External contributors – Page 218
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Uniting health and social care to give dementia patients improved services
Projections that the number of people with dementia could double in 30 years will worry a health service that is already failing to adequately support patients with dementia. But making important changes to unite health and social care services could dramatically improve the quality of dementia care, writes Institute of ...
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Cally Bann: is life imitating art in La La land?
La La’s Teletubby house has many potential uses: as long as they remain over the hills and far far away.
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Community action in the NHS is quietly building the Big Society
Mention the Big Society now in the voluntary sector and you are likely to be met with stony gazes. The prime minister’s relaunch of what he describes as his mission in politics will struggle to convince a sector facing the loss of £1.2bn in public funding from April.
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'63 per cent of managers are making cost-savings - what are the others up to?'
Decision over jobs and pay are going to be tough - but that’s all the more reason to take them now, and start preparing for the future, writes David Flory.
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East Midlands marching toward structural change
Policy makers would have us believe the reforms are all about changing patient pathways rather than building new structures, but announcements on structural change are coming thick and fast.
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Media watch: someone needs to get a grip on reforms
There was little room for domestic issues amid wall to wall coverage of events in Libya and Japan in the papers this week, but nevertheless the Sunday Telegraph managed to maintain the pressure on health secretary Andrew Lansley.
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North West making up ground for new financial year
Just a few days from the start of a financial year, there are two main questions for those who want to know how the North West will cope.
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Noel Plumridge: shouldn't specialist services be cheaper, not dearer?
The value of specialist top-ups under the NHS tariff is falling. Specialist children’s hospitals had 78 per cent additional funding compared with the standard tariff, but from April their uplift will only be 60 per cent.
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Michael White: under fire Tories retreating forwards
In my inbox on Monday I found an email from some self-styled “Big Society NHS” doctors reporting what they heard Andrew Lansley saying at a dinner given for the health secretary in his childhood neighbourhood of Hornchurch, Essex.
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Stephen Eames: it's time to embrace disruption
We are entering a new phase of reform which some see as reckless tampering and others as the natural evolution of the NHS from a superstate behemoth to a consumer-driven 21st century business.
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Can GPs become agents of change, or will they remain gatekeepers?
In my forthcoming book on the NHS and reform, I have devoted a chapter to trying to answer the question of whether GPs can move from gatekeepers to change agents. Andrew Lansley’s reforms pose the same question along with others – do a sufficient number of them want to make ...
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Media watch: Lib Dems' wash hands of reforms in spring conference
The papers this week were full of the Liberal Democrat spring conference’s rejection of the government’s health reforms.
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Noel Plumridge: what will the year end yield for trust finances?
Ever wondered why financial years begin in April? It’s the crop cycle.
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What will the private sector do with failed hospitals?
The setting of a final deadline for NHS trusts to apply for foundation status is certainly focusing minds and starting to move long-postponed jobs out of the “too hard” tray, but the unpalatable truth is that some trusts are not going to make it by the drop-dead date of 1 ...
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Yorkshire trusts could soon start to see cracks appear
The NHS in Yorkshire has for years papered over the cracks of financial unsustainability in its second largest organisation, North Yorkshire and York Primary Care Trust.
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Mergers making their mark on the South East Coast
Merger is the name of the game in Kent at the moment.
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Michael White: Lansley battles to keep reforms afloat
Colonel Gaddafi may have benefited from the rival distraction of Japan’s apocalyptic tsunami, but Andrew Lansley has no such luck. As HSJ’s editorial asks if he is “screaming inside”, wave after political wave rolls over him.
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'Life had really changed in the NHS, following the reforms of 2011'
Dr Charles Alessi ruminates on what a day in the life of a GP in the new NHS might be like, years from now, following the successful NHS reforms of 2011…
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Your humble servant: the spectre of Stalin looms over year end
It’s difficult to make end of financial year decisions when pain aligns so closely with pleasure.
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What do we really care about in the NHS?
While there are plenty of people who care about making the system work, in striving for improved access and technical excellence we seem to have stopped caring for the whole person. So what is it we really care about?