All Clinical Leaders articles – Page 47
-
Comment'GPs run the risk of alienating themselves from their colleagues'
As the BMA gears up for a crisis meeting to debate the Health Bill, the chair of its consultant and specialists committee voices his fears of a huge split between members - and a ‘seething cauldron’ of competing providers in the future.
-
Comment'There are no winners while there is 'them and us' tribalism in the NHS'
“Them and us”. All too often an off-hand remark and the death knell of a beautiful conversation, usually with the word “tariff” thrown in.
-
-
Comment'Without a firm battle plan, consortia might find themselves neither here nor there'
The grand old health secretary risks getting the new consortia stuck on the hill, unless a change in strategy to push them higher up the slope of success is attempted.
-
CommentEffective regulation needs the right touch, at the right time
The chief executive of a troubled NHS trust recently remarked to me: “The problem was, we thought we worked for the regulators, not for our patients.”
-
HSJ Local
Central London community trust plans integrated care pilot for diabetes and elderly care
STRUCTURE: The community provider was approved to begin the integrated care pilot by NHS London and will work with a local acute trust, GPs and the local authority.
-
CommentAndrew Dillon: the new mission for NICE
The white paper Liberating the NHS and the Health Bill currently going through Parliament describe a radically new architecture for the NHS together with a new, outcomes based approach to driving improvements in care.
-
HSJ KnowledgeTomorrow's NHS productivity initiatives need to avoid today's mistakes
Recent productivity initiatives in the NHS aren’t creating the long-term benefit they need to. Amnis managing director Mark Eaton looks at the common problems affecting productivity programmes, and how best to address them.
-
NewsScrutiny of problem GPs raises concerns
A vital gap in the governance of GPs could open once primary care trusts are abolished, the head of the National Clinical Assessment Service has warned.
-
NewsNursing needs more leadership, investigation finds
Significant gaps in nursing leadership have been exposed in assessments carried out by trusts following the Mid Staffordshire Foundation Trust scandal.
-
HSJ KnowledgeClinical audit results can positively impact future business and marketing strategy
Using clinical audits will inform and support trusts’ business and marketing strategy, say Seraphim Patel and colleagues at Central and North West London Foundation Trust.
-
HSJ KnowledgeMaking changes to achieve savings - without disastrous consequences
In managing the NHS, we have choices. When we have a difficult problem do we think radical, fundamental, realistic, or painstaking? Jan Filochowski, chief executive of West Hertfordshire Hospitals Trust, says that when push comes to shove, it’s worth being an evolver more than a radical, and a realist more ...
-
CommentBill Moyes: the reform agenda presents a massive opportunity
The government’s reform agenda for the NHS isn’t the beginning of the end of a primarily tax funded healthcare system. The reforms are probably the best way to preserve that for another generation or more. So, instead of focusing on the risks, let’s give more attention to the opportunities.
-
-
CommentCompetition can work, but only with the right tactics
“Competition in health care should be tactical not ideological”. This was the main message from the “Competition versus integration in the NHS” debate organised by the Cambridge Health Network and the King’s Fund
-
Comment'It makes a welcome change to hear praise for NHS managers'
Sir David Nicholson’s letter to colleagues after the spending review recognised that great public service leadership “more than anything else” will be central to improving quality and productivity.
-
NewsRCS warns quality of care could decline
Standards of patient care may be compromised if GPs focus on “the lowest price” rather than quality when it comes to health spending, the Royal College of Surgeons of England has warned.
-
NewsConsultants' £40m pay claims rejected
The Scottish first minister has disputed claims that Scotland paid an extra £40m to highly paid NHS consultants in the last year.
-
HSJ KnowledgeGeneral paediatric surgery - getting the delivery right
General paediatric surgery is increasingly being provided centrally, but routine care can be brought to local hospitals with managed clinical networks, writes Su-Anna Boddy
-
CommentThe Health Bill - rising to the challenge
The Health Bill sets out a vision for commissioning where innovative consortia of GPs take the lead in transforming our health and social care systems from being demand-led and provider-oriented to being patient-centred and outcomes-focused.