All articles by Alastair McLellan – Page 36
-
LeaderCircle’s success at Hinchingbrooke is more likely to be cultural than commercial
What will we learn from private provider Circle’s success in becoming the preferred and only bidder for the contract to manage Hinchingbrooke Health Care Trust?
-
LeaderGPs and government battle for custody of white paper reforms
The struggle for the soul of the reforms is intensifying as the outline shape of the new landscape clarifies.
-
NewsCommissioning board chief exec not in post until October
The chair and the chief executive of the proposed independent NHS commissioning board are unlikely to take up their roles until autumn next year, HSJ understands.
-
LeaderWhat Dorrell says matters, and his message to the NHS is clear
House of Commons health committee chair Stephen Dorrell made an electrifying intervention into the NHS reform debate last Thursday.
-
LeaderAn American Dream we should believe in
The NHS too often looks to the US for inspiration, encouraged by a shared language and the size of the American healthcare system.
-
LeaderLansley accelerates his plans as Labour’s opposition falters
The government’s reforms are picking up pace.
-
LeaderThe new mortality indicator suffers from mixed messages
The debate over how hospital mortality should be measured and whether those measures reveal anything useful has rumbled on for the last decade.
-
LeaderGPs stung by maternity services rebuff
Who should commission maternity care? Health secretary Andrew Lansley has decided it should not be part of the “great majority” of services that GPs will eventually be responsible for.
-
LeaderHSJ Finance: helping you achieve NHS efficiency
This week HSJ introduces a new section in the magazine. HSJ Finance has two goals: to explore how increasing financial pressures are impacting on the NHS, and to plot the developing relationship between the service and the private sector.
-
LeaderYour idea could redefine the health service
What is the big idea that will guide and inform the development of the NHS throughout the next decade?
-
LeaderThe coalition’s honeymoon is in danger of being called off
Momentum is a priceless asset in public sector reform. New governments tend to have momentum - commonly called “the honeymoon period.”
-
LeaderThe NHS has too many hospitals - something’s got to give
Bristol, Alder Hey, Mid Staffordshire; some hospital trusts are forever synonymous with failures which shone a light on problems found throughout the NHS. Could South London Healthcare Trust and Heatherwood and Wexham Park Hospitals Foundation Trust be about to join them?
-
LeaderLansley acknowledges lack of readiness for GP commissioning
GPs need to significantly overhaul their skill sets before they embrace commissioning.
-
LeaderThe hurricane of protest over NHS pay can be calmed by honest debate
How much, in this age of austerity, should NHS staff or contractors be paid? Using the number of comments on HSJ’s website as a guide, no subject is of greater interest or importance.
-
LeaderConflicting messages from the top hint at growing resistance
Have the tone of messages from the NHS chief executive and health secretary ever been as different as those emerging from Sir David Nicholson and Andrew Lansley? At last week’s health questions in the House of Commons, ministers got stuck into “pen pushers”. Contrast this language with Sir David’s latest ...
-
NewsHealth Hotel reopens for 2010
The first real acid test of how closely the coalition’s junior partner is allied to the proposed health reforms will come next week at the Liberal Democrats’ annual conference in Liverpool.
-
LeaderIt’s not just commissioning – who will fill the PCT vacuum?
Margaret Angier had news for the readers of the Sheffield Telegraph. The chair of a local mental health group, Ms Angier wrote to the paper about the government’s health reforms.
-
LeaderThe health community remains doubtful of Cameron’s big idea
Does the “big society” have any relevance to the future of the NHS?
-
NewsHSJ100: Staying power is at the heart of NHS influence
As we prepare our list of the most influential people in health in 2010, Alastair McLellan and Darius McQuaid look back at who has wielded most power in the NHS during the last four years
-
LeaderNHS spending debate focuses on the wrong type of consultant
Why is health secretary Andrew Lansley still acting like an opposition politician? That is the question raised by the government’s haranguing of primary care trusts for their use of management consultants.