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Comment
The growth of virtual wards needs to be driven by outcomes – not targets
Robert Harris* outlines seven essential factors to ensure the success of virtual wards and thus enable a system-wide reduction in hospital care.
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Comment
'We want you to feel liberated' says NHSE
As NHS England prepares to relax its grip, system leaders can look forward to a new era of earned autonomy, writes Julian Patterson
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‘Every door I try is locked’: how to overcome the barriers to collaboration
Lisa Weaks on the importance of sharing work equitably, recognising different contributions and how the Health and Care Act presents genuine opportunities to create change
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Comment
System leadership is a good thing, but we don't really know how it should work
Naomi Chambers and colleagues discuss the activities that should feed into and come before acting on the Messenger report’s recommendation for a single set of unified core leadership and management standards for managers, and associated training and development programmes
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Comment
Not all ICSs are created equal
Integrated care systems face a difficult task. The health of the population and the scope of some of the major concerns vary considerably across ICSs. As a result, authorities need to examine all aspects to ensure that ICSs run effectively, writes Phoebe Dunn
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How to make inquiry recommendations stick
Unclear causality and lost urgency are few reasons why recommendations of inquiries are often not implemented. David Buchanan and Steve Macaulay examine the practical problems in implementing the Messenger Review recommendations.
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The lack of a med tech innovation scheme means patients are losing out
A new ‘Innovative Medical Devices Fund’ is needed to ensure the government’s £36bn commitment to ‘innovation and new technology’ is spent wisely, says Barbara Harpham.
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Clouds gather over digital transformation plan
As a new agile chief information officer promises to unlock digital transformation, Sir Trevor Longstay remains to be convinced that progress is a good thing, writes Julian Patterson
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Comment
Elective waiting times worsen in April
The number of 104 week waiters improved, but overall things are getting worse with elective waits.
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Covid brought community pharmacists in from the cold, let's build on that
Reena Barai highlights how the integration of primary care networks and local pharmacies have led to inclusive healthcare at the local level
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Comment
The Netflix health secretary
Sajid Javid believes no one should need to leave home to binge-watch the NHS. In this exclusive extract from his diary, obtained by Julian Patterson, he explains why
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Comment
Neurological care is being rationed unfairly
Georgina Carr speaks about the lack of access and planning in neurological care within the NHS and emphasises the need to build on existing initiatives
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Comment
Efficiency asks risk damaging patient care
Complex operational pressures, workforce shortages, reduction in covid-19 funding…the list of barriers preventing trusts to deliver efficiency savings, goes on. By Saffron Cordery.
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NHS England’s PCN contract is working against the Fuller review
There is a stark contrast between the themes of the Fuller Stocktake report and NHS England’s primary care network contract, writes Dr Joe McManners
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To tackle long covid, enhance support to GPs
With an estimated 1.5 million people living with long covid in the UK, Louise Ansari calls for better support for GPs in recognising and managing the condition
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New strategy chief pledges 'every priority is my top priority'
Bold new appointments mark Joy Hunter’s determination to shake up the leadership team at the country’s most challenged health economy, writes Julian Patterson
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A nationally-endorsed vision that defines integrated primary care services
In view of Dr Claire Fuller’s recently published stocktake on how primary care can work with ICSs, Toby Lewis reflects on the challenges and solutions to implement its recommendations
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Comment
Volunteers are not a ‘nice to have’ for NHS services
It is time for a more strategic approach to identify areas where volunteers play a crucial role for NHS trusts, writes Helen Gilburt
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The NHS must be more ambitious in combating inequalities faced by disabled staff
As the country’s largest healthcare provider and employer, the NHS is uniquely positioned to play a central and pioneering role in tackling inequalities both for disabled patients and its disabled staff, writes Oliver Potter
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The distraction games
Need something to take your mind off the cost-of-living crisis, war in Ukraine and celebrity libel cases? Time to dig out the old board games, writes Julian Patterson