All articles by Alastair McLellan – Page 34
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Leader'Only mugs work in commissioning’: tackling the management brain drain
Of all the postgraduate courses in the country, places on the NHS management training scheme are among the most fiercely contested.
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LeaderNHS giants sound warning of acute financial turmoil
The leafy villages of Great and Little Shelford lie around five miles south of Cambridge. Shelford boasts a rich history reaching back to the Domesday Book, but it is also has claim to fame in NHS circles.
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LeaderClare Gerada ups the stakes in her fight to ‘save’ the NHS
The unlikeliest and, perhaps, most powerful alliance affecting the delivery of the NHS reforms is between Royal College of GPs chair Dr Clare Gerada and what some might term the “old guard” of NHS managers who have wielded the greatest influence over the last decade.
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LeaderWhy caution on hospital failure still has its price
This week the government looked into the abyss of hospital failure and shuffled nervously back from the edge of the precipice.
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NewsLiberating Ideas Award 2011: can your idea benefit the rest of the NHS?
Great ideas drive improvement in the NHS. Enter your organisation into the second Capgemini and HSJ Liberating Ideas Award now.
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LeaderFear of failure or staff fury may drive further job cuts
During the summer our HSJ Local service has been reporting on plans to reduce hospital workforces. This week we reveal Aintree University Hospital Foundation Trust’s decision to remove 200 posts during each of the next three years.
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LeaderRival factions fight for influence in Future Forum’s second coming
Why continue with the NHS reform listening exercise? The NHS is already changing with a momentum no report is likely to affect.
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NewsFuture Forum adds integrating care as priority
Integration within and across the health and social care sectors has been named a new priority area for the NHS Future Forum, whose second phase of work was launched by the prime minister last week.
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NewsExclusive: David Cameron launches second phase of NHS reform listening exercise
Prime minister David Cameron will today launch the latest stage in the listening exercise designed to inform the development of the government’s NHS reforms.
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LeaderDistrust and pragmatism inform softly-softly authorisation plan
There is one sentence in the government’s draft authorisation process for clinical commissioning groups which highlights the atmosphere of distrust in which the new arrangements are being negotiated.
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LeaderGetting clinicians to speak up is the real key to fighting poor care
To the list of life’s certainties, Benjamin Franklin might have added the change from strong to light-touch public sector regulation and back again.
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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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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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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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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.