Best Practice

Ideas to help you do your job more effectively

A work meeting around a table - people working collaboratively

How to improve staff collaboration and delivered integrated care Subscription Required

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Collaboration and enabled leadership helped one trust achieve better integration of services, which ended up benefitting both the patients receiving care and the staff delivering it, writes Jane Wells.

GBP sterling and a calculator

How to prioritise disinvestment in support services Subscription Required

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A tool to help assess disinvestment in support services can help organisations validate their difficult decisions in this area, as Marion Bain, Hester Ward and Simon Belfer explain.

Silhouettes of workforce

How to create an organisational strategy to develop clinical leaders Subscription Required

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A programme to engage senior staff with clinical leadership through assessment and development is creating a core group of strong clinical leaders at Salford Royal. Stephen Perry and David Wood explain the programme.

Hospital staff smiling at camera

Why engaging staff is a critical component of hospital transformation Subscription Required

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Transforming hospital services is a grand idea, but a major service redesign will not work without a strategy for staff engagement, say Jane Warder and Ian Hall.

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Why taking a national approach could kick-start technology adoption in the NHS Subscription Required

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High costs, complex planning and ‘pilot-itis’ are all common hurdles to technology adoption. Sally Chisholm argues a coordinated national approach could help overcome them.

A very pregnant lady

How to improve patient satisfaction in maternity services Subscription Required

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Daily conversations between managers and new mothers about their care are helping improve patient satisfaction and staff morale. Debby Gould and colleagues at University College London explain.

Simple building blocks easy as one two three

Solid foundations: how to lead successfully in the new foundation landscape Subscription Required

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Life after authorisation will present new and unusual challenges for many foundation trust executives. Phil Kenmore and Simon Bird have four tips to help them with their survival - and look toward a successful future.

A bottle and a lot of white pills

How CCGs can make savings in their prescription budget Subscription Required

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Providing GPs with the right support on prescribing can realistically deliver savings for CCGs in their prescription budgets that could make a significant dent in an annual NHS spend of £8bn a year, says Claire Forde.

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Developing a health and local government service integration model Subscription Required

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Could one trust’s health and local government service integration be a model for the rest of the country to follow? Dr Chris Clayton reports on the successful pilot at Blackburn with Darwen PCT.

An operation or surgery in a hospital under way

How to deliver a successful and sustainable hospital transformation Subscription Required

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How do you deliver long term transformational change at your hospital when the immediate concern is short term cost improvement? McKinsey senior expert Neil Griffiths has some ideas.

Doctor looking at pelvic Xray

Reaping joint benefits of streamlined hip and knee care pathways Subscription Required

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One consortium’s approach to overhauling hip and knee care has brought efficiency and financial rewards while sparing patients from repeated trips to hospital. Debra de Silva and Sima Haririan explain.

Industrial chimneys smoking with pollution

The NHS trusts leading the way on sustainability and efficiency Subscription Required

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A recent league table of over 2,000 UK businesses ranked four NHS trusts as the highest performing organisations. NHS Sustainable Development Unit director David Pencheon explains why other trusts must aim to emulate this success.

Older woman in her home with community care

How a transformation programme helps improve community services' efficiency Subscription Required

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A strategic transformation programme has helped a community provider reform and redesign its services and improve efficiency as a central part of its bid for foundation trust status. Jo Manley and Mark Eaton outline the programme.

A doctor on the phone to a patient

How doctor-patient phone calls can cut unnecessary emergency care attendances Subscription Required

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When GPs phone back patients who want to book an appointment, many often accept they do not need to visit the surgery or to go to A&E after all. Harry Longman explains the benefits this level of doctor access offers.

Nurse helping patient on to bed in their own home

Why early discharge in stroke care can be vital for recovery Subscription Required

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Home rehabilitation is a vital component of improving stroke care. Mirek Skrypak and colleagues explain how they have put it into practice in north London.

A glass of lager

Developing a new care pathway to enhance responses to alcohol cases Subscription Required

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Alcohol-related emergency care demand needs to be understood and managed if the number of cases is to be reduced, say James Bell and colleagues.

Manager and employee meeting in office

How service line management can inspire improved behaviours throughout NHS organisations Subscription Required

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Service line management can empower frontline clinicians to make the changes the NHS needs for future viability. The big challenge is changing the way NHS organisations are managed, says Chris Calkin.

A woman thinking

Developing leadership by managing unconscious behaviour Subscription Required

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Improving leadership within an organisation through identifying our subconscious behaviour can galvanise a workforce and deliver better performance, write Nicholas Bradbury and Barbara Moyes.

Credit Cards being pulled out of a wallet

Why trust procurement needs price comparison to be efficient Subscription Required

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Barriers to comparative price information in the NHS make good judgement on procurement difficult for purchasers. The benefits outlined in a recent Foundation Trust Network pilot shows why this information needs to be easier to obtain, says Sue Slipman.

Nurse helping elderly patient out of bed in their own home

How specialist housing can improve the lives of older patients while cutting care costs Subscription Required

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Specialist housing is an investment that could save the NHS millions a year and make lives happier, says Jeremy Porteus

Public health staff in a queue

Is the transfer of public health services a problem for professionals? Subscription Required

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The transfer of public health services from the NHS to the local authority will mean many professionals are set for a stark self re-evaluation that could call into question their employment with the NHS, writes Simon Bird.

Man in spotlight standing out from crowd

The quest for best practice: discovering and implementing new ideas in the NHS Subscription Required

By Alison Moore

Putting good ideas into practice in the NHS has been made easier by adapting the format of a successful TV programme. Alison Moore ventures into the dragons’ den to find out how.

Staff in a group listening to manager

Trust me, I'm a leader: creating a climate for higher performance Subscription Required

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Managers will need to build a culture of mutual ownership and trust, rather than leading from the front, to affect the breadth of change to combat the cold economic front sweeping across the NHS, say John Drew and Helen Bevan.

Cardiac ECG machine for cardiology

Improving cardiac care for clinicians while reducing cost to the NHS Subscription Required

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Can you improve patient cardiac care and working practice for GP clinicians while reducing the cost of cardiac care to the NHS? Dr Jonathan Lieberman explains how a telemedical ECG service has achieved this at his surgery in Manchester.

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Setting out the principles for integrated care Subscription Required

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Patient Voices policy director Don Redding outlines some principles that should guide commissioners, regulators and professional groups in integrating health and social care services.

Edward de Bono - how to have creative ideas book cover

Book review: How to have Creative Ideas Subscription Required

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NHS Trafford service reform lead Hannah Lowry reviews How to Have Creative Ideas by Edward de Bono, and asks whether it can help the NHS develop new solutions to old problems.

Dan White - The Terrible Leader front cover

Book Review: The Terrible Leader Subscription Required

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Independent business consultant Jeremy Kourdi reviews Dan White’s The Terrible Leader.

The Innovator's Prescription front cover

Book Review: The Innovator's Prescription Subscription Required

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Maxine Miles, NHS graduate management trainee, reviews Clayton M Christensen’s Circle Prize winning book.

Nigel Crisp's book 24 hours to save the NHS front cover

Book Review: 24 Hours to Save the NHS Subscription Required

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Experienced NHS director and independent consultant Patrick Keady reviews Nigel Crisp’s new book 24 Hours to Save the NHS.

Book Review: The Economics of John Kenneth Galbraith: Introduction, Persuasion and Rehabilitation

Book Review: The Economics of John Kenneth Galbraith: Introduction, Persuasion and Rehabilitation Subscription Required

Stephen Dunn is already a hero to health service reformers and to East of England patients for his work in East Anglia, which was not just about Hinchingbrooke, but a region-wide improvement in access and quality. Now he has also made a significant contribution to economic thinking.

Personal Health Records front cover

Book review - Personal Health Records: a guide for clinicians Subscription Required

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Dr Emma Stanton, Commonwealth Fund Harkness Fellow and specialist registrar at South London and Maudsley Foundation Trust, reviews Personal Health Records: a guide for clinicians by Mohammad Al-Ubaydli.

2030 The future of medicine front cover

Book review: 2030 - The Future of Medicine Subscription Required

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Some reading may be optional - but Richard Barker’s book 2030 - The Future of Medicine is essential. It is based on unusual joint experience - of the UK and the US systems and of health system with scientific research.

Lord Norman Warner

Labour’s ex-health minister calls for NHS price competition and more private provision Subscription Required

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Health Policy Insight editor Andy Cowper reviews Lord Norman Warner’s new book A Suitable Case for Treatment – the NHS and reform.