All Comment articles – Page 304
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Comment
David Baker on the maze of choice
While a.wider choice of services is a good thing.for patient care, the public needs more guidance on where to go for non-emergency urgent care, says David Baker.
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Andrew Jones on which way now?
'I assume in chess terms the ploy was to bewilder the electorate and most senior managers into second guessing the next steps. I have no hidden insights at this point but then I am told the Brown team didn't have many either'
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The public needs reassurance that it is in the safest hands
'Such big jumps need analysis. Are employers becoming more lax in their approach? Or is it just a statistical anomaly?'
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Your Humble Servant: domestic inspection
‘The terror of arbitrary censure and pointless planning is taking its toll’
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Target-driven department is off the mark
'Reforming the DoH to make it an effective and respected department is an important step on the road to rebuilding NHS confidence in the government'
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Neil Goodwin on the importance of partnerships
'With the little wisdom, insight and maturity that I hope I have developed with age and experience, I am able to confess that some inter-organisational relationships suffered as I pursued system-wide strategic change'
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Dr Maire Smith on nurturing innovation
'NHS staff have a wealth of ideas and a number of these could be translated into tangible benefits, not only for the patient, but also for the organisation'
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Carers must be treated with dignity
Lord Darzi has been asked by the health secretary.to review the main challenges facing the NHS, including ensuring that care for people with long-term conditions is joined-up, patient focused, offers best value and is delivered with dignity in the best location for each patient, which for many will be their ...
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Comment
Protecting public and patient involvement
The blind drive to force the introduction of local involvement networks and abolish patient and public involvement forums is dangerous and misguided.
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Hilary Thomas on trust and safety
'Imagine hearing: 'This is your junior pilot speaking. I have no particular interest in your safety.''
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Your Humble Servant: London SHA
‘They’ve come up with a whizzo plan to keep Londoners happy. They are going to build lots more hospitals. At the moment they are calling them polyclinics, but that’ll change’
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It's a question of trust: will the new ministers devolve power?
'Central control is a far more natural response from Brown than trusting local freedom and competition'
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Ringfencing is only a short-term cash fix
'Local flexibility is a principle that needs defending. Ringfencing is only convenient so long as the political wind is blowing in your direction'
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David Peat on letting go
'As soon as the SS Rest and Relaxation draws near another port, you can see groups of slightly anxious-looking passengers veering to the landward side of the vessel and proclaiming: 'Houston, we have a signal!''
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Richard Morgan and Allison Thorpe on social marketing
'Social marketing recognises that, all things being equal, people will choose behaviours that keep them in good health. But all things are rarely equal; most people have to make choices and compromises'
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Paul Cooper on emergency ward nine and a half
'Our local doctor is as good as anyone else's, I suppose, although I don't really know that as I have little choice'
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Lisa Rodrigues on managing change
'Some people think the quiet revolution in mental health, with the closure of the asylums and the introduction of community care alternatives, is a model for the rest of the NHS. But I am the first to admit that we did not.always get it right'