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Health Service Journal
Your Ideas and Suggestions 2010

View all stories from this issue.

  • A&E attendances

    Initial liaison and discussion took place between Yorkshire Ambulance Service and the community matrons to look at ways of working together to ensure wherever possible patients can be managed at home, especially those with long term conditions and to try and reduce inappropriate 999 calls.
  • Adult spine services

    New approaches in spine service at St Thomas’ Hospital have yielded impressive results.
  • Alcohol screening and intervention

    We began as academic ST4 GP registrars at Imperial College in August 2009. 
  • Ankle fracture management

    As clinicians we have an obligation to review our practice and strive to provide high quality care for all.
  • Appraising social value

    Imagine two identical health programmes serving deprived areas. Both are hitting their outcome targets, but one is doing a whole lot more.
  • Back office cost reductions

    Providing FHS administrative services is part of primary care trusts’ role and includes maintaining contractor performer lists, paying primary care contractors, maintaining population databases and administrating screening programmes. Many PCTs use shared service arrangements to deliver these services.
  • Banding appeals

    In the last year we have seen an increase in the number of banding appeals. Appeals arise when trusts and junior doctors are in dispute over hours worked and compensation due, under the New Deal rules for doctors. 
  • Bank and agency quality improvement project

    NHS organisations must now rise to the challenge of improving patient care while safely reducing costs.
  • Branding in the NHS

    When times are tough branding might not seem a priority, but well thought out branding has the power to save an organisation money.
  • Californian GP commissioning

    As details emerge from the health White Paper, Equity and Excellence: Liberating the NHS, about the coalition government’s plans to reform the NHS by handing general practitioners more commissioning power, one thing is certain: this reform is high risk and will need very careful implementation if it is to deliver where others in the UK and overseas have failed.
  • Capacity planning in rheumatology day units

    A comparison of the administration regimens for two rheumatoid arthritis drugs across three hospital day units has highlighted an opportunity for substantial time savings for healthcare providers and patients.
  • Carbon reduction

    The Carbon Reduction Commitment is a mandatory, auction-based emissions trading scheme, which came into effect on 1 April 2010. 
  • Carbon Reduction Commitment

    Dave Covell provides an update on the recently implemented Carbon Reduction Commitment scheme
  • Care of deteriorating patients

    Salford Royal Foundation Trust signed up to Patient Safety First in 2008 and is one of the trusts to implement the reducing harm from deterioration intervention.
  • Career transition as a path to reform

    The recently published white paper has thrown leaders and staff in our strategic health authorities and primary care trusts into uncertainty about their futures.
  • Carers and medical training

    Michael Yousif looks at how carers’ experiences can be incorporated into psychiatric training
  • Changes in patient safety

    After the crisis: the maintenance model of effective change
  • Childhood obesity

    In some London boroughs a third of children leaving primary school at the age of 11 are overweight or obese. We know overweight children are much more likely to become obese adults, so this major public health problem must be tackled early. The government’s child obesity public service agreement target aims to slow down this harmful trend.
  • Chlamydia screening guide

    Getting value for money from your chlamydia screening campaign requires careful consideraton.
  • Chronic pain

    Highlighted in the chief medical officer’s 2008 annual report was that some 7.8 million people are affected by pain and the numbers continue to rise.
  • Clinical dashboards

    Good quality information is known to be a driver of performance among clinical teams and vital to ensuring the right services and best possible care is provided to patients.
  • Clinical human factors

    Human factors are what shape our behaviour in the context of the systems of which we are a part.
  • Clinical leadership

    There are countless definitions of leadership, but the majority concur that leadership is about working with people and organisations to achieve goals and to produce change. While overlapping with management, there is an enhanced focus on change, vision, inspiration and empowerment.
  • Coaching for leaders

    Public Service Management Wales is the leadership development arm of the Welsh Assembly Government, working with the full range of public services across Wales.
  • Commissioning and strategic priorities

    World class commissioning requires robust decision making by commissioners linked to the strategic priorities of the PCT. Pat Williams explains how Wolverhampton City PCT is achieving this.
  • Commissioning challenges

    The coalition government is in a bit of a hole.
  • Commissioning for outcomes

    The report from The Nuffield Trust and The King’s Fund Where next for commissioning in the English NHS? describes the Health Service as reaching a “fork in the road”.
  • Commissioning for outcomes

     The recent report from The Nuffield Trust/The King’s Fund Where next for commissioning in the English NHS? (Smith et al 2010) describes the Health Service as reaching a ‘fork in the road’.
  • Commitment to health outcomes

    “The government believes that we need to…encourage behaviour change to help people build healthier lives”.
  • Community rehabilitation

    Chase Park Rehabilitation Centre was developed in response to the needs of clients with slow stream community rehabilitation and complex care requirements.
  • Competion law and the health bill

    The health sector needs to brace itself for a severe competitive shock, with the anticipated Health Services Bill expected to give Monitor the power to apply the Competition Act 1998 to the provision of health services and adult social care across England.
  • Competitive commissioning

    Among the rapid changes facing the NHS at the moment is the increasing exposure of services to competition by commissioners in order to secure maximum value for money.
  • Computer game applications

    An innovative, technology driven project at Alder Hey Children’s Foundation Trust is exploring the potential of computer games technology as a communication tool for children with palliative care needs. 
  • Consultant development programme

    Disenchantment is rife among established NHS consultants.
  • Contestability and choice

    The urgent need to tackle the fiscal deficit may be the catalyst for an historic turning point in re-designing NHS services to suit personal needs.
  • COPD awareness

    Chronic obstructive pulmonary disease is the UK’s fifth biggest killer, each year causing more deaths than breast, prostate and bowel cancer. However, 2.8 million people are undiagnosed and unaware they have the progressive, possibly terminal disease.
  • COPD services

    Dr Elango Vijaykumar and Dr Joe McGilligan describe how internal integration of existing resources and external support from a pharmaceutical company have provided a structure to improve the care of people with COPD.
  • Cost cutting

    As rising demand for services begins to clash with increasingly tight financial constraints, the NHS must plan now for impending 2011 funding restrictions.
  • Cost savings and operational efficiency

    The NHS currently faces a big challenge on the way in which it delivers healthcare to patients as a result of budget pressure.
  • CQUIN in stroke units

    In the UK, an estimated 150,000 people have a stroke annually (1). Mortality and morbidity are high. 67,000 deaths occur annually (2) and many of those who survive are left with moderate or severe disabilities (3).
  • Customer focus

    In the wake of planned spending cuts and head count reductions across the public sector, Jo Causon examines how maintaining ‘customer’ focus can minimise the impact on frontline service provision in the NHS.
  • Decommissioning homeopathy

    The parliamentary Science and Technology Committee completed its report into homeopathy in February 2010, concluding that it should not be provided on the NHS.
  • Dementia and quality of life

    Only 13 per cent of people believe a person with dementia can have a good quality of life at all stages of their condition according to Alzheimer’s Society research released in April.
  • Dementia strategy

    In the UK there are approximately 700,000 people with dementia. In 30 years, this number is expected to double.
  • Design around patients

    Unsuitable or inadequate in-patient accommodation for people experiencing a mental illness will limit a service’s ability to help people recover.
  • Developing clinical leaders

    The quality of management and leadership remains the single biggest factor as to whether or not organisations succeed, and nowhere more so than an institution as large as the NHS.
  • Directorate management teams

    Most acute hospitals in the UK are subdivided into directorates with each directorate taking care of one or more specialities.
  • Doctors' views on the NHS IT programme

    If politicians listened more to doctors about the use of IT in healthcare progress could be smoother, says Dr Tim Ringrose
  • Economic modelling

    Economic modelling can be used to support commissioning decisions by testing the cost and benefit impact of multiple care pathway scenarios.
  • Economic survival guide

    The NHS thinks it is having a tough time financially. But this is just the beginning of a long-drawn out process of adjustment as the UK falls into an economic abyss. 
  • End of life care

    Yvonne Cartwright explains how a Sue Ryder Care rapid response service supported people in northBedfordshire to die at home
  • Endodontic clinical audit 

    Each year NHS Bradford and Airedale organises a peer review process for dentists in the area and following an evaluation of the 08/09 process a decision was made to base the 09/10 peer review on a clinical topic.
  • English language requirements

     Dr Mike Milanovic gives advice on getting English language requirements right in the medical sector
  • E-rostering

    Recent media coverage highlights genuine concern from the BMA and other NHS representative bodies about the impact of threatened and actual cuts in NHS staffing levels.
  • European working time directive

    The story of how the European working time directive was implemented successfully at Sheffield Teaching Hospitals Foundation Trust.
  • Excess inventory

    Up to £200m excess stock could be held in acute trusts in England.
  • Funding innovation

    Dr Kathy McLean looks at how healthcare providers can make best use of the £220m innovation funding to improve working practices and deliver quality of patient care
  • Future opportunities for PCTs

    The formation of the GP consortia bodies is being seen as an opportunity to be grasped by the best of the PCT teams.
  • Getting to know your MP

    As a retired hospital doctor, my work in the NHS was a huge advantage when I started as an MP, because I already knew many consultants and GPs, as well as managers of all the local health trusts.
  • GP-led services

    GPs will increasingly call the shots about how and where money is spent in the local health economy, writes Conor Burke
  • Health and social care regulation

    In the short time since the spring general election, the new coalition government has announced significant changes to the health and social care regulatory sector.
  • Health innovation and education

    A recent policy reform by the Department of Health heralded a re-think on the way it promoted innovation and education for NHS staff. 
  • Health politics

    Politicians who get tangled up with healthcare usually end up regretting it. Ask Barack Obama. One day you have this dream of bringing medical coverage to 30 million of your unprotected fellow citizens. A year of drift, squabble and dodgy compromise later and your party is booted out in Massachusetts, the US electoral equivalent of Labour losing Barnsley Central.
  • Health trainers

    Knowsley is a metropolitan borough on Merseyside with a population of just over 150,000 people.
  • Health trainers

    Since 2006 the NHS Health Trainer scheme has been working with the aim of supporting positive lifestyle changes in local communities.
  • Healthcare for people with learning disabilities

    Recent years have seen a series of high profile reports criticising the NHS for offering inadequate healthcare to patients with learning disabilities.
  • Healthy eating promotion

    To increase consumption of fruit and vegetables, customer insight analysis was used to determine the best route for a mobile food store around Great Yarmouth and Waveney Primary Care Trust.
  • Hospital capacity planning

    Bedford Hospital Trust is a 450 bed district general hospital within NHS East of England.Over the last few years the trust has performed well against most operational targets but was operating in an environment of a recurrent financial deficit of £12m.
  • Human rights in mental health

    A new human rights based leadership programme is being developed with investment from SCIE and the support of the National Mental health Development Unit and University of Central Lancashire.
  • Illness prevention

    Since its redefinition in 1974 - before which it included local authority health departments - the NHS has never really taken on a significant preventative role. It is still focused on the treatment of acute illnesses.
  • Independent contractor performance

    Central Lancashire has a large number of highly skilled independent contractors. However, when concerns are raised it is important that investigations are carried out in a fair and open environment.
  • Information governance

    Inspired and intrigued by a recent Health Informaticians’ debate, Amit Bhagwat delves into facets of information governance – those that are commonly understood within the health sector, those that are commonly misunderstood and others that are routinely missed.
  • Information management services

    When it comes to deciding when is the right time to outsourcing information management and IT services support, there are several issues that must be carefully considered.
  • Integrated care services

    The new guide From the Ground Up is an invaluable toolkit for PCT service planners and estates managers wanting to develop sites and buildings to support the delivery of integrated care services.
  • Interim managers

    The term interim manager means different things to different people. Within the industry, an interim manager is a senior professional, typically used at short notice for high impact roles. They are often overqualified for the assignment, meaning they have the potential to offer seamless delivery and full accountability.  They can be used across every business function in the public and private sectors. 
  • International recruitment

    With a shortage of healthcare staff in the UK, overseas-trained professionals play a vital role in the NHS.
  • Internet security

    A new generation of internet applications is making it easier for healthcare organisations to tap into the power of the internet to lower costs and improve productivity.
  • Job search tips

    Taking the time to refine your CV for each application and then properly preparing for the interview will go a long way in securing you the job that you deserve.
  • Joint commissioning

    Commissioning Support for London Accelerated Development Programme 2009
  • Joint commissioning in London

    Consumers of health and social care increasingly demand high quality care, expect choice, personalised services and seamless provision.
  • Joint ventures in the health sector

    The detail of the white paper Equality and Excellence: Liberating the NHS and its impact and meaning has yet to emerge.
  • Joint working with the pharmaceutical industry

    Steve Williamson, Sean McGrath and Abbie Pound explore the importance of collaborative working between healthcare providers and the pharmaceutical industry - facilitated by medical education agencies - and what this might mean for patient care
  • Leadership and management training

    The quality of management and leadership remains the single biggest factor as to whether organisations succeed or not.
  • Leadership development

    For a cluster of primary care trusts on Teesside (Hartlepool, Middlesbrough, Redcar and Cleveland and Stockton on Tees Teaching PCT), developing their strategy for 2008/13 and preparing for world class commissioning assessment led to a change in their thinking about the nature of leadership and leadership development in their organisations.
  • Leadership for change

    Martin Seligman, the leading figure in the positive psychology movement, has described Appreciative Inquiry (AI) as the most significant and powerful organisational intervention currently available.
  • Leadership lessons

    Chris Roebuck reports on the views from the NHS Employers conference
  • Lean in radiology

    Using lean to make an ongoing difference, achieve targets and improve staff morale
  • Lean strategy in the NHS

    With growing financial pressures in health care, successful efforts to improve operational efficiency are becoming increasingly important. We present seven critical success factors in the successful implementation of lean in health care, identified through a review of the literature and two case studies. Consideration of these critical success factors may be of value to your organisation if you are considering or already going lean.
  • Lean thinking in the NHS

    Despite having been in the service improvement business for years, I choose now to finally really get my head around “lean thinking” as inspired by Taiichi Ohno’s work on the Toyota production system.
  • Legal consortium panels

    Procurement in the NHS recently came under scrutiny following the publication of the PCT Procurement Guide for Health Services. As the coalition government begins to cut spending throughout the public sector, trusts must seriously consider procuring legal services in a sustainable manner that provides value for money.
  • LINks and the retendering process

    Advice for local involvement networks and their hosts as they prepare for the end of their three year contracts
  • Local authority and PCT partnerships

    We know that better partnerships will identify and address need in an improved way and will save resources.
  • Local breastfeeding support

    Commissioning Local Breastfeeding Support Services, published in October last year by the Department of Health and Department for Children, Schools and Families, aims to assist commissioners and primary care trusts in “providing coherent services that will promote breastfeeding and reduce inequalities”, as set out in Healthy Lives, Brighter Futures – the strategy for children and young people’s health, and to work with local children’s trust partners in delivering public service agreement 12.
  • Local mental health services' links with universities

    Each Thursday evening in the drama studios at York St John University, Out of Character, a theatre company made up of people who use mental health services, students and staff, meets to rehearse. Next door, theatre students and staff run a course that provides a broad introduction to theatre.
  • Local quit smoking campaign

    Effective engagement of stakeholders, partner organisations and the local media will pay dividends.
  • Low clinical priority procedures

    This article describes how a primary care trust’s low clinical priority procedures were implemented by a clinical health psychologist working across primary and acute settings. 
  • Making the most of clinical leaders

    Whichever way you look at it, ensuring a supply of high quality clinical leaders is a top priority.
  • Managing costs

    Managing costs may seem like a daunting task, but adopting some simple measures will reap serious long-term rewards, says Debjani Duncan
  • Manchester Academic Health Science Centre

    Manchester Academic Health Science Centre (MAHSC) is one of the five AHSCs in England designated by Department of Health in March 2009. The designation recognises excellence in research, innovation, education and patient services which combine to provide a strong capacity for translational medicine.
  • Maternal mortality in Africa

    The high rate of maternal mortality in Africa is a worldwide concern. The global targets of Millennium Development Goal (MDG) no 5 are to reduce maternal mortality by three-quarters and achieve universal access to reproductive health by 2015.
  • Medical student training

    The transition from medical student to doctor is one that is often made with much trepidation. While medical schools work hard to equip students with the necessary skills, the role undertaken by employers is playing an increasingly significant part in this process.
  • Medication errors

    Mark Thomson considers the role of newly available technologies in tackling patient safety
  • Medicine waste

    Waste medicines is a big, expensive problem.
  • Medicines management

    A review in 2007 by the Healthcare Commission into effective medicines management showed that 92% of mental health service users contacted had taken medicines.
  • Melanoma diagnosis

    Rates of melanoma are increasing faster than any other common cancer and getting the diagnosis right is a real challenge for GPs.
  • Mental health in further education

    The healthy further education steering group was launched in 2008 to meet the health needs of those studying and working in the further education sector.
  • Mental health response to disasters

    Following disasters, UK survivors’ psychosocial needs are looked after by local authorities, possibly supplemented, since 2005, by a multi-agency “humanitarian assistance centre”. These centres come under the remit of the humanitarian assistance unit at the Department of Culture, Media, and Sport. People with acute mental health problems are treated by existing emergency and psychiatric services.
  • Neurological care

    The Neurological Alliance is chairing the main day of the HSJ’s conference, Delivering Patient Centred Neurological Services, in London this week.Clare Moonan and Katie Smith, chief executives of the Neurological Alliance, say that the Alliance has been a key partner in shaping this unique event which has a central theme of improving efficiency and patient care in neurological services.
  • Neurophysiology

    Gwam Rajiah looks at the issues confronting neurophysiology departments around the UK
  • New ambulance transfer service

    A good example of successful integration of public and private resourcing of the NHS is the new Intermediate Care Ambulance Transfer Service introduced for hospitals in central London in April.
  • NHS asset management

    Karen Conneely outlines the need for a single integrated asset register.
  • NHS bullying

    Dr Malcolm Lewis, Senior Lectuerer in Health Service Management at UCLAN, gives his opinion on the issue of workplace bullying within the NHS and reflects on the ‘depressing picture’ his research reveals (DAWN, 2010).
  • NHS careers

    NHS Careers, the careers information service for the NHS in England, has recently celebrated its 10th anniversary. Launched in 1999 by the Department of Health to help fill nursing and midwifery vacancies, NHS Careers has evolved into a service supporting more than 350 different careers in the NHS via a helpline, literature and websites.
  • NHS Choices in the Big Society

    Andrew Lansley’s “information revolution” looks like it will be a boost for NHS Choices. Has the time come for it to fully play a role in improving health?
  • NHS Leadership

    The NHS struggles to measure one of the most important factors driving trust performance – leadership. 
  • NHS targets vs patient needs

    Government targets have led to real changes in the quality of NHS services, but national indicators are not sufficient to tell us whether performance against them actually affects the health of the local population.  
  • NHS workforce planning

    Workforce planning is often described as more of an art than a science. Yet workforce planners are increasingly seeking out and deploying sophisticated scientific methods.
  • Nuisance and disturbance on NHS premises

    According to the NHS Security Management Service there were 54,758 reported physical assaults against NHS staff in England in 2008/2009.
  • Nursing standards

    In September 2010 the Nursing and Midwifery Council launched their standards for pre-registration nursing education.
  • Open innovation in healthcare

    The concept of open innovation (OI); in which organisations collaborate on research has the potential to contribute to improvements in the quality and safety of healthcare. It is increasingly recognised in the NHS, but how can trusts get involved?
  • Organ donation

    Recent important Department of Health guidance on organ donation gives boards in England and Wales an excellent opportunity to receive up to date progress on donation activity in their trusts and to review how they can support a drive to further boost rates.
  • Out of hours care

    This report summarises the methodology and the outcome of a pilot project designed to reduce the number of elderly patients admitted to hospital from nursing homes. It suggests that enhanced out of hours care by GPs can improve the experience of patients (and their relatives) and reduce costs by limiting emergency admissions to those for whom there is no alternative to immediate hospital treatment.
  • Outpatient experience

    The Picker Institute Europe coordinated the national outpatients survey for the Care Quality Commission in 2009. This is a summary of the key findings.
  • Partnership working and the flu pandemic

    The H1N1 pandemic never reached the intensity feared, but the emergency response set in place has strengthened partnership working.
  • Patient access to medical records

    There has been a consensus for some years that medical records belong to the patient rather than the clinician.
  • Patient data management system

    Following Brighton and Hove Integrated Care Service’s (BICS) first year in operation, the not-for-profit organisation had a comprehensive understanding of its core values and recognised the need to implement a tailor-made patient data management system.
  • Patient data safety

    The NHS organisations are frequently in the firing line for allowing information breaches of sensitive personal data. The Information Commissioners Office has said that nearly a third of reported breaches involve NHS trusts and related bodies.
  • Patient engagement

    The NHS needs a strategy for shared decision-making with patients, here we set out why, for whom, and some evidence for what works.
  • Patient experience

    In a Department of Health Statement on May 17, Health Secretary Andrew Lansley said: “Knowledge of patient experience is essential for understanding how best to improve care. I don’t intend to be locked away in an ivory tower. That’s why in addition to my other duties I will routinely read and respond personally to a random selection of letters from members of the public.” 
  • Patient experience

    It’s official. The NHS has discovered “the patient experience” and it has moved from a position of inconsequential “soft data”, usually relegated to the “touchy-feely” domain, to being a hard reality at executive and policy levels. 
  • Patient level costing

    PLC data is a critical tool for trusts looking to optimise their performance and ensure best use of available funding and resources.
  • Patient level costing at Southampton

    Southampton University Hospitals Trust provides local hospital services to some 500,000 people living in Southampton and South Hampshire, and specialist services such as neurosciences, cardiac services and children’s intensive care to more than three million people in central southern England and the Channel Islands.
  • Patient privacy and dignity

    5 Boroughs Partnership Trust is taking a lead in ensuring that service users, carers and their relatives are given information about the facilities they can expect on wards. This takes the form of an information folder containing an information leaflet, ward-specific fact sheet and DVD.
  • Patient safety interventions

    Avril Lowery explains how Gateshead Health Foundation Trust has taken the guiding principle of Patient Safety First, to make patient safety the trust’s number one priority, and applied it to their own environment, creating an internal campaign that works for them.
  • Patient safety strategy

    Sarah Woolley explains how Heart of England Foundation Trust has put the Patient Safety First campaign into action.
  • PCT membership schemes

    NHS Leicestershire County and Rutland have developed a membership scheme which they believe is unique in its approach. 
  • Planning an age neutral workforce

    Age neutral workforce planning is currently highly relevant to the NHS, as an employer.
  • Practice based commissioning

    With the success of practice based commissioning high on the agenda of the Department of Health and the pivotal role PBC plays in underpinning world class commissioning, it is important for PCT provider arms to understand the potential impact of giving GP practices commissioning power.
  • Predictive modelling and quality healthcare

    No matter which part of the NHS you are in, you will face the same fundamental challenge: to deliver outstanding healthcare while staying within financial boundaries which are finite and shrinking. Tough decisions need to be made.
  • Private equity in healthcare  

    Over the last two years the number of private equity investments in the UK has fallen by over 50 per cent, due mainly to an absence of debt and the high returns required by investors.
  • Public and partner organisations

    NHS Oxfordshire has an ambitious vision for improving the health of its county.
  • Public health workforce development

    Towards the Best Together is NHS East of England’s 10 year vision, developed through consultation with clinicians, other NHS staff, patients and the public, for the NHS and the region’s population of 5.6 million.  It is based on an ambition to deliver the best health service in England. 
  • Public involvement

    5 Boroughs Partnership Trust is the first trust in the North West to use a “diary room” style booth with a video camera, where people can sit and give their views on the trust and mental health.
  • QIPP challenges

    QIPP is a cornerstone of the government’s drive to make the NHS take a more preventative and patient-centred approach.
  • Quality improvement and cost reduction

    Classic strategies for major corporate turnaround have always included, among others, quality improvement and cost reduction.
  • Quality through CQUIN

    St Andrew’s Healthcare is a major provider of mental health inpatient services.
  • Randomised control trials

    Randomised controlled trials often encounter problems in meeting recruitment targets, but insights from a recent successful trial can help future recruitment efforts.
  • Re-basing PMS contracts

    NHS Kensington and Chelsea’s director of primary care shares key learning about the PCT’s negotiating framework.
  • Redundant equipment

    If you have old hospital equipment to dispose of, the question is what to do next. While in the past, hospital managers paid to recycle surplus items or returned them to manufacturers to refurbish and sell on, there is now an emphasis on reusing equipment.
  • Referral pathways

    We present a model for streamlining the paediatric grommet referral pathway and follow-up that we have been piloting at St George’s Hospital.
  • Reporting on incidents

    The length of reports into critical incidents could be a barrier to communicating the valuable lessons buried inside them.
  • Representation in disciplinary hearings

    The Court of Appeal has ruled that doctors and dentists employed by NHS bodies in England are entitled to legal representation at disciplinary hearings. The court says the right also extends to representation in capability and ill-health proceedings.
  • Resolving NHS complaints

    Complaints about treatment and care are inevitable, but involving the Independent Complaints Advocacy Service in the process can help make a real difference to all concerned.
  • Safeguarding children

    If NHS organisations are serious about improving safeguarding practice, they must invest in developing the leadership skills of frontline staff.
  • Safer packaging in healthcare

    Patients given medication, either over the counter or via prescription, need to know the facts about what they are taking. 
  • Self care planning

    The financial downturn has led to a frenzy of activity to increase productivity at lower cost but improved quality.  This is indeed a challenge for the NHS. Given the management of long term conditions in the NHS utilises 70 per cent of the expenditure in the NHS, a focused look at this arena could bring about considerable benefits in the current climate.  
  • Seven rules of engagement

    There is widespread non-compliance within the NHS, to race relations legislation designed to promote equality and equitable engagement. This is obviously not a systematic and purposeful strategy, but instead underlines the difficulty of engaging black and minority ethnic groups in health and wellbeing initiatives, when the huge proportion of managers are white and middle class.
  • Single patient rooms

    This article, based on the experience of the USA, outlines key issues that UK stakeholders should mull over while considering the change from mixed wards to single patient rooms.
  • Smokeless tobacco

    The use of smokeless tobacco products (which are often unlabelled, unregulated, and occasionally advertised as having health benefits) is widespread within South Asian communities in the UK, but is inadequately addressed.
  • Smoking cessation

    In his first speech since taking up his post, Mr Lansley outlined his plans for making patients the driving force for improvements in the NHS so that “no decision is made about me, without me.” 
  • Smoking cessation

    NHS Birmingham East and North and Dr Foster Intelligence are currently working in partnership on exploiting the joint capabilities and networks available to both organisations to tackle health inequalities in the local community.
  • Smoking cessation

    Knowsley has topped the North West’s smoking quit rate league, thanks to the borough’s innovative approach to smoking cessation services.
  • Smoking cessation in Coventry

    NHS Coventry has delivered the city’s biggest ever initiative to help people stop smoking.
  • Smoking in pregnancy

    For some time, government policy has backed the need to tackle smoking in pregnancy, especially among teenagers and those who are less well off. England’s current target is to reduce the prevalence of smoking at delivery to 15 per cent by 2010.   
  • Social marketing planning guide

    This week the National Social Marketing Centre launches its Social Marketing Planning Guide and Toolbox, designed to ensure that new and experienced social marketing practitioners can feel confident that they have the tools to implement an effective behaviour change or social marketing initiative. 
  • Social networking

    Following a successful pilot, the surgery centre at the Queen Elizabeth Hospital, Gateshead has adopted, an online service for patients and carers to meet up and talk with their friends and family in hospitals.
  • Spend on consultancy

    The chief secretary to the Treasury Danny Alexander may have pledged that health would be protected from the 25 per cent departmental spending cuts this autumn, but it is abundantly clear that “efficiency savings” are still right at the top of the NHS agenda.
  • Stakeholder management

    Understanding the motivations and behaviours of those who influence and are affected by our major programmes is complicated, and never more so than in the NHS. With ineffective engagement of stakeholders regularly cited as a common cause of project failure in healthcare, stakeholder management is an important discipline to master.
  • Stock control

    Poor stock control can have a significant impact on patient safety and cancelled procedures. The push to deliver cost savings across the NHS should not be to the detriment of patient safety. Here we look at how trusts can realise significant cost savings through better stock control.
  • Supply chain efficiency

    The government plans a brave new world for public health.
  • Sustainability and the NHS

    The NHS enters 2010 with an enormous to do list, increasing pressures on budgets, the need to improve outcomes and a relentless drive for quality.
  • Swine flu planning

    Good planning and preparation cannot remove the pressure of swine flu but it does put the NHS in the best possible position to respond, says Michael Caley
  • Tackling problem drinking

    NICE has recently issued guidelines to health care professionals on how to deal with the country’s spiralling drink problems in addition to recommending higher prices for alcohol.
  • Technology in the NHS

    Margaret Parton explains how NHS teams are often supportive of implementing technology while the wider system is not
  • Telehealth and telecare

    With the UK’s ageing population and ever more effective treatments for long-term health conditions placing immense amounts of pressure on public sector budgets, the urgency to deliver more-for-less has never been greater.
  • The medical profession and the state

    Things do not happen in isolation, nor can change be arbitrary. A full and contemporary understanding of today’s culture and attitudes requires an awareness of essential history.
  • The NHS Health Check programme

    Due to a high prevalence of cardiovascular disease morbidity and mortality, both NHS Stoke on Trent and NHS Birmingham East & North have implemented their NHS Health Check programmes since 2008 by piloting various delivery strategies to ensure population-wide coverage.
  • The third sector post election

    Mark Johnson assesses the post-election landscape for third sector and social enterprises delivering more health and social care services.
  • Total Place

    Total Place is rapidly becoming an issue that public sector managers cannot avoid if they are seen to be addressing the pressures of financial constraint over the next few years. However, the Total Place project is one which raises potential concerns as well as opportunities.
  • Trauma service transformation

    The Healthcare for London programme is carrying out a clinically driven service reconfiguration that will ensure world class care at all stages of the patient journey. The Healthcare for London major trauma team explains how they have tackled the challenge of centralising trauma care in the capital.
  • Updated CQC regulations

    As of April 2010 the Care Quality Commission introduced a new regulatory system which aims to ensure that people can expect services to meet essential standards of quality and safety that respect their dignity and protect their rights.
  • Value for money commissioning in mental health

    The phrase ‘value for money’ has considerable currency in the prevailing economic climate.
  • Venous thromboembolism

    VTE is a significant cause of mortality, long-term disability and chronic ill health. It is thought that there are around 25,000 deaths from VTE each year in hospitals in England.
  • Virtual consultations

    Virtual ward rounds and guidance in medical therapies have revolutionised patient care at Frimley Park Foundation Trust.
  • Waiting times in glaucoma care

    There are approximately 500,000 patients in England with glaucoma or a related condition (for example, ocular hypertension) who require 1 million hospital eye service appointments each year. Indeed, it has been calculated that one third of all HES appointments relate to glaucoma. 
  • Wardens in sheltered housing

    It is rare for sheltered housing to hit the headlines, but the furore over the decision by many providers to remove resident wardens from existing schemes has made front page news.
  • Workforce efficiency assessment

    Managing staff working patterns in order that there are enough staff to do a job safely whilst providing high quality care to patients without over-staffing is a complex business.
  • World class dental commissioning

    A new model of dental commissioning, piloted by Bradford and Airedale primary care trust, is showing how a preventative care focus could help health managers achieve better long term health and improved outcomes for tax payers’ money.
  • World class service in radiotherapy

    Tim Cooper looks at some of the latest developments in radiotherapy to achieve a world-class service

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