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Acute care

Emergency, service redesign, A&E

Emergency services face sweeping payment system reform

NHS England and Monitor have floated proposals for sweeping reform of the payment systems for emergency healthcare, to help bring about the changes envisaged by the Keogh review of urgent and emergency care.

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Health economies across the country face acute sector deficits

Hospital trust financial problems have now spread across England, with the acute sector in the majority of health economies expecting an overall deficit in 2014-15.

UK map

HSJ map: Most health economies set for hospital deficit

Our map highlights the health economies expecting to record a deficit for 2014-15

Monitor’s pricing tariff independence under scrutiny

The Foundation Trust Network has urged to Monitor to stay independent when setting the national pricing tariff, despite pressures on the NHS budget.

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Nurses pushing patient trolley

Nurse staffing levels linked to weekend death rates from stroke, research finds

Stroke patients are more likely to die in units with lower nurse staffing levels at weekends, according to latest UK research.

Emergency patient

Exclusive: Emergency medic recruitment hits highest ever level

The number of trainee doctors recruited to work in England’s A&E departments has increased to its highest ever level, Health Education England has revealed

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Simon Stevens

Five year NHS strategy to set out preferred 'care models'

The five year strategy being developed by NHS England will set out ‘a range of care models’ aimed at putting the service on a sustainable financial footing, it has said.

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Liverpool Merseyside waterfront

Royal Liverpool challenged over A&E income

FINANCE:  Liverpool Clinical Commissioning Group has launched an investigation into a “significant increase” in the cost of accident and emergency at one of the city’s major hospitals.

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Mental health funding cuts revealed

Exclusive: Analysis reveals mental health trust funding cuts

NHS mental health providers have slashed beds and staff levels as they cope with real term funding cuts and the soaring cost of sending patients hundreds of miles away for treatment.

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East Kent Hospitals University NHS Foundation Trust

Senior departures at trust recommended for special measures

WORKFORCE: The chief executive of a trust recommended for special measures is to retire at the end of the year due to ill health.

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Data, paperless NHS,, information and technology, healthcare data

'Shock' at lack of GP-A&E data link

Many patients are ‘shocked’ that lots of accident and emergency doctors do not have automatic access to their GP records, a poll suggests.

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Map of north of England

18 week waits, June 2014: explore the new maps

See all NHS waits around England by provider, CCG or specialty

Hand with pills

NICE on the offensive in row over breast cancer drug

NICE has taken the unprecedented step of expressing its ‘disappointment’ with a multinational drug giant in a row over a new breast cancer drug and the government’s pricing deal

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Steve Kell

CCGs raise concerns over 'system resilience groups'

Clinical commissioning groups have become concerned about the burden of being involved with ‘system resilience groups’, which are expected to oversee efforts to clear waiting lists and ease winter pressures.

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Robert Francis

Exclusive: Francis to stop the NHS's 'climate of fear' as review launches

The role of probing claims made by NHS whistleblowers could be taken out of the hands of hospital trusts, the head of a major government inquiry has indicated in an exclusive interview with HSJ.

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Minority of patients are offered choice of provider, say Monitor and NHS England

Less than 40 per cent of patients are offered a choice of provider when referred by their GP for an outpatient appointment, according to a survey report published today by NHS England and Monitor.

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A&E tracker

David Oliver

Beware the false solutions to the NHS's challenges

There is a glut of questionable statements being made

East Asian doctor

Upgrade ward rounds to transform care reviews and reduce patient stays

One trusts has pioneered a new approach

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Man trying to sleep

Wake up to the commissioning needs of sleep disorders

Moving some services into primary care risks ‘dumbing down’

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magnifying glass

How the CQC’s new hospital inspections measure up

What’s changed, what works and what doesn’t

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Open book accounting can lead to a more honest NHS

Forging more honest debate about costs

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