All Alastair McLellan articles – Page 3
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LeaderOut of CSS failure will come a ready-made market
How important is it that CSSs are set up along commercial lines?
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LeaderThe fate of unsustainable services is back in the hands of the centre
Alastair McLellan’s editorial.
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LeaderFailure to limit expectations is blighting NHS regulation
Did Cynthia Bower fail to control the expectations of her commission?
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LeaderThe Health Bill plan B is dead, but plan C lives on
David Cameron has made passing the Health Bill a matter of confidence – making it close to impossible the legislation will fail. We now need to ask what kind of bill will be passed and what will happen afterwards.
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LeaderDoes the government really have a Plan B for NHS reform?
As the Health Bill staggers through the House of Lords and opposition grows to it in a daily basis, the question is reasonably asked whether the government has a Plan B.
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LeaderGovernment won't enjoy efficiency gained from public sector borrowing
Can efficiency be achieved through increased public spending?
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LeaderCameron's comparison to Blair only highlights the differences
Miliband uses HSJ’s joint editorial to challenge Cameron over reform.
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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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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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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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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.