All articles by Alastair McLellan – Page 33
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LeaderThe NHS deserves a better, more open debate over health reform
The Health Bill enters the crucial report stage in the House of Lords next week amid huge controversy. To mark this, the BMJ, HSJ and Nursing Times have, for the first time, cooperated to publish the same editorial.
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LeaderA weak private sector is bad news for the NHS
The future for the private hospital sector is not a pretty one, as our exclusive analysis of Laing and Buisson’s authoritative annual market review reveals, and this conclusion prompts two questions.
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LeaderThe complexity of competition rules creates confusion and risk
Those who worry about the commercialisation of services for NHS patients often point to problems created by privatised utilities or the unholy mess that is the West’s banking sector.
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LeaderMinisters must slow down to avoid another Mid Staffs
What did the newly minted coalition government describe in May 2010 as “a champion for patients”? The answer, of course, was primary care trusts.
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LeaderCameron is tending self-inflicted wounds
One thing is clear from the government response to the NHS Future Forum. Contrary to press reports, no “order” has been given to deliver “integration of health and social care”.
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NewsNHS market could fragment further, warns Supply Chain CEO
The “fragmented” way the NHS is developing could make it harder for it to make savings on procurement, the chief executive of NHS Supply Chain has warned.
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Leader2012: what now for the NHS?
What has 2012 got in store for the NHS? Here are HSJ’s predictions for the year ahead.
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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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NewsCommissioning board chair praises NHS’s 'spectacular' record during last decade
NHS Commissioning Board chair Malcolm Grant began the first formal meeting of the organisation by praising the “spectacular increase” in public support for the service under the Labour government.
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LeaderHSJ100: In a time of transition, power lies in David Nicholson’s iron grip
The HSJ100’s job is to predict who will wield the greatest influence over health policy and the NHS in the coming 12 months.
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LeaderDon’t be squeamish: learn to embrace innovation
Innovation, Health and Wealth, the report prepared by NHS South of England chief executive Sir Ian Carruthers, is a powerful and long overdue document.
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LeaderAn unflinching framework in the face of relentless pressure
Today’s autumn statement painted a gloomy picture of the economy in 2012. By the time the Chancellor rose, NHS leaders had already begun to come to terms with an operating framework that sent a similarly grim message.
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NewsExclusive: Government to link GP and hospital data
The relationship between the quality of GP and hospital care is set to be revealed for the first time by the publication of data which will detail the complete patient pathway.
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LeaderMake an ‘impossible job’ easier by following a NICE example
“I don’t mind people thinking I’m incompetent, although I don’t want them to,” Care Quality Commission chief executive Cynthia Bower told HSJ this week.
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LeaderMaximum waits matter as much as minimum ones
Reading between the lines of the blustering, disingenuous and politically motivated government announcement banning “minimum waiting times”, a more interesting theme emerges.
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LeaderWinners demonstrate the power of unity
The HSJ Awards – the largest celebration of health service excellence in the UK – is always a cause for cheer. However, this year, its arrival feels particularly positive.
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LeaderLegal challenges threaten service redesign
Royal Brompton and Harefield Foundation Trust’s successful judicial review of the national consultation into the reconfiguration of paediatric cardiac services will send a shiver down the backbones of those charged with reshaping the English NHS.
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LeaderChange is inevitable, but more confusion and conflict is not
The last thing most HSJ readers want to hear about is the prospect of further change. Unfortunately the nature of these reforms almost guarantees it.
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LeaderWhere are all the female clinical leaders?
Of all the unwelcome consequences of the NHS reforms, perhaps the most unexpected is HSJ’s revelation that the leadership of clinical commissioning will be overwhelmingly male.
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CommentHSJ interview: Clayton M Christensen, author of The Innovator’s Prescription
The author of the Circle Prize for Inspiring Innovation-winning book, The Innovator’s Prescription, talks to HSJ about disrupting healthcare.












