All Comment articles – Page 94
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Comment
Cowper’s Cut: A Budget for putting politics above prosperity
We’re approaching a moment when a government that has been warned that the NHS funding situation will threaten quality, access and safety is going to choose to ignore that warning, says Andy Cowper in the runup to the Budget
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Physician associates can help meet the NHS workforce gap
Providers must find ways to integrate physician associates into the NHS workforce and optimise their skill sets, says Sam Roberts
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It’s time for a new mindset to unlock the power of the NHS’s support staff
A change of mindset is needed if the NHS is to truly unlock the power of support staff to deliver better value, better environments and better care, writes Ian Crichton
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Why DToCs need to be removed from the NHS lexicon
We need to stop talking about DToCs, and focus instead on how we help every patient get to the right setting of care for their needs. By Jo Andrews
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Support local leaders or risk having no leaders in future
The NHS’s current management approach favours the stick rather than the carrot, leading to huge pressures on local leaders and could undermine the success of STPs, warns Helen Buckingham
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Lifting the cap: Paying for the pay rise
The often repeated strategy of getting NHS staff to deliver more for less has run out of road, says Harry Quliter-Pinner
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Sharp fall in elective admission rate
September’s admission rate was sharply down on recent years. However, waiting list management recovered, enabling a slight improvement in waiting times to 20.3 weeks. That’s still well above 18 weeks though, and the trend remains up.
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Do not overlook the real achievements of PFI
Paul Ridout on the role of PFI in the improvement of NHS facilities
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Quality improvement is not for the faint hearted
Embedding quality improvement into the fabric of the NHS organisations requires a fundamental shift in leadership, say Joni Jabbal and Siva Anandaciva
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Revealed: The cost of restoring 18 week waits
With some guesses about the costs per case, I calculate recovering 18 weeks sustainably might cost £2.1bn next year and £350m the year after, if other pressures and enough mainstream capacity are funded. Or £4.2bn next year and £1bn the year after, if austerity continues.
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Cowper’s Cut: Send lawyers, guns and money to the antagonish
Who benefits from the recently leaked information about Simon Stevens being made personally responsible for NHS’s winter performance, ponders Andy Cowper
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Protect trainee doctors to protect patient safety
Annual trainee quality panels can help address bullying and other cultural and safety issues within local hospitals and training posts, say Zoe Oliphant and Iona Thorne
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Stevens' mission on NHS funding will go on beyond the budget
Simon Stevens’ funding call ahead of the budget has grabbed headlines, but why was it necessary and how will it go down in Whitehall?
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Accountable care and cancer: We must not lose sight of the fundamentals of integrated care
Accountable care is about more than just contractual arrangements, it is also about achieving coordinated care and delivering the outcomes that matter to patients. By Moira Fraser
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'Carebnb' could be the type of radical idea the NHS needs
Alex Fox on the viability of care rooms and the need to look at other patient-centric models that already exist in the NHS
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Cowper’s Cut: ‘The Tragedy Of The Commons’ meets ‘Only Connect’
With things looking quite dark in the NHS, we can only hope that the forthcoming Budget will improve the situation even as we try to put a quart of healthcare demand into a pint pot of healthcare resource, says Andy Cowper
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I’m a bipolar NHS leader – and I still fear telling my colleagues
The NHS can be at the forefront in changing perceptions to mental health issues in the workplace, says a CCG director anonymously revealing to HSJ about his mental health condition
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Why patients need to understand the NHS
It is high time the NHS leadership promote a new vision with enhanced patient involvement that will empower the users of the service. By Laura Fulcher
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Cowper’s Cut: The big machine or the ecosystem?
NHS bosses are using loopholes in law to slowly transform the NHS from an ecosystem into a big machine, which could lead to unintended consequences, notes Andy Cowper