All Efficiency articles
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NewsGovernment will be ‘incredibly lucky’ if current elective care plan works
The government and NHS England is wrong to think that improvements in productivity, and not increased funding, will result in shorter elective waiting lists, the leader of the NHS Alliance has claimed.
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CommentThe persistent need to re-enter info into EPRs is draining NHS resources
One of the most persistent drains on NHS clinical capacity is the repeated re-entry of information across EPRs. The main barrier to reducing this burden is no longer capability, but prioritisation
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NewsExclusive: NHSE pays three trusts £1m each to remove patients from waiting lists
Three trusts were paid more than one million pounds for removing patients from their waiting lists through “validation” exercises last year, HSJ can reveal.
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Expert BriefingFollowing the Money: The looming cash crunch
HSJ’s expert briefing on NHS finances, savings and efforts to get back in the black. By senior correspondent Henry Anderson.
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NewsNHS accused of using suppliers as ‘free overdraft’
Overdue payments by trusts running to tens of millions of pounds have sparked a fresh row with suppliers, who have warned the situation is “not sustainable”.
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Expert BriefingRecovery Watch: How trusts drove near-record improvements
Elective recovery and returning the NHS to meeting the 18-week standard by 2029 is the government’s main performance priority. The Recovery Watch newsletter tracks prospects and progress against this goal. This week, by bureau chief James Illman.
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NewsTop trust ‘struggling’ with tariff reform
A top-performing trust’s CEO has said it is “struggling” with the impact of NHS England’s financial reforms – which it argues are “disproportionately” affecting organisations providing specialist care.
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CommentThe default model for complex care is no longer fit for purpose
Providers and GPs across North Central London tested a proactive neighbourhood model that improved coordination for patients with multiple long-term conditions
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News21 trusts ‘delivered year’s elective recovery in single month’
Twenty-one trusts delivered their entire 2025-26 elective improvement in March alone, analysis shows, prompting concerns about the “fragility and sustainability” of the NHS’s waiting list recovery.
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CommentThere is growing unease about the future of stroke care
The government’s focus on stroke signals a welcome elevation of this critical policy and clinical area, but much hangs on the planned Modern Service Framework
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HSJ PartnersDemystifying NHS-pharmaceutical industry collaboration: Unlocking value already within reach
This non-promotional article has been fully funded and written by Novartis Pharmaceuticals UK Limited. It is intended for healthcare professionals, other relevant decision makers and patient organisations. Please do not forward, share or post this content beyond the intended audience, including on publicly accessible websites or ...
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NewsElective target hit after spike in ‘unreported removals’
NHS England has hit its 65 per cent waiting list for 2025-26, but experts said the “majority of the improvement” in March was driven by a “record” spike in “unreported removals”.
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CommentUnfairly shifting the burden of care to GPs is a feature of NHS system design, not a bug
The 8am scramble to see a GP reflects capacity shortages, workforce mismatches, and system inefficiencies
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CommentA mathematical approach to solving real-world problems
Operational research helps NHS teams redesign services using data, improving ambulance efficiency and reducing missed appointments, while maintaining cost-effective patient care
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NewsRevealed: Hospitals with the highest avoidable admissions
Around 15 per cent of emergency admissions at some trusts are potentially avoidable, according to new NHS England data.
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CommentToo much NHS mental healthcare is outdated
Outdated treatments and underfunded research are holding back mental health care, leaving NHS services struggling to deliver effective, sustainable outcomes
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HSJ PartnersUnderstanding the impact of severe asthma to improve patient outcomes
As medical head, specialty at GSK, my work keeps me close to both the lived reality of severe asthma and the system pressures it creates.
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NewsStreeting intervenes over energy price shock
The health secretary has urged hospital chief executives to sign up to a national energy procurement scheme to cushion themselves from energy price shocks caused by the war in Iran.
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CommentThe variable quality of senior doctors is harming patients and the NHS
Inconsistent consultant standards in the NHS risk inefficiency, higher costs, delayed discharges, and reduced patient flow – clearer national criteria is needed
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Expert BriefingFollowing the Money: DoFs are in the dark about deficit support
HSJ’s expert briefing on NHS finances, savings and efforts to get back in the black. By senior correspondents Henry Anderson and Zoe Tidman.