By continuing to use the site you agree to our Privacy & Cookies policy

Your browser seems to have cookies disabled. For the best experience of this website, please enable cookies in your browser.


Your browser is no longer supported

For the best possible experience using our website we recommend you upgrade to a newer version or another browser.


Readers' letters

Letters to Health Service Journal's editor.
  • Michael White: Hysteria versus complacency is the new political dividing line

    10-Oct-2015 2:02 pm

    Junior doctors negotiators look like they'll take Hunt to the cleaners, just like they did the Labour ministers the last time the contract was negotiated. The numbers of juniors apparently threatening to emigrate to NZ suggests that every doctor vacancy in NZ will be filled within 2 weeks, so what will happen to the ones that leave UK after that??? Get real folks, and talk sensibly please, our patients deserve that. CEO retd

  • Former HEFT chief to lead biggest ever GP partnership

    10-Oct-2015 10:28 am

    No pooled premises, separate practice budgets - this is just a federation surely? The concept of super practice is that is like a small practice...only bigger ! So everything is mered. In OHP things are clearlt not merged. If it looks like a duck and quacks...

  • We have to talk about the money

    10-Oct-2015 10:04 am

    This saddens me. Not because we are running into a wall regarding new ideas about how we might address the spiralling running costs, but because the 'system' is closing down and shutting out new ideas that they see as a threat. Let me explain. I work in a GP led primary care organisation. We are nationally regarded as a 'leader'. We have plenty of great ideas and crucially we are willing to assume financial risk.. That's right, we are prepared to step up and shoulder downside. However, our local CCG is so obsessed with propping up the local trusts (through block contracts) that our ideas have had zero success in being commissioned. Even though we can show patients love the improved access; clinical outcomes are better; and we are far , far cheaper. We have run out of road in terms of transformation. We are now thinking of simply offering lots more services via the choice mechanism. Our patients will prefer to come to us and we can make money. So our help in local system transformation is shunned; our ideas ignored; our willingness to shoulder downside financial risk disregarded ; and we are left to behave like a private sector provider. All because the CCG supported by the local NHSE area team want to prop up the terminally failing. Sad , sad.

  • Ruth Carnall to lead Devon success regime

    10-Oct-2015 9:55 am

    Bringing in seasoned 'Grey Wolves' like McKay and Carnall isnt a bad idea. However , it does question the wisdom of dismantling SHAs and paying these guys c£500k (pay off & pension top up) to leave. But thats not my point. As far as I'm aware, McKay is a one-man band. You are buying his knowledge, his 'charm'. Carnall appears to have made it a condition that all her ex London SHA chums in 'Carnall Farrar' also feed from this. I agree with the transparency comment above. Taxpayers need exactly to know how much this is costing. Can HSJ find out?

  • HSJ Live 09.10.15: Provider finances worse than planned - reaction

    10-Oct-2015 9:44 am

    Re my previous comment on high cost drugs... Clearly it is only the non-tariff element that Trusts recover direct from commissioners. So the question is how much of drugs are within tariffs and by how much those costs have risen. Everyone talks about agency staff, which is a contributory factor, but deficits of this size must have other major drivers Y KP

  • Updated: Provider deficits swell to £930m in three months

    9-Oct-2015 10:42 pm

    The country needs a serious debate about what it proposes to do about funding healthcare. If income remains constant then the government needs to come clean about the levels of care that can be realistically expected. If folks want to dig deeper in their pockets then this should be an option put forward. In the meantime appointing TDA turnaround Directors and sending in CQC inspectors to tell us that there aren't enough nurses is money down the toilet. Time for a rethink.

  • Exclusive: Another CCG agrees variation from QOF

    9-Oct-2015 10:35 pm

    There must be more to this. Not having to do the reports releases very little time. Not having to do the work is what counts. Nick are there details missing here?

  • Uncertainty over agency nurse procurement in South West

    9-Oct-2015 9:51 pm

    Not sure why Cornwall would be grouped with places as far afield as Salisbury. There's a mixture of rural/urban/acute/ community/mental health Trusts here which have very different requirements. There are some economies of scale. But there are important variations which will not work in favour of more remote areas like Cornwall and North Devon. Unfortunately the furore over zero hours contracts has cast a shadow over local Banks, which many people prefer because they can choose when to work. Pitch the rates at the right level and staff will tend to choose these over the agencies.

  • First special measures GP practice to close

    9-Oct-2015 8:21 pm

    Sad to see HSJ sensoring comments about their shambolic awards schemes. I pay my subscription so entitled to an opinion. #"notworththepapertheyarewrittenon

  • Exclusive: Immigration rules derail major nurse recruitment plans

    9-Oct-2015 2:55 pm

    Anon 9:11 - Since when did teaching hospitals have the responsibility for teaching nurses? This is a system problem of not enough funding meaning not enough nurses getting trained by the universities. The government is responsible for this and it is they who should be held to account.

Sign up to get the latest health policy news direct to your inbox