All Comment articles – Page 323
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Comment
Simon Stevens on the case for independence
It now seems likely that, regardless of political party, our next prime minister will toy with some version of 'independence' for the NHS. Independence for the Bank of England is seen as one of the government's more important reforms, so an NHS parallel could resonate. And shadow health secretary Andrew ...
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Day case rates
Marc Farr says day-case rates over the last three years have shown little sign of improvement
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Michael White: change in the NHS
We were standing on the edge of my local swimming pool discussing the inevitability of change when a fellow wrinklie walked past, saying: 'Don't talk to me about change. I work for the NHS and whenever I hear that word I just switch off.'
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Media watch: hospital phone charges
Those unlucky enough to spend Easter in hospital also had the misfortune of paying a whopping 26p per minute if they wished to call their loved ones. Not unexpectedly the tabloids and broadsheets were up in arms last week as they bemoaned the 160 per cent increase in hospital call ...
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Confessions of an NHS chief executive
'I do not follow rhyme or reason, only the secretary of state'
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Sophia Christie on lessons from Sweden
One of the most distinctive characteristics of NHS trusts' work with US company Kaiser Permanente is also one of the least commented upon. Kaiser Health Plan is an insurance company in an exclusive partnership with the Permanente Medical Group, run as a profit share company for the participating partner doctors.
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Sophia Christie on national and local tensions
Despite a bad press, national targets have challenged our complacency about poor health in poor people and poor services to support them.
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Sophia Christie on telling our story
'Formal public meetings only ever engage the sort of people who like attending formal public meetings'
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Sophia Christie on health and employment
The publication of the Commissioning framework for health and well being is a welcome reminder that 13 months ago the government published white paper Our Health, Our Care, Our Say. For many of us it is a long-awaited statement about the future direction for the 90 per cent of NHS ...
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Malcolm Lowe-Lauri on clinical engagement
'A meeting of minds gets enormous impetus when the fog of data is converted into information'
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Clinicians and trust
Katzenbach is close (Anna Donald, Opinion, 8th March), but Onora O' Neill is closer. Her Reith lectures in 2002, 'A Question of Trust', pointed not to a crisis of trust but to a pervading culture of suspicion, directed particularly at the professions.
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Healthcare inspection comes under scrutiny of its own
'Numbers do not impart wisdom in themselves, you have to learn how to select and use them'
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Listen and learn: keys to good commissioning
How does accountability to patients and the public fit into the commissioning framework, asks David Colin-Thome. Below, Tim Gilling outlines the 10 areas essential to effective scrutiny
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Media Watch: drug company's promise
This week comes news that a drug firm has offered to refund the cost of one of its products to the NHS if it fails to work on patients.
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Michael White on consultants
Chairing a session at a recent Unison conference on the future of the NHS I chided Clive Efford, Labour MP for Eltham in south London, after he had cheerfully abused consultants. I think the word he used was 'spivs', unaware that the room was full of them, including the nice ...
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Noel Plumridge on the non-exec conundrum
'How can one challenge yet remain part of the team? That's the non-executive dilemma'
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Noel Plumridge on the cost of a day's work
'Calculate your daily rate. Say it out loud. 'I'm a £500 a day sort of guy''
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How doctors learned to stop worrying and love data
The NHS has never lacked information, but, says Dr Foster Intelligence's Tim Kelsey, only now are managers and clinicians harnessing its power to change services. Public access is the next big challenge
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David Woodhead on public health
'Vicky was patronised by health professionals unwilling to listen to her views or take note of her experiences'
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A different kind of day at the office
The HSJChallenge offers managers the opportunity to escape their day jobs and pit their wits against their peers in a in a multi-agency health economy with more than its fair share of problems. The good news is that it's not for real. ...