government minister that more money and staff will be needed to improve GP access.
  • Building a sustainable workforce in the NHS

    The need to trawl worldwide for newly qualified staff may be gone for the NHS but ensuring the right people find the right jobs remains a challenge, reports Stuart Shepherd
  • chief exec

    Barking, Redbridge and Havering NHS Trust has been asked not to give any further information on its chief executive stepping down by the Strategic Health Authority.A statement from the trust cited the reason for Mark Rees sudden departure as 'in light of the London health strategic plans and the objective to achieve foundation trust status, there now needs to be a commitment over the next five years to drive further changes.'When asked to elaborate a trust spokesman said they we
  • Confederation call to tackle health inequalities

    Moves to tackle health inequalities must start with the most excluded, the NHS Confederation has urged.
  • Councillors to join PCT boards

    Primary care trusts might be told to have local authority councillors on their boards, health minister Ben Bradshaw told delegates.
  • Darzi report stresses equality and access

    Health secretary Alan Johnson says he is confident GPs can be persuaded to provide the additional services proposed in Lord Darzi's review of the NHS, published this morning.But he made clear that the private sector would also be a part of moves to set up 150 new walk-in centres and increase GP provision in the areas facing the greatest shortage of doctors.
  • Data Briefing: efficiency efforts begin to pay off

    A year after their first publication, the NHS Better Care, Better Value indicators are starting to reflect efforts to improve the efficiency of NHS care.
  • David Praill on access to pain relief

    According to our report Access to Pain Relief – an essential human right, published this week to mark World Hospice and Palliative Care Day on 6 October, 80 per cent of the world’s cancer sufferers have no access to pain relief. This means 7 per cent of the world's population is experiencing cancer pain that could be relieved but is not, due to lack of access to drugs that are low in cost, easy to administer and highly effective.
  • Developing global health partnerships through volunteering

    In the first of a series of online columns charting her experiences as a development volunteer in Cambodia, Patricia Sloane explains why she is taking the plunge into her new role and how she expects it to help her after she returns to the NHS
  • Disability watchdog names and shames SHAs

    The NHS is failing to tackle disability discrimination, with strategic health authorities among the worst culprits, according to a watchdog.
  • DoH names 14 firms that will support PCTs

    Fourteen private firms have been appointed by the Department of Health to help primary care trusts commission services, HSJ can reveal.
  • Emma Dent gets diagnosed

    A kind reader recently commented that this column reads as though I have spent hours on it. At least, I think they were being kind.
  • Four more granted foundation trust status

    Four more trusts have been granted foundation trust status by Monitor, the independent regulator.
  • Fundamental change key to NHS vision, says Darzi

    Lord Darzi will today tell the NHS that it has to make fundamental changes to the way it operates.
  • Going off Ofcare

    Ministers are not keen on the proposed name for the new health and social care regulator, Ofcare.
  • Hamish calls for more cash

    The chairman of the British Medical Association has told a government minister that more money and staff will be needed to improve GP access. Dr Hamish Meldrum spoke out after Ben Bradshaw, the health minister with responsibility fo
  • Healthcare Commission finds hygiene code is 'not hitting the headlines' in acute trusts

    Acute trust boards are not taking enough responsibility for controlling infection in their hospitals, the healthcare watchdog has warned.Spot checks on 43 hospitals by the Healthcare Commission have revealed concerns that boards are not regularly discussing opportunities for improvement or ensuring infection control data is analysed effectively.
  • Hygiene: staff won't follow where they are not led

    After the years of media scrutiny, policy statements, regulations, inspections and public outcry - not to mention the avoidable deaths and illnesses - it is hard to comprehend why many acute trust boards are failing to make hygiene standards a priority.
  • In this week's HSJ

    NewsAcute trust boards are not taking enough responsibility for controlling infection in their hospitals, the healthcare watchdog has warned. Spot checks on 43 hospitals by the Healthcare Commission have revealed concerns that boards are not regularly discussing opportunities for improvement or ensuring infection control data is analysed effe
  • Incentivise GPs to collect vital ethnic data, urge PCT leaders

    Middle managers have hit out at inadequate incentives to collect information on ethnicity that could help tackle health inequalities.
  • Infection control: middle of a chain reaction

    By making the most of partnership working, new technologies and ongoing vigilance, Plymouth Hospitals trust was able to make great strides in the fight against infection
  • ISTC contract shortcomings are exposed

    An HSJ investigation has found that the vast majority of independent sector treatment centres did not deliver the work contracted for in 2006-07.
  • Jenny Rogers on spotting bullies and stopping bullying

    Few words are more bandied around than the b-word - bullying. But what is really meant by it? What should you do if you are on the receiving end of such an accusation? Jenny Rogers explains
  • Looky likey

    Another high ranking medical looky likey this week. Chief medical officer and all round nice chap Professor Sir Liam Donaldson bears a striking resemblance, points out a HSJ colleague, to former Liberal Democrats leader and MP for Ross, Skye and Inverness West Charles Kenendy. What do readers think?
  • Maggie Rae on local leadership

    All leaders, even those at the most local level, must demonstrate knowledge and passion in order to bring about real transformation, writes Maggie Rae
  • Malcolm Lowe-Lauri on connecting with the boss

    What is the best way to manage a less than perfect leader? Here, Malcolm Lowe-Lauri offers some suggestions
  • Marian Carroll on the breastfeeding dilemma

    Women must be given full support, regardless of whether they choose to breastfeed their babies or not, writes Marian Carroll.Any discussion around infant feeding evokes strong reactions in people who seem to take a 'for or against' approach to breastfeeding.
  • Maternity death rates worsening for poorer mums

    Maternity mortality rates have increased, the maternity services czar has revealed.
  • Media Watch: GP contracts and doctored photos

    As the party conference season drew to a close, the Conservatives this week came out fighting, with leader David Cameron pledging to rewrite the GP contract.
  • Michael White on the shadow health secretary

    Now that Gordon Brown has started to open up in public and chancellor Alistair Darling has put a couple of jokes into his conference speech, there is no stopping the confessional flood in politics. Even Andrew Lansley has been affected.
  • Neil Goodwin on new research into the success of organisations

    Sometimes it can be frustrating waiting for research papers that are sufficiently grounded in the day-to-day life of real organisations. Such papers, like the two highlighted here, are often of enormous practical value in helping organisational leaders think through future strategy, writes Neil Goodwin
  • New formula to boost funds for poor areas

    Scottish health secretary Nicola Sturgeon has promised that no NHS board will see a cut in its budget if a proposed new funding formula is adopted.
  • NHS Choices: relaunching on a website near you soon

    The much-criticised NHS Choices website will relaunch this month and attempt to position itself as part of the personalised NHS.
  • nice

    The National Institute for Health and Clinical Excellence would function better if it was cut off from the Department of Health, its chief executive has said.Andrew Dillon said the wider public sector would look more favourably on NICE’s public health guidance if it was no longer a DoH arms length body.This would involve NICE being established under an act of parliament, known as primary legislation. At present NICE is a DoH special health authorityMr Dillon told a Labour
  • NICE chief asks for divorce from DoH

    The chief executive of the National Institute for Health and Clinical Excellence has said that it would function better if it were set free from the Department of Health.
  • Occupational therapists play a key role in Star Wards

    In response to the article Star Quality, the College of Occupational Therapists believes Star Wards has been an excellent vehicle to encourage all ward staff to engage in therapeutic, leisure and creative activitie
  • Palliative care: 'a good death is part of life'

    The hospice movement has made major advances in end-of-life care but more change is needed. With a government advisory group due to report, Mark Gould looks at the issues
  • Provider services: get up to speed on quality

    Stockport primary care trust has pioneered a model for assuring quality of provider services. Rebekah Cresswell explains
  • Public consultation: knowing your obligations

    Confusion often arises over NHS bodies' consultation obligations, but upcoming legislation makes it ever more important to get these right, says Trevor Blythe
  • Radiography careers: recognition where it is due

    The College of Radiographers has been working with Skills for Health to increase the recognition of skills and expertise among its professionals and to support the development of new roles such as assistant practitioner in radiotherapy.
  • Report demands end to top-down direction and return of professional autonomy

    Clinicians want the government to let them get on with 'doing the right thing for the patient'.
  • Restructuring ambulance services: the benefit of foresight

    Bob Sunley describes an ambulance service restructuring process that was evaluated from the outset, not just at the end
  • Tabacco

    The Faculty of Public Health and the Association of Public Health Directors have welcomed the restriction of tobacco sales to those over 18.President of the APHD Tim Crayford said: 'Risin
  • Teenage pregnancy: confidentiality guide hailed as step forward

    Moves to strengthen confidentiality for young people have been hailed as a step forward in efforts to bring down teenage pregnancy rates.
  • The role of an assistant practitioner in radiotherapy

    When Elaine James decided she needed a new challenge, she did not know she would end up in a role that combined physics, medical knowledge and the ability to liaise with patients and different departments in one of the country's busiest hospitals.
  • Three HSJ writers in the running for awards

    HSJ's editorial team is in the running for a number of prestigious journalism awards.
  • Tories stake a claim to be the patient-centred party

    The Conservatives have fired their salvo in the battle to prove they are the party that can deliver a patient-centred NHS.
  • Tories struggle to make their own room in the centre ground

    This week in Blackpool the Conservative Party conference promised to scrap top-down targets - and end the postcode lottery.
  • Training budgets: recovery due for learning

    Experts argue that it is time for training to return to NHS employers' agenda, claiming cost-effective learning improves organisational performance. Stuart Shepherd reports
  • Training on a tight budget

    Affordable methods of training are giving a healthy return on the investment, writes Stuart Shepherd

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