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Readers' letters

Letters to Health Service Journal's editor.
  • West Midlands acute chief resigns

    3-Aug-2015 11:21 pm

    Penny is an excellent CEO who has the NHS and patient safety at her core. She has been made a scapegoat and has had an impossible task in Worcestershire with a completely dysfunctional health economy and adult social care service. She has been badly let down by the Chairman and Board. This is not good news for the people of Worcestershire.

  • Major teaching hospital names new chief executive

    3-Aug-2015 10:42 pm

    Congratulations Nick and very best of luck in this important role

  • Breaking: Providers ordered to take tough new measures to cut deficits

    3-Aug-2015 10:41 pm

    How do you implement safe staffing guidance in a proportionate and appropriate way? Don't you either implement it, or not implement it?

  • Executive Summary: ‘King Canute’ gets tough on deficits

    3-Aug-2015 9:50 pm

    Of course Canute knew what he was doing. He was demonstrating that kings have no power over forces beyond their control. So maybe the Canute like behaviour of Monitor is for the same purpose....

  • Monitor to investigate Cambridge trust's finances following IT project problems

    3-Aug-2015 8:33 pm

    Hum I am a consultant at Addenbrooke's, and there are definitely 2 sides to this. The actual implementation left a lot to be desired but I am honestly not sure to what extent this was the fault of the Trust management who were let down by the hardware supplier in a big way. And there is also no doubt that if all the trusts in the area (including Addenbrooke's) were not being strangled by Monitor, NHS England and the CCGs we would have been able to afford to spend more on the implementation. I think that there are now 2 schools of thought in the consultant body. Many are struggling, especially in high volume specialties. On the other hand many of us are seeing great benefits from the EPIC system, and I have no doubt myself that in the long run it will prove to be a good investment. But I think that I would agree with a lot of what David Dalton says. And a review to learn some of the important lessons of this implementation cannot be a bad thing, but to be useful I think it needs to be on a no fault basis to try and avoid the defensiveness which currently exists around the project (of course I would refute the charge of arrogance!)

  • 'Fundamental change to how the NHS is run': reaction to the letter

    3-Aug-2015 8:22 pm

    Are NHS England and Monitor the only ones who didn't see this coming last year when they consulted on the tariff - clearly not. They might have more credibility if they issued a public apology for the massive misjudgements they've made and listen in future to what they are being told. Where were Monitor when all these extra costs were being heaped on them to meet CQC, safer staffing, regulatory costs with a reduced tariff.

  • Revealed: £690m Staffordshire contract bidders discuss private led consortium

    3-Aug-2015 8:16 pm

    This is beginning to look like the mess Bedfordshire CCG got into over its MSK prime provider contract.

  • Trust chief executive to retire after 42 years in NHS

    3-Aug-2015 8:14 pm

    The NHS has a tendency to eat itself - as shown by both some of the comments here and the effect of overbearing scrutiny. We need to stop the Canabalistic tendencies of the service and the individuals. Well done all who serve in a service that is well intentioned but suffering - like every other system, from an ageing population and affordability. Well done Tricia and than you for your years of service.

  • Don't fast track: True leaders respect due process

    3-Aug-2015 5:42 pm

    More haste less speed!

  • Updated: DH proposes across the board public health cut

    3-Aug-2015 4:01 pm

    Brenda, sorry your perception of very modest individual gain (high blood pressure is a risk factor for stroke/cardiac disease - most people who experience significant problems from these conditions do not have high blood pressure) with the cost effectiveness of population screening, which as Paul noted is entirely non-evidence based. And what about the cost effectiveness of chlamydia testing (paradoxically the NICE evidence review did not support thisintervention, but unlike the current issue of nurse staffing, this never received significant HSJ cmment) another (non-evidence based) burden on hard pressed Local Authorities

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