All Health Service Journal articles in 15 December 2011 – Page 2
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HSJ Local
Waiting times a concern in Norfolk
PERFORMANCE: Patients waiting a long time for treatments or diagnostic tests are a concern for NHS Norfolk and Waveney.
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Comment
Twelve months of turbulence: 2011 in review
Continuing financial upheaval, industrial action taking hold and the implications of reform coming into focus: 2011 has been a tumultuous year. Here, HSJ’s writers reflect on some of the landmark events that defined the year.
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HSJ Local
C diff concerns for Norfolk
PERFORMANCE: Healthcare associated infections are causing concern across the NHS Norfolk and Waveney cluster, with some providers already approaching their full year targets for Clostridiun difficile.
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HSJ Local
Surplus forecast for Great Yarmouth despite pressures
FINANCE: Primary care trusts in Norfolk and Great Yarmouth and Waveney are forecasting a full year surplus of £2m, despite financial pressures in the acute sector and continuing care.
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News
Exclusive: foundation trusts plan deepest workforce cuts in a generation
Foundation trusts are planning to cut at least 30,500 staff over the coming two years in what would be the steepest fall in NHS workforce since modern records began, an HSJ investigation has found.
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News
Revealed: the foundations predicting steepest pay bill cuts
At least four acute foundation trusts have forecast wage bill cuts of 10 per cent or more over the coming two years, an HSJ analysis has found.
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Leader
The mediocre will be the only losers if pay is reformed fairly
George Osborne has instructed the NHS pay review body to investigate the case for reforming the service’s national pay deal. The chancellor wants it to become more “market facing in local areas”.
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News
NHS trust sector in England 'heading towards deficit'
The NHS trust sector could be “heading for deficit” in 2011-12. Health economists made the warning after HSJ research revealed deepening problems among the financially weakest providers.
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Comment
Michael White: can Lansley's localism really escape postcode lottery-itis?
Confusing, isn’t it? One week an international report gives England’s still-centralised NHS a pat on the back for rapid improvements. The next week another survey concludes that the NHS is more popular than it has ever been.
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News
Acute trusts risk understaffing as short notice requests increase
Acute trusts without foundation status are increasingly putting staffing levels at risk by waiting too long to request temporary bank workers.
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Comment
Can the NHS Pay Review Body still be regarded as independent?
A “perfect storm” of issues surrounding staff terms and conditions could see all sides vying to influence the NHS Pay Review Body in the next 12 months. In such troubled times, can it realistically hope to retain its independence, asks Mike Jackson.
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News
Mergers will not make unviable trusts sustainable, warn MPs
The takeover or merger of troubled trusts in order for them to achieve foundation status “is not a convincing solution” that will ensure their future sustainability, according to MPs.
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News
GP contracts barrier to Spanish care model
GP contracts would make it “difficult, if not impossible” to introduce a cost saving Spanish integrated care model in the UK, a new report by the NHS Confederation has concluded.
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News
Managers divided over local pay options
NHS leaders are divided over a possible move away from national pay bargaining, although most managers with responsibilities over pay bills support greater local flexibility.
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HSJ Knowledge
Where is the NHS equivalent of the strategic defence and security review?
The so-called “radical” health reforms are for the large part anything but, but they raise a central point about an imbalance in the NHS workforce and its sustainability in the current system. This needs to be addressed urgently, writes Robert Royce.
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HSJ Knowledge
How to meet QIPP challenges in end of life care services
A review of palliative care services at one PCT led to the creation of a commissioning strategy that met both the DH’s end of life brief and the QIPP challenges. Andrea Ching explains what NHS Berkshire West did.
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News
Specialist care housing model costs NHS less
Specialist housing integrated with care provision puts less strain on the NHS than residential care homes, according to an independent evaluation for the Department of Health.
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HSJ Knowledge
Why shifting DVT management into primary care can improve clinical outcomes
DVT can be clinically very difficult to diagnose but early recognition and appropriate treatment can improve clinical outcomes.
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Comment
'Delivering better community services requires equal relationships'
Delivering public services through equal and reciprocal relationships between providers and the communities they serve should be at the heart of commissioning community services, and achieving integrated care, says Victor Adebowale.
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Comment
Emergency planning requires urgent attention in the Midlands and East of England
Earlier this year, HSJ tried to use the Freedom of Information Act to obtain details of exercises held in every region to test emergency planning preparations. But the request was rejected by the Department of Health in order to “safeguard national security”.