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Acute care


Tariff proposal threatens delayed discharge schemes

Schemes to reduce the number of patients with a delayed discharge have been scaled back because commissioners can no longer afford to fund them under current tariff arrangements, trust chief executives have told HSJ.

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Monitor readies itself to refer tariff row to CMA

Monitor’s pricing team are readying themselves to be able to refer rejected tariff proposals for 2015-16 to the Competition and Markets Authority as soon as next month, should the regulator’s board decide to do so.

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Doctors meeting

Exclusive: Clinical leaders 'more willing to challenge diktats', research finds

Clinical leaders are ‘more willing to challenge or ignore diktats and messages from above’ than their managerial colleagues in clinical commissioning groups, research shared exclusively with HSJ has found.

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Money, cash and notes

HSJ daily digest: Tariff tremors and election lessons for the NHS

HSJ’s daily digest of Monday’s significant developments for healthcare leaders:

clinical leadership, communication, agreement, healthboard, merge

Trust replaces A&E doctors after en masse resignation

WORKFORCE: Worcestershire Acute Hospitals Trust has managed to fill four out of five vacant accident and emergency consultant posts after a group of consultants resigned en masse in protest at the way a review of acute services was being handled.


Analysis: Some CCGs expect deficits up to three times higher than planned

A clutch of clinical commissioning groups ended 2014-15 expecting deficits up to three times higher than planned, even as the majority saw their outlook for the year improved by a funding rebate.

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Surgeon, surgery, surgical tools,

Survey: Third of CCGs consider limiting access amid cash squeeze

More than a third of clinical commissioning groups are considering introducing limits on access or eligibility for services this year amid huge financial pressures, the latest HSJ survey of CCG leaders suggests.

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Nurse treating patient

Exclusive: Four out of five hospitals miss own nurse staffing targets

More than four out of five acute hospitals in England are failing to meet their own targets for nurse staffing, HSJ analysis reveals.

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Surgery theatre

Royal college: Changing surgical pathways could save money and lives

Hospitals could reduce length of stay and improve patient outcomes if they reimagine the way more than 10 million patients a year undergo surgery in the NHS, HSJ has been told.

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Analysis: CQC hospital ratings could swing 'must win' election battles

The general election could be decided by Care Quality Commission ratings of seven hospital trusts, analysis by HSJ reveals.

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Hospital Clock

Hunt: Seven day NHS may be cheapest way to meet rising demand

The Conservatives’ plan to extend weekend working would help the NHS meet rising demand for operations, rather than being an additional cost pressure, the health secretary has argued.

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Person signing contract

Exclusive: Trusts received contract offers on deadline day

Some contracts for 2015-16 remain unsigned two weeks after the deadline as some trusts only received their offers on the day they were meant to be signed, HSJ has been told.

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Nurse and mentor

'No improvement over safe staffing', nurse survey suggests

Almost two thirds of nursing staff who have experienced a ‘red flag’ event while working on an acute adult inpatient ward have failed to see nurse numbers immediately increased to deal with the situation, according to a major survey of NHS staffing levels.

Tyne Bridge

North East CCG forecasts £6m deficit

FINANCE: North Tyneside Clinical Commissioning Group has forecast a £6.4m deficit for the 2014-15 financial year, its chair has said.

Blood pathology

Exclusive: NHS owned pathology joint venture expects £4.5m loss

A pathology joint venture owned by six NHS trusts is forecasting a £4.5m deficit for its first year of operation, HSJ has learned.

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UK map

18 week waits, February 2015: explore the maps

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

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Hit or miss: Lessons from the best and worst A&E performers

The overall picture shows some economies excelled, others struggled

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Sadie Hernandez

The three things keeping NHS commissioners awake at night

What gives commissioners sleepless nights?

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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

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