All Health Service Journal articles in 15 December 2011 – Page 6
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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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NewsSpecialist 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 KnowledgeWhy 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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HSJ KnowledgeWhere 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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NewsManagers 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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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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NewsMergers 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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CommentCan 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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NewsAcute 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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CommentMichael 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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NewsNHS 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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LeaderThe 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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NewsRevealed: 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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NewsExclusive: 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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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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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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CommentTwelve 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
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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HSJ Local
Acute activity sparks overspend forecast at Bath and NE Somerset
FINANCE: NHS Bath and North East Somerset is heading for an overspend of £5.2m on its commissioned services at year end - due mainly to more activity in the acute sector.
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HSJ Local
Two soft tissue sarcoma surgery sites for Cornwall
STRUCTURE: Services for adult patients with soft tissue sarcomas are to be provided at two centres in the South West Peninsula - rather than being concentrated on just one site.