All Alastair McLellan articles – Page 7
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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?
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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.
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LeaderHSJ100: Politicians and medics surge to power in the new world order
We live in political times. That much is clear from the first HSJ100, the expanded version of the HSJ50 which, for the past four years, has plotted the most influential people in health.
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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.
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LeaderLansley accelerates his plans as Labour’s opposition falters
The government’s reforms are picking up pace.
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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.
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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.
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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.
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LeaderNHS management challenge stays much the same, rich or poor
On 25 April 2002 HSJ gave its verdict on Gordon Brown’s decision to lavish unprecedented riches on the NHS.
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LeaderWe need NHS managers to tackle the first financial crisis since 1987
Today the government’s spending review will be announced and the implications for the NHS will start to become clear.
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LeaderFollow the leaders – or waste billions of pounds every year
Variability is the curse of any large organisation. The most successful corporations spend considerable time and cost in identifying and resolving variations in performance.
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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.”
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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?
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LeaderLansley acknowledges lack of readiness for GP commissioning
GPs need to significantly overhaul their skill sets before they embrace commissioning.
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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?
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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.
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LeaderThe health community remains doubtful of Cameron’s big idea
Does the “big society” have any relevance to the future of the NHS?
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LeaderThe accountability of overspending GPs
The British Medical Association has declared GP consortia must be “democratically accountable” to practices. And they “should act with integrity and leadership when considering the accountability of practices”.
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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.
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LeaderAlarm bells sound as financial scrutiny falls victim to the cuts
Amid the sound and fury surrounding the abolition of the Audit Commission there was little comment on how it would affect the NHS.