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Readers' letters

Letters to Health Service Journal's editor.
  • NHS England faces 'unfunded' redundancy costs

    19-Apr-2014 3:37 am

    Used to read Doctors Net UK for edgy, contrarian comment and some 'inside track' info difficult or impossible to get elsewhere. And posted regularly under my real name, 'in the clear'. Then there was a quite disgraceful abuse of Deanery power against a young trainee who became known as 'Scot Junior'. He was identified because he posted under his real name. After that, I posted on DNUK and here on HSJ anonymously. DNUK is now a shadow of it's former self, and one suspects much contrarian, stimulating debate has been stifled. Would urge HSJ to continue to allow anonymous posting. There is always the 'Unsuitable or offensive' button.....

  • Innovation network could slip into ‘self-defeating spiral’

    18-Apr-2014 9:11 pm

    Wot Peter Brambleby said... Spot on.

  • High infection rates 'unacceptable', says NICE

    18-Apr-2014 6:13 pm

    The figures being banded about by NICE 300,000 infections 15,000 deaths etc are based on the NAO reports of 2000 and 2004 and at the time were best guess estimates in the absense of robust reliable data. We know what's happened to MRSA and C Diff because of mandatory reporting and that they've reduced because of aggresively managed targets. But as the NAOs 2009 report on this subject highlighted, lots of equally serious other types of infections were rising year on year and from what I can see continue to rise - although data still isn't easy to come by. Why has it taken so long for NiCE to produce guidance containing most of what's been known for years and why arent trusts doing more to tackle these other infections such as MSSA bloodstream Infections? The difficulty is that many of these infections occur within the first 48 hours or are already present on admission - with acute hospital dealing with consequences. This is a whole health economy issue that needs urgent attention - sadly I doubt NICE standards will do the job!

  • The ever-changing NHS needs some blitz spirit

    18-Apr-2014 1:54 pm

    This is an article full of impact so its interesting that it is online only. It reminds me of a Deming quote - "A bad system will beat a good person every time" (W. Edwards Deming, Total Quality Management) and often good people are ostracized as a result of system failure. People are much more than their job descriptions but the sum of their experiences so we need to look at their skills and experiences not right them off. No one comes to work to do a bad job so yes, I whole heartedly agree roles are redundant not people and we need to make sure we don't force square pegs into round holes unless they and we can smooth the edges, and look to match people to roles that play to their strengths whenever we can. This way we get great outcomes.

  • Cancer trust embarks on pathology joint venture

    18-Apr-2014 12:46 pm

    great to see some Tuetonic efficiency coming to shake up the sleepy NHS pathology service

  • Create a training ground for future CCG leaders

    18-Apr-2014 11:48 am : "About a quarter of GPs in England are involved in some way with their CCG...that extra work related to commissioning services is cutting into the time they can spend with patients..Dr Kailash Chand said some GPs could not perform both roles adequately. Last year, 26.2 million people waited more than a week to see their GP, with a further 800,000 likely to face the same delay in 2014. The RCGP said that 11 years ago there were 2,500 more full-time equivalent GPs than hospital doctors. Last year, there were 31,700 GPs compared to 38,200 hospital doctors, a difference of 6,500. The RCGP expects that gap to widen further, with a predicted 37,000 GPs and 59,000 hospital doctors by 2022. A dedicated GP, Dr Dawn Harris, 37, was driven to suicide by the pressure of working in today's Health Service. Britain has fewer than two practising doctors per 1,000 population, compared with an average of more than three per 1,000 in the rest of Europe. There are at least 1,000 GP posts unfilled in the UK - and the shortage will get worse because so many GPs are seeking early retirement. At least 10,000 extra family doctors are needed to cope with rising demand from patients and Department of Health goals.

  • Exclusive: Serious disturbance at Broadmoor followed staffing concerns

    18-Apr-2014 11:45 am

    Hello Ian Yes, "riot" was the wrong term - and we have changed it. Alastair, Editor HSJ

  • Councils put the public health ethos into practice

    17-Apr-2014 7:56 pm

    The money seems to have disappeared in our part of London, pavements look good though.

  • Twenty pilots selected for extended hours fund

    17-Apr-2014 6:59 pm

    Sounds like 'a real time learning opportunity going forward'...W1A

  • Circle awarded £120m MSK contract

    17-Apr-2014 4:39 pm

    Circle manage to hoodwink another NHS organisation with their smoke and mirrors. I feel sorry for the staff: anyone bother to look at the Staff Survey at Hinchingbrooke? 13 out of 28 Findings in the worst 20% of NHS Trusts.

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