Opinion and Debate

Opinion, blogs and readers' comments on health policy and NHS management

Man in spotlight standing out from crowd

'New insights could help CCGs be clear on population health services' Subscription Required

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Learning from medical groups in the US could show the way for CCGs to develop practices that deliver better quality services for their population’s health, suggests Tim Riley.

Doctor using wireless technology

'Engaging GPs is the new year's resolution for clinical commissioning' Subscription Required

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Although many CCGs are now up and running, they face a number of challenges that show no sign of abating. Ben Gowland discusses a key priority for his commissioning group.

MacMillan chief executive Ciaran Devane

Ciarán Devane interview: 'There is a role for top-down control' Subscription Required

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As the chief executive of cancer charity MacMillan starts work at the NHS Commissioning Board, he tells HSJ’s news editor Nick Golding that his motivation is to champion the patient.

Noel Plumridge

Noel Plumridge: tariff reductions aren't the one-size-fits-all solution Subscription Required

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Timely as they are, the Commons health committee’s warnings about the NHS’s approach to saving £20bn are nothing new.

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Michael White

Michael White: humility is in short supply despite Lansley's 'climbdown' Subscription Required

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It would be good to detect signs of humility and contrition in the healthcare community when the editors of three of the leading trade publications (including this one) launch a “never again” plea for more discussion and less prescriptive dogmatism next time there’s an NHS reorganisation.

Senior correspondent for Health Service Journal Dave West

Opposition likely for Yorkshire reconfiguration plans Subscription Required

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Major service change is not getting any easier in North Yorkshire: plans to close inpatient children’s services at the Friarage Hospital in Northallerton are back on the agenda, a press release reveals.

Health Service Journal reporter Ben Clover

London ambulance service facing new investigation on performance Subscription Required

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Difficult times for the London Ambulance Service as it faces a fresh investigation into its performance.

Nurse cleaning her hands with antibacterial handwash at hospital

Redesigning hospital environments can help tackle infection Subscription Required

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Controlling healthcare acquired infection requires intelligent hospital design and practices, write Nigel Klein and Vanya Gant.

Hospital Reconfiguration graphic

'Reconfiguration may do more harm than good' Subscription Required

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History warns us that reconfiguration is not the panacea it’s cracked up to be, says Andy McKeon.

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A cartoon of a ball of red tape

'Don't rush through regulation at the expense of innovation' Subscription Required

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The PIP breast implant scandal has raised difficult questions for trusts and clinicians about the faith they place in the reliability of medical devices they use.

Financial Times reporter Sally Gainsbury

Sally Gainsbury: just how much will public health have? Subscription Required

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So local authorities, it appears, won’t be getting much of a public health fund after all.

Michael White

Michael White: will Lansley's Healh Bill survive the 'big push'? Subscription Required

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Do you remember the Battle of the Bulge? No, nor do I. It was the last German counter-offensive on the western front in World War II, a thrust through the Ardennes at Christmas 1944 that hoped to push British and American armies back into the Channel.

HSJ reporter Crispin Dowler

Cumbrian cause for concern in the North West Subscription Required

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Will Andrew Lansley stick with his habit of using Cumbria as poster child for GP commissioning?

Chief reporter on HSJ Charlotte Santry

The curious case of evolution in the West Midlands Subscription Required

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It’s evolution, but not as Darwin would know it.

A doctor's coat hanging on door, with a stethoscope

Commissioning by any other name: will 'clinical' become 'world class'? Subscription Required

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Linear progress, zig-zagging or going round in circles? Calum Paton asks whether the Health Bill’s ideal of clinical commissioning can really deliver an improved era of healthcare after the years of false starts and rebadging.

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A yellow figure standing out from a black crowd

The rise of the patient leader Subscription Required

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Patient leaders have a valuable role to play in tackling the problems facing health and social care at a national and local level, but we need to improve the development of and access to learning opportunities in order to grow this pool of talent properly, says David Gilbert.

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HSJ emerging CCGs map

'Local healthcare cannot be delivered by giant commissioning bodies' Subscription Required

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The key to healthcare delivery models lies within natural communities – not in bloated commissioning organisations, says Charles Alessi.

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Man with the flu

'Can Public Health England improve the way we respond to pandemics?' Subscription Required

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The Department of Health’s intention for Public Health England to strengthen the national response to public health crises alongside local bodies may not work in practice unless experiences of previous pandemics are learned from, write Drs Jacky Chambers and Andrew Rouse.

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Noel Plumridge

Noel Plumridge: bonus capital fund threatens to embarrass the system Subscription Required

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The letter sent by the Department of Health in late December inviting bids for a £300m capital fund, favouring projects with greater spend in 2011-12, smacks of someone realising the potential for serious embarrassment.

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Guardian columnist Michael White

Michael White: trusts need to be wary of the lure of lawsuits Subscription Required

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Catching my eye before Christmas was the £4.5m employment tribunal award against Mid Yorkshire Hospitals Trust in the case ofconsultant Eva Michalak.

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Thinking differently about quality and cost Subscription Required

By Helen Bevan

"Revolution begins with a transformation of consciousness". Innovation, doing things differently, is becoming a high priority activity in the NHS. Innovation has a critical pre-requisite: thinking differently. If we are going to sustain a universal healthcare system for future generations, we need to think differently about the relationship between cost and quality.

The funding must be available to help achieve public health outcomes Subscription Required

By Sean Duggan

The recently announced Public Health Outcomes Framework sets an effective set of measurements for performance - but if the resources aren’t there to achieve them, many services will step back from this opportunity for a step change in mental healthcare.

Are leaders a product of their environment, or is it the other way round? Subscription Required

By Blair Mcpherson

The People Manager compares a recent report on NHS Top Leaders being “over confident” with an interview given by a chief executive this week.

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Two elderly people wrapped up against the cold

Media Watch: it's beginning to look a lot like winter Subscription Required

By Alison Moore

Freezing temperatures kept most of the press preoccupied this week. By the time you read this, Britain will probably have entered a mini ice age with Siberian blasts immobilising the country - or at least the readers of the Express.

Guardian homepage on HSJ

The NHS deserves a better, more open debate over health reform

31-Jan-2012 | By , ,

The Health Bill enters the crucial report stage in the House of Lords next week amid huge controversy. To mark this, the BMJ, HSJ and Nursing Times have, for the first time, cooperated to publish the same editorial.

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