All Comment articles – Page 37
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CommentPublishing an integration white paper smacks of desperation
There seems to be a moratorium on meaningfully investing long-term and in a strategic way in the things that will make the biggest difference: workforce, team capacity, culture change. By Charlotte Augst, chief executive of National Voices
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CommentI know what dodgy policy looks like and the integration white paper fits that bill
The problem with the new white paper on integration is that the way it thinks change happens is pretty much the same as past attempts, writes Richard Taunt
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CommentHow the Health and Care Bill can help the homeless and socially excluded
The new structures and duties proposed in the Bill, to integrate services around patient’s needs and across organisational boundaries present the opportunity for a step-change in our collective responses to the most excluded, writes Alex Bax
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CommentWhat does a 'Place' lead do?
The value of place-based working importantly strengthens the role of local democracy, elected members and accountability to residents, writes Jo Webster
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CommentFocusing on answers, not questions, on a ‘journey to outstanding’
A big week for the Blithering health economy, with a raft of policy announcements and exciting new acronyms. Julian Patterson reports from the scene
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CommentWaits for diagnosis and decision rise to over 38 weeks
Many urgent conditions are only picked up at diagnosis, making such long waits risky. By Rob Findlay
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CommentWill the desire for political grip trump the government's integration ambitions
The integration white paper marks a significant attempt to start to push the policy pendulum back towards local places; closer to patients and where care is delivered, writes Richard Sloggett
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Comment'Shape up or ship out' message was motivation, claims chair
Chair and chief executive who presided over a ‘culture of name-calling’ promise to learn the lessons of the past, writes Julian Patterson
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CommentWould putting GPs under the command of hospitals work?
The pitfall of trying to design a ‘one size fits all’ model of primary care should be avoided, write Robert Ede and Sean Phillips
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CommentStop squandering the skills of NHS analysts
The NHS has an army of expert analysts – but their ability is being squandered on day to day pressures. Peter Spilsbury calls for a change in culture.
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CommentLevelling up must include action on variation in GP services
Unless urgent action is taken, failure to provide general practice according to people’s needs will likely widen disparities further, write Becks Fisher and Lucinda Allen
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CommentThe lessons the NHS needs to learn from the covid vaccination programme
A study from The King’s Fund looks at the trials, tribulations and successes of the vaccine roll-out in England from its inception - and asks if there are broader lessons from it for both the NHS and local government. By Nicholas Timmins
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CommentNHS managers can have a profound impact on performance
Responding to a recent LSE study on the association between NHS managers and several outcomes, Ian Kirkpatrick, Gianluca Veronesi and Ali Altanler write that great caution is needed when interpreting the study’s findings, especially given the lack of statistical power
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CommentTowards the Next New Normal
Integrated care systems are preparing to transform the way meetings are run. Julian Patterson has been taking minutes
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CommentStevens: government has shown ‘wilful blindness’ in its approach to workforce planning
Former NHS England chief executive Lord Stevens addressed the NHS’s workforce challenges during the House of Lords debate on the Health and Care Bill earlier this week. This is a, lightly, edited version of what he said.
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CommentWe should be horrified by the early deaths of those living with mental illness
Since the Five Year Forward View for Mental Health was published in 2016, delivery of physical health checks has remained significantly below the 60 per cent target. There is an urgent need to provide enhanced care for this particularly high-risk group, writes Mark Winstanley
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CommentThe buy-out is the existential threat to the NHS
NHS does face real and existential danger - not from a sudden ‘sell-off’, but rather from the ‘buy-out’. And it is happening, uncontested, before our eyes, writes Chris Thomas
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CommentDrowning in surgical tape: doctors cost NHS millions, says study
Major new report highlights concern that vital management funding is wasted on unproductive patient care, writes Julian Patterson
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CommentWhy NHSE’s plan to abolish the 4 hour A&E target is a mistake
The study shows that long waits in A&E are associated with higher patient mortality. So, if waits much longer than 4 hours are demonstrably bad, what does this imply about policy?
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CommentICSs should heed voices of children and young people
For genuine coproduction to thrive in healthcare there must be a radical paradigm shift that focuses on embedding the voice of children and young people into the fibres of ICS cultures, behaviours and structures. Coproduction must go beyond traditional organisational boundaries, and with ICSs still forming, there is no better ...