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Acute care

Nurse and clip board and patient

Leading trusts defy NHS England over 'out of area' referrals

Teaching hospitals are continuing to refuse ‘out of area’ referrals in defiance of new rules from NHS England.

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healthcare workers

Full HCA registration 'inevitable', says care review author

New training standards for healthcare assistants should be made mandatory as part of a journey towards ‘inevitable’ full registration of the care workforce, the author of the Cavendish review has said.

A&E pharmacists pilot gets national rollout

More than 50 pilot sites will take part in a national trial of clinical pharmacists in accident and emergency departments.

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Man with clipboard

Inspectors return to trust two days before report due

PERFORMANCE: Care Quality Commission inspectors have returned to East Sussex Healthcare Trust just two days before the regulator is due to publish a report into the trust.

Birmingham city centre

Exclusive: Vanguard areas call for tender moratorium

NHS England and Monitor are facing calls to exempt ‘vanguard’ areas from requirements to tender services, amid fears that procurement processes could undermine efforts to establish integrated primary, community and acute care models.

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London workers

Exclusive: All London CCGs and NHS England join forces on city-wide vision

All 32 London clinical commissioning groups and NHS England’s London arm have set out plans to drive the improvements called for by the NHS Five Year Forward View and the London Health Commission.

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Whipps Cross University Hospital

Ranked: Whipps Cross poorest hospital rated by CQC to date

Whipps Cross University Hospital is by one measure, the poorest hospital to be rated by the Care Quality Commission to date.

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Tougher penalties under new NHS contract

Penalties for breaching referral to treatment targets have been toughened up to try to bring down waiting lists, in the final standard contract issued by NHS England, but sanctions for accident and emergency and elective treatment breaches have been reduced.

UK map

18 week waits, January 2015: explore the maps

See all NHS waiting lists around England by provider, CCG or specialty


Call for more surgeons as hip and knee operations rise

A shortage of training places for orthopaedic surgeons must be addressed as demand for hip and knee replacement surgery continues to rise, the Royal College of Surgeons has said.

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Older woman in hospital bed

Drop in elective patients treated reflects A&E demand

There were fewer elective patients treated in January compared to the previous year, according to the latest data from NHS England.

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Surgeon, surgery, surgical tools,

Exclusive: NHS England offered £124m fund to tariff objectors

NHS England offered a group of trusts access to a £124m fund on the condition they dropped their opposition to its latest tariff offer, HSJ can reveal.

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Worcestershire Acute Hospitals Trust

TDA commissions bullying investigation at Midlands trust

Allegations of bullying and harassment at a troubled West Midlands hospitals trust will be investigated by an independent review commissioned by the NHS Trust Development Authority.

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Blurred hospital corridor with three figures in it

Biggest hospital trusts absent from care model 'vanguard'

England’s most powerful acute trusts are absent from the new care model “vanguard” sites revealed today by NHS England, but will take part in a forthcoming project on how they can work with small hospitals, HSJ has been told.

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Cardiac surgery

Updated: Majority of providers opt for 'voluntary' tariff option

The vast majority of NHS providers have accepted NHS England and Monitor’s offer of a ‘voluntary’ tariff for 2015-16, it has been announced, but the country’s biggest teaching hospital trusts have rejected the deal.

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Busy hospital

Urgent care system 'near breaking point', think tank claims

Four hour target ‘distorts’ behaviour in hospitals, Nuffield Trust says

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Shaking hands

Reach out to GPs and social care to create provider led solutions

Making the move to capitated outcomes based commissioning

Unleash workforce creativity with staff engagement building blocks

The King’s Fund proposes ways to build confidence among the workforce to lead on safety

driving car

Let NHS staff take the front seat and drive change

Change can be lasting

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Businesswoman looking across cityscape through a telescope

The system-wide approach to turn around a struggling health economy

Lessons learned by Guildford and Waverley CCG

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