All Efficiency articles
See all articles with this subject.
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CommentWe need a NICE for operational excellence
Operational decisions directly affect patient outcomes, yet lack the scientific infrastructure supporting clinical care. From theatre scheduling to risk stratification tools, the NHS has adopted interventions without the rigorous evaluation expected of clinical treatments
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CommentThe crucial diagnostic sector being left behind by the AI revolution
Artificial intelligence is reshaping diagnostic imaging across the NHS - but ultrasound continues to lag behind
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NewsDHSC instructed to reduce use of external contractors
The Department of Health and Social Care has been told to develop plans to in-house services currently supplied by external contractors.
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CommentReducing hospital demand is not the right test for neighbourhood care
The idea that neighbourhood care can reduce demand on hospitals is not the given many claim it to be. But is it even the right question to ask?
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NewsICB clusters told to merge
Clustered integrated care boards should merge by next April, even if it is likely they will cut across future regional government footprints, NHS England has said.
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NewsAcute trust overturns ‘obviously unfair’ £1.7m legal bill
An acute trust has overturned a £1.7m legal bill in the High Court after a judge found “obvious unfairness” in an independent adjudicator’s decision about a legal dispute with a construction firm.
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NewsRevealed: Cancer doctor hiring freezes rise in nearly every region
Cancer centres in nearly every region of England reported significant rises in recruitment freezes to oncology posts over the past year, according to new figures shared with HSJ.
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CommentData-driven modelling can take the guess work out of planning
As the UK population ages and demand on hospitals grows, new research shows how predictive and prescriptive analytics could help the NHS better forecast demand, allocate resources and improve care for frail and elderly patients
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CommentWait list growth in April cancels out March ‘sprint’
The trajectory for “18 weeks” recovery was missed by a record margin
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News‘Vital’ NHS research centres face funding cut
Nationally funded research centres hosted by major teaching trusts are facing a cut of up to £187m from 2028.
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NewsRevealed: The trusts sharing £86m prize for March A&E sprint
NHS England has revealed the trusts which will share an £86m prize pot for delivering improvements to A&E waiting times in March.
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NewsRevealed: Hospitals with the most ‘red line’ 24-hour waits
At least one in 10 A&E patients wait more than 24 hours at many hospitals, despite NHS England telling trusts to adopt a “zero tolerance” approach to such long waits, new figures have revealed.
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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 £1m 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












