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Health Service Journal

View all stories from this issue.

  • 'A sad attitude to part-time workers'

    Introducing more flexible work arrangements is recognised as an important step to tackle recruitment and retention problems.
  • Altered States

    Finance managers who went on a study tour to the US say primary care groups can learn from moves away from market criteria in contract setting. Mark Crail reports
  • Ambulance response time probe ordered after staff allegations

    An investigation is under way into the performance of East Anglian Ambulance trust.
  • Black cloud casts shadow over a toothless Acheson Report blows opportunity to create touchstone for measuring inequality

    If Sir Donald Acheson had been called on to write Labour's election manifesto before the 1997 campaign, it is certain that prime minister Tony Blair would have fought on a more radical and redistributive - perhaps even socialist - platform than anything put forward by his party for many years (See News, page 8-9; News Focus, page 13-14). Whether or not he would still have been elected, of course, remains a different question.
  • Box 1 Feature which predict repetition of self-harm Repetition

    a history of self-harm prior to the current episode
  • Box 2 - Aims of psychosocial assessment after deliberate self-harm

    to identify factors associated with suicidal behaviour
  • Box 3 - Main types of interventions evaluated in trials

    brief psychological therapy (problem-solving therapy)
  • Bridge over troubled waters

    Relations between the NHS and the local council in Solihull were difficult - but the borough now has a joint public health director. Laura Donnelly reports
  • Community midwives visit for the first 10 days after birth and then hand over to the health visitor for the notification visit (the only one for which they have legal right of entry).

    Community midwives visit for the first 10 days after birth and then hand over to the health visitor for the notification visit (the only one for which they have legal right of entry).
  • Complaints convenors are strictly impartial - despite what CHCs say

    Wendy Goodwin and Tracy Steward (Letters, 5 November) would have us believe that the vast bulk of people who resort to the NHS complaints procedures are disillusioned about getting an impartial hearing.
  • Deliberate self-harm

    If the NHS is to achieve the targets for suicide reduction in The Health of the Nation1 and the green paper Our Healthier Nation, the problems that lead people to harm themselves must be addressed.
  • Desert rush

    medical staffing
  • Dobson faces calls for 999 'tampering' inquiry

    A government minister is calling for health secretary Frank Dobson to order an inquiry into allegations that a recording of a 999 call was tampered with.
  • Dorrell had 'time of stress' over CJD

    Former Conservative health secretary Stephen Dorrell told the BSE inquiry this week that he experienced a 'time of stress' during intense media speculation about new variant Creutzfeldt-Jakob disease.
  • End of an era

    Thousands of Asian doctors who came to Britain in the 1960s and 1970s are about to retire, with huge implications for general practice. Jo Carlowe reports
  • Events

    Items are entered free for public sector, voluntary and professional organisations, but we need at least six weeks' notice of your event. Please send details to Uli Jaeger, HSJ, Greater London House, Hampstead Road, London NW1 7EJ. Fax: 0171-874 0254.
  • Events

    Retaining nursing staff
  • Finance staff training scheme hits the road

    Up to 16,000 NHS finance staff will be offered training to help them cope with the government's sweeping health service reforms.
  • Fund urges realism on revamped charter

    The Patient's Charter is 'flawed and constraining', and the government should consider carefully what it aims to achieve with a replacement, a King's Fund report has concluded.
  • Goodbye to all that

    news focus
  • Group practice makes perfect

    'The shifting organisational pattern of doctors may be the key to the fortune of health policy in the US'
  • Head to come This blurb

    All leave is hereby cancelled, Territorial Army and Red Cross members are urged to contact their organisations, triage centres are to be set up at known trouble spots, and routine work will be wound down to cope with an anticipated three or fourfold increase in casualties. As the millennium approaches, preparations for it are coming to resemble less a celebration than the horrifyingly inevitable slide into war with a powerful adversary (See News, page 4-5).
  • Heading to come

    For some of us old enough to remember the suppression of the Black report on inequalities in health back in 1980, the publication of former chief medical officer Sir Donald Acheson's son of Black report felt a bit like the arrest of General Pinochet - long overdue revenge on behalf of the poor.
  • Health visitors

    There can be no doubt that the role of the health visitor has long been the subject of debate, but your report describing the 'enormous implications' of the Supporting Families green paper demonstrates once again the ignorance surrounding the role of the health visitor (News, page 7, 12 November).
  • Holidays at risk in millennium staff crisis

    Trusts have been urged to consider cancelling leave and asking retiring staff to stay on to cope with the 'unprecedented pressures' of the millennium celebrations.
  • in person

    Catherine Gaskell, senior nurse manager for perinatal services at Bethlem and Maudsley trust, has been appointed executive nurse for City and Hackney Community Services trust.
  • IT bug delays continue

    A significant proportion of NHS organisations are still behind schedule with their year 2000 computer compliance programmes, according to the latest quarterly report from trusts and health authorities.
  • Money talk

    Sir Donald Acheson's '39 steps' to reduce health inequalities have not been costed. But they point clearly to a need to increase spending - particularly on benefits. Mark Crail reports
  • More ideas for coping with the millennium crisis.

    'Front load' elective activity to the first six months of 1999 to allow for lower levels of planned activity in January 1999 and December 2000.
  • MPs told of new need for doctors

    MPs have been warned that the European working time directive will create additional demand for extra doctors.
  • MPs told of new need for doctors

    MPs have been warned that the European working time directive will create additional demand for extra doctors.
  • on the record

    TOM JONES is director and co-founder of MJM Healthcare Solutions Mental Health Strategies. He is also spokesman for the Association of Chartered Certified Accountants. He was formerly director of finance and information at Herefordshire health authority.
  • Opportunities knocked

    Despite evidence that doctors support more flexible work structures, a survey suggests that such opportunities are not being created. Steve Atherton and Joan Murray report
  • Patients' deaths spark call for swift action on hospital suicides

    The National Schizophrenia Fellowship has called for action to 'stem the flow of hospital suicides' in the wake of two reports into 13 patient deaths at neighbouring trusts.
  • Personnel tips for GPs

    The director of pay and workforce research, John Northrop, was incorrect when he said: 'HR practices in general practice are non-existent,' (News Focus, page 11, 1 October).
  • Police arrest six in trust fraud probe as chair quits and chief takes leave

    The chair of a mental health services trust has resigned, the chief executive has gone on indefinite leave, and six other people have been arrested and bailed as part of a police fraud investigation.
  • Private hospital use could affect HA money, says Acheson report

    Health authority cash allocations could be adjusted to take account of the use people make of private hospitals, according to the most far- reaching report on health inequalities for a generation.
  • Racist attack leaves GP shaken

    Sajal Sengupta is 60 and a GP in Ferndale, Mid Glamorgan. His story is typical of many Asian doctors who arrived in Britain as part of the
  • Recommendations for the NHS

    Equitable access to effective care in relation to need should be a governing principle of all NHS policies. Priority should be given to achieving equity in service planning, implementation and delivery at all levels. Specifically:
  • Report identifies 'bottlenecks' in Scottish A&E

    Recommendations to streamline the admission and discharge of emergency patients were made this week by the Accounts Commission for Scotland.
  • Report urges caution on revamped charter

    The patient's charter is 'flawed and constraining' and the government should consider carefully what it aims to achieve with a replacement, a King's Fund report has concluded.
  • Short cuts 24-hour helpline aims to fill housing advice gap

    Thousands of people every year suffer homelessness because they get bad advice or none at all, according to a report by Shelter based on a survey of more than 1,200 people. The report marks the launch today of Shelterline, a 24-hour housing helpline. It can be contacted on 0808-800 4000.
  • Short cuts Complaints system tender winners announced

    The NHS Executive has announced that the tender for the contract to evaluate the NHS complaints procedure has been won by the London Health and Economics Consortium (part of the London School of Hygiene and Tropical Medicine), Public Attitude Surveys Ltd and the King's Fund. The research will look at how the new complaints procedure is operating across all parts of the NHS, with the aim of refining the procedures.
  • Short cuts Midwives recommend HIV test for pregnant women

    The Royal College of Midwives has recommended that all pregnant women should be offered HIV testing and that testing should be recommended in areas where rates of infection are high. The recommendations are made in a leaflet produced with the Department of Health, launched by the RCM and public health minister Tessa Jowell last week. Almost 5,000 women in the UK have HIV and 300 babies are born each year to HIV infected mothers.
  • Short cuts RCN secures £350,000 for nurse injured at work

    The Royal College of Nursing has secured an out of court settlement of £350,000 for former nurse biological science tutor Carole Webster, who was left disabled by an accident at St Bartholomew's and Princess Alexandra and Newham College of Nursing in 1993. A stiff door suddenly stopped, forcing her to lose her balance and twist her back badly. Ms Webster said she had complained in writing to East London and the City health authority about the doors, but claimed they had never been proper
  • Short cuts Scope backs disablement services authority call

    One of the UK's largest disability organisations has backed a disability consortium calling for the government to establish a disablement services authority. Scope has supported a campaign run by emPOWER, which says an authority would 'address significant and expensive variations in the quality and distribution of NHS disablement services', such as wheelchairs and equipment.
  • Short cuts Scottish residential care still moving to community

    Scottish office statistics published last week show a continued move away from hospital to community-based residential care. The number of places for geriatric assessment and long-stay care, people with learning disabilities, mental health patients and psychogeriatric patients in NHS hospitals decreased by 1,500 in 1997 to 21,000, while the number of beds in private nursing and residential care homes increased by 1,500 to 46,759. There has been a 30 per cent fall in such NHS beds since 1990 a
  • Short cuts Widdecombe makes waves over Blair 'turbulence'

    Shadow health secretary Ann Widdecombe has accused prime minister Tony Blair of breaking a pre-election promise to managers that Labour would not cause major upheavals in the NHS. In a debate on the Queen's speech, she said the government's health proposals would cause 'top to bottom turbulence in our health service for years to come'.
  • Showcase for health managers

    Health minister Alan Milburn addresses HSJ's health management awards dinner in London last week.
  • Stop the exodus

    The BMA's campaign calls on the government to:
  • The Road Traffic (NHS Charges) Bill,

    The Road Traffic (NHS Charges) Bill, designed to make it easier for hospitals to recover charges for treating road accident victims from insurance companies, has been published. It would also abolish the rarely collected £21.30 emergency treatment fee and replace other levies with a £354 charge for accident and emergency treatment and a £435-a-day charge for inpatient treatment.
  • Therapeutic communities offer a philosophy for those with untreatable behavioural problems

    In response to Dr Griffiths' letter on treating personality disorder (12 November), it is all too easy to blame politicians.
  • Thumbs up for social services shake-up

    The 'most radical overhaul' of social services in 30 years has been broadly welcomed by managers in health and social care.
  • 'Tis the season for the NHS to make some creative seasonal adjustments and avoid predictable crises

    'Tis the season for the NHS to make some creative seasonal adjustments and avoid predictable crises
  • Top three priorities

    All government policies likely to have a direct or indirect effect on health should be evaluated in terms of their impact on health inequalities, and should favour the less well-off. High priority should be given to policies aimed at improving health and reducing health inequalities in women of childbearing age, expectant mothers and young children. Government policies should further reduce income inequalities, and improve the living standards of households in receipt of social security benef

    Just six years after the economist, Thomas Robert Malthus, published his 1798 Essay on the Principle of Population, the number of people in the world passed 1 billion.
  • Where the battle-lines are drawn: reactions to the Queen's Speech

    Primary care
  • Working time directive We fear agencies will use hours rule to clock up higher charges

    Shouldn't the rates go down?

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