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Readers' letters

Letters to Health Service Journal's editor.
  • Worcestershire trust’s bullying policy ‘not fit for purpose’

    2-Sep-2015 0:43 am

    Anonymous | 1-Sep-2015 2:28 Pm "If you think that shouting and related behaviour is in any way ok you really shouldn't be in management. " Define "shouting and related behaviour", please. This problem is not helped by people like you broadening and blurring the proper definition of workplace bullying. "Shouting" is too general a word - not all shouting is bullying just as not all bullying is shouting. All you achieve with statements like the one quoted above is to give licence for ANY raised voice to be interpreted as bullying.

  • Exclusive: CCGs given ultimatum over 'paperless' progress

    1-Sep-2015 11:46 pm

    Anonymous | 1-Sep-2015 5:18 Pm Spare us, please! I sincerely hope that you (and your like) are not in the decision path! That particular book (and many others like it) merely warns against the literal interpretation of the word "paperless".

  • HSJ launches Women Leaders network

    1-Sep-2015 10:22 pm

    Sorry, but I just don't get this. How can you end perceived segregation by creating... more segregation? Not saying that something shouldn't be done - just not this.

  • Updated: Sir Robert Naylor to leave UCLH

    1-Sep-2015 9:35 pm

    Anon 1.48 and 3.13 - hurrah! Someone cutting through all the gobbledygook and crap and getting down to asking some concrete questions regarding what on earth any of this will actually look like on the ground - none of which anyone has any answers to.

  • Ministers take high risk bets on debt, pay restraint and reform

    1-Sep-2015 8:48 pm

    I don't doubt people's commitment to the view that hospital chains will improve quality. Chains will also reduce the numbers of transactions required and attract greater interest when the government decide to sell off the NHS provider sector. The same might apply to primary care super-practices. Once those reduced transactions are executed, we should expect the tariff to return to realistic values. Thus rendering the provision of NHS services profitable again. And that, along with the introduction of co-payments will represent the successful implementation of neoliberal health policy. In a bizarre twist (for those politically minded which I am not) the integration of health providers will be a commercial dynamic that allows the government to disintegrate the NHS as we currently understand it. Not necessarily the battering ram that many professionals have in mind.

  • Updated: NHS agency controls unveiled, but price cap pushed back

    1-Sep-2015 7:59 pm

    It will become very difficult to find staff who will work in high acuity areas. Why would you want to do an agency shift with relentless pressure and stroppy difficult patients (and doctors!) when you could go to a nice elective ward where everything is clean and nice?

  • Should we allow men in the Women Leaders network?

    1-Sep-2015 6:20 pm

    I would say you should allow men to have a balanced debate.However the support system and mentoring structure might have some aspects where women can share experiences about career planning and training. I hope this network has primary care representation and third sector members,as its important to have diversity in leadership,and not all leaders are working within a board structure at the moment. The Sept 23rd launch date is a bit early for a network that is just forming.

  • Somerset commissioners propose single health and social care budget

    1-Sep-2015 6:10 pm

    Anonymous | 1-Sep-2015 9:56 Am - I don't see anything there that's relevant. Think in terms of a flyer that you'd give to each citizen... "Here's a straightforward guide... this what you should do when you have a problem". The approach should be to write that first and test it - only when you've got it "right" should you move on to designing the processes, departments, etc. that will deliver exactly that promise to users.

  • Don't judge vanguards on what they weren't designed to do

    1-Sep-2015 5:51 pm

    9:52 pm is right. Somewhere there ought to be an NHS Museum of Pointless Initiatives, where every centralising, witless progenitor of Another Damn Good Idea That Will Save Money After Costing Some should be forced to spend a week or two in silent contemplation before being allowed to proceed with their heroic pilots and their leaden roll-outs, and their oddly (but invariably) much quieter windings-up.

  • Outside scrutiny has become ‘unforgiving’, warns longest serving NHS chief

    1-Sep-2015 5:07 pm

    As a governor at a foundation trust hospital I agree in full with the spirit of this article. The accounting officer is under ceaseless pressure along with the Board of Directors. Foundation trusts were set up to be autonomous but every day sees something new and more prescriptive from above either as individual organisations or as a group of organisations. I feel it is up to the governors to give their support. This can be done whilst holding directors to account and we should be aware of the dangers of short termism.

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