All articles by Alastair McLellan – Page 33
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LeaderLansley’s defence of management cuts is disingenuous and dangerous
“I try to avoid saying things that are capable of misinterpretation,” Andrew Lansley told HSJ last week.
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NewsLansley heralds change in size and role of acutes
Andrew Lansley has used an HSJ interview to signal significant changes in the size and role of acute hospitals, although he insisted there was no certainty that hospitals would close.
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NewsExclusive: Lansley says hospitals exempt from 'over-managed' claim
Andrew Lansley has used an exclusive HSJ interview to exempt the acute sector from his criticism that the NHS is over-managed.
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LeaderTransparency offers a chink of light in a dark week for reform
You should not mistake Professor Roger Boyle’s outspoken criticism of the health reforms as the demob happy words of a man about to retire.
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Leader
Save now, pay later: the pension cuts folly
Not for nothing was public service pensions commission chair Lord Hutton placed at number 28 in HSJ’s list of the people with the most influence on the NHS last year.
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Leader
High trust, robust challenge and a firm grip are key to success
Failing NHS organisations get much more attention than successful ones, despite the fact that the latter far outnumber the former.
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NewsExclusive: NHS faces 'big problem' if reform timetable slips - Nicholson
The NHS faces a “big problem” if there are further delays to the timetable for developing clinical commissioning groups or moving to an all foundation trust system, NHS chief executive Sir David Nicholson has told HSJ.
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LeaderNicholson’s power is unrivalled – so is his responsibility to lead
This week is expected to see the publication of the revised Health and Social Care Bill. Health secretary Andrew Lansley has written that it will contain more than 150 amendments. It would be only mildly surprising to find one of them enshrining in law Sir David Nicholson’s position as NHS ...
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NewsExclusive: NHS efficiency drive won’t close whole hospitals, says Sir David
No “whole hospital” will have to close as a result of the drive to find £20bn of efficiencies from the NHS budget, NHS chief executive Sir David Nicholson has insisted to HSJ.
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LeaderThe government’s changes will only delay the tough decisions
One overarching conclusion can be reached from the changes to the government’s reforms: there will be a continuation of the planning blight that has afflicted the health service since the decision to scrap primary care trusts without thinking through the implications.
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LeaderReform changes may threaten what little progress is being made
What is the real impact of GP consortium commissioning on NHS services? Not the claim and counter-claim of the political battle, which is largely focused on imagined utopias or dystopias of the medium term, but the change being experienced by patients and staff?
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Comment@HSJeditor’s guide to the Health Policy Twitterati
Twitter is full of people mouthing off pointlessly about health reform or simply linking to their latest blog. But there are also a good number of tweeters with something interesting to say and who take an active part in debate. Here’s my pick. I’d be grateful for other suggestions.
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LeaderThe NHS must plan for a decade of austerity
After decades of underinvestment, the NHS required the turbocharging provided by the 2002 Budget. The resulting flow of funds did much good. However, with the benefit of 20/20 hindsight many would argue the money could have been spent more efficiently – although there would be considerable dispute about what should ...
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LeaderThe CQC is feeling the pressure as rising uncertainty takes its toll
There has been so much focus on the future role of Monitor that almost no attention has been paid to how the NHS’s other regulator, the Care Quality Commission, is coping with the challenges of reform and tighter budgets.
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LeaderCelebrate, don't denigrate: the case for management is clear
“Leadership and management in the NHS matter and the role of managers should be celebrated and not undermined.”
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NewsExclusive: Britnell responds to 'privatisation' storm
“The vast majority” of NHS care will “always and quite rightly” be provided by “public sector organisations and paid for out of taxation”, according to the man at the heart of a storm over accusations of NHS privatisation.
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LeaderService sweats over plans B, C and D as pause takes its toll
The NHS is paying a heavy, although largely unseen, price for the “pause” in the government’s health reforms.
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LeaderBenefits lost as C-word remains a taboo
Do you remember the debate over the future of the US healthcare system that dominated the last Presidential election?
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LeaderCameron phones friends to help answer tricky reform questions
It is a year since the general election that brought the coalition to power and Andrew Lansley to Richmond House.
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LeaderPCTs are dead. Long live the PCT cluster?
Here’s a quiz for you. What do the following numbers - 581, 331, 162, 62 - represent?