Comment archive – Page 352
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CommentEast Midlands marching toward structural change
Policy makers would have us believe the reforms are all about changing patient pathways rather than building new structures, but announcements on structural change are coming thick and fast.
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CommentMedia watch: someone needs to get a grip on reforms
There was little room for domestic issues amid wall to wall coverage of events in Libya and Japan in the papers this week, but nevertheless the Sunday Telegraph managed to maintain the pressure on health secretary Andrew Lansley.
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CommentNorth West making up ground for new financial year
Just a few days from the start of a financial year, there are two main questions for those who want to know how the North West will cope.
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CommentNoel Plumridge: shouldn't specialist services be cheaper, not dearer?
The value of specialist top-ups under the NHS tariff is falling. Specialist children’s hospitals had 78 per cent additional funding compared with the standard tariff, but from April their uplift will only be 60 per cent.
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CommentMichael White: under fire Tories retreating forwards
In my inbox on Monday I found an email from some self-styled “Big Society NHS” doctors reporting what they heard Andrew Lansley saying at a dinner given for the health secretary in his childhood neighbourhood of Hornchurch, Essex.
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LeaderOne more sign that we may miss the expertise of PCTs
While the NHS accelerates towards an uncertain future, primary care trusts are braking hard on activity.
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LeaderPay attention to the sound of the crowd
“The wisdom of crowds” was one of the buzz phrases of 2004. The theory was that social media and other digital services allowed opinion to be aggregated quickly and effectively to drive real world decisions.
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CommentCally Bann: is life imitating art in La La land?
La La’s Teletubby house has many potential uses: as long as they remain over the hills and far far away.
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CommentStephen Eames: it's time to embrace disruption
We are entering a new phase of reform which some see as reckless tampering and others as the natural evolution of the NHS from a superstate behemoth to a consumer-driven 21st century business.
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CommentCan GPs become agents of change, or will they remain gatekeepers?
In my forthcoming book on the NHS and reform, I have devoted a chapter to trying to answer the question of whether GPs can move from gatekeepers to change agents. Andrew Lansley’s reforms pose the same question along with others – do a sufficient number of them want to make ...
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CommentMedia watch: Lib Dems' wash hands of reforms in spring conference
The papers this week were full of the Liberal Democrat spring conference’s rejection of the government’s health reforms.
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CommentNoel Plumridge: what will the year end yield for trust finances?
Ever wondered why financial years begin in April? It’s the crop cycle.
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CommentWhat will the private sector do with failed hospitals?
The setting of a final deadline for NHS trusts to apply for foundation status is certainly focusing minds and starting to move long-postponed jobs out of the “too hard” tray, but the unpalatable truth is that some trusts are not going to make it by the drop-dead date of 1 ...
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CommentYorkshire trusts could soon start to see cracks appear
The NHS in Yorkshire has for years papered over the cracks of financial unsustainability in its second largest organisation, North Yorkshire and York Primary Care Trust.
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CommentMergers making their mark on the South East Coast
Merger is the name of the game in Kent at the moment.
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CommentMichael White: Lansley battles to keep reforms afloat
Colonel Gaddafi may have benefited from the rival distraction of Japan’s apocalyptic tsunami, but Andrew Lansley has no such luck. As HSJ’s editorial asks if he is “screaming inside”, wave after political wave rolls over him.
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Comment'Life had really changed in the NHS, following the reforms of 2011'
Dr Charles Alessi ruminates on what a day in the life of a GP in the new NHS might be like, years from now, following the successful NHS reforms of 2011…
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CommentYour humble servant: the spectre of Stalin looms over year end
It’s difficult to make end of financial year decisions when pain aligns so closely with pleasure.
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LeaderPerformance bonuses: a fair swap for public service pension reform?
“There is a much stronger case for linking pay to performance at the senior levels of public organisations, as opposed to the rest of the workforce”.
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Leader2013 has already arrived for some regions
It is an iron rule of NHS reform that development is both geographically patchy and concentrated in certain areas - look at the progress made in tackling heart disease compared with the record on sexual health, or how performance in the South West has consistently outstripped other regions.