All articles by Alastair McLellan – Page 18
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LeaderTake a pay cut, Katrina
“Think like a patient, act like a taxpayer” Simon Stevens instructed healthcare leaders as he took up the reins at NHS England. In times of austerity, the second clause is just as important as the first in establishing and maintaining credibility.
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LeaderTackling the NHS deficit through targeting trusts' clinical pay bills is a busted flush
Since it became clear the provider sector deficit would represent a significant danger to the NHS’s ability to stop or even slow declining performance, as well as to deliver service change, a murmur began in senior circles that fixing the problem would mean addressing the previously taboo subject of the ...
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LeaderThe NHS finally faces up to the financial elephant in the room
The financial “reset” is likely to lead to a standoff between the centre and local NHS trusts - but the consequences of it failing to deliver would be much more severe.
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LeaderMackey dares to ask: how good is good enough for the NHS?
What choices must the NHS make in a period of financial restraint? That is the primary question facing the service in 2016 and the response to NHS Improvement chief executive Jim Mackey’s HSJ interview and following conference speech shows there is little consensus yet in how to handle this challenge.
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HSJ KnowledgeRevealed: Winners of the 2016 Patient Safety Awards
This year’s Patient Safety Awards highlight those organisations which are going above and beyond every day to deliver exceptional patient care and safety.
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LeaderThis seismic shock to British public life will have three major implications for the NHS
The most cataclysmic week in British public life for 70 years has given most predictions the shelf life of the average shadow Cabinet minister
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LeaderA firestorm of uncertainty now menaces the NHS
The greatest tragedy of the European Union referendum is that many people voted Leave in the sincere hope it would help the NHS by reducing demand. That is extremely unlikely, but in any case the other consequences of the result leave the service facing the grimmest set of scenarios since ...
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LeaderMany CCGs are not fit for purpose and must be re-organised
These organisations created at great expense four years ago are not fit for purpose and are crying out for change
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LeaderJim Mackey’s honesty on the NHS provider deficit is welcome but deeply worrying
Jim Mackey’s warning that the NHS provider sector will stay in the red during 2016-17 was notable as much for its timing as its content.
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LeaderWitch hunts and refusing to talk will not help the BMA’s case
Witch hunts and refusing to talk will not help the BMA’s case, says HSJ editor Alastair McLellan
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HSJ KnowledgeOur winners have shone at a time of great challenge
Find out who the winners are in this year’s HSJ Value in Healthcare Awards
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LeaderStevens will back ‘honest’ leaders to deliver the forward view
Simon Stevens is impatient to get on with realising the forward view. He will identify those leaders he can trust to help him deliver, and back them in the face of what may be fierce local opposition
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LeaderThe Carter review is not motoring, it is stuck in the garage
HSJ makes no apology for returning to the question of how the NHS is expected to deliver the punishing efficiency targets it has been handed for this parliament. There is no greater challenge and failure to deliver poses no greater threat for the health service.
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LeaderUrgent action is needed to save the NHS’s efficiency drive
The Carter efficiency drive has been going nowhere fast, but needs to be a mainstream priority
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NewsHunt beats Milburn to become longest serving health secretary
Jeremy Hunt will become the longest serving health secretary on Sunday.
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HSJ KnowledgePatient safety has come of age - let's keep building its reputation
As the Patient Safety Congress turns nine, HSJ launches a new channel to promote the best thinking in this critical area
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LeaderThis needless battle over NHS finances endangers its future
The bruising contracting round shows the NHS needs a more credible financial trajectory
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LeaderLocked in a deadly embrace with junior doctors, Hunt’s end appears nigh
The health secretary should go big on patient safety and keep quiet on that disputed contract
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LeaderAsking for more money just lets the government off the hook
Calls for extra cash allow the debate to be diverted into the ‘strong economy, strong NHS’ cul-de-sac
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LeaderThe PHSO leadership must stand down
The performance of the PHSO has now passed the bounds of acceptability - its leadership must go, says Alastair McLellan.