External contributors – Page 222
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'Management conspiracy requires management intelligence, and I'm not talking data'
So as we enter 2011, chief operating officer Lansley continues to command the full support of the board and old-Etonian co-owners Cameron and Letwin, a level of support comparable to that enjoyed by a Hodgson-Grant-Ancelotti-Houllier hydra.
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Nick Bosanquet: Five steps to security
The pre-Christmas snow shower of documents did little to gather momentum towards better services. Rather, it added to the risk of planning blight for new organisations which have to find personnel and trial their powers and budgets. These are my five steps to rescue the change programme:
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Media Watch: Managers under fire
The New Year may have only just begun but NHS managers are already in the firing line.
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Michael White: It could have been worse
The danger for ministers over the festive break is to be drawn into the news vacuum that develops when the world goes on holiday. How well did Andrew Lansley survive his first Yuletide vacuum in the health hot seat?
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Comment
'The NHS is every health secretary's trainset'
The NHS, always in danger of becoming every health secretary’s trainset, faces yet another major reorganisation. The idea is that GPs will lead the quality and safety and value for money charge that will be needed over the next five, perhaps 10, years.
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GPs will walk a tightrope between making or buying
Giving GPs freedom to innovate while protecting patients will be a difficult balance
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Tim Riley on GP attitudes to commissioning consortia
The reservations about the establishment of commissioning consortia are not uniformly expressed among all GP colleagues.
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Incentives for doctors: the big chill will hit medics too
Incentives for doctors is not a bad idea but they should only be given for tangible improvements
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A survival plan for non-foundation trusts
The government has committed to the foundation trust model as the default structure for providers in the NHS.
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An austere Christmas for the public sector
There was little Christmas cheer in the approach to the festive season as the media focused on cuts and austerity in the public sector.
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Waiting times tracker: analysis of seasonal effects
An important issue in understanding trends in waiting times - and what may be influencing changes since June - is seasonal variations.
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A Christmas Dorrell
Good King Dorrell did look out on the feast beneath him, With Andrew lay round about, deeply fried by Stephen…
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Are NHS efficiency savings a dead dog?
In the golden years of transatlantic airfreight, a turboprop landed in Newfoundland to refuel.
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'People are skeptical of welfare spending'
As coalition ministers plough on with radical reforms of health and other public services, they should not take much comfort from this week’s social attitude survey suggesting Britain is now more right wing than in the Thatcherite 80s.
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Comment
What contracting skills will CCGs need to acquire?
Learn to handle contracting with confidence
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Redesign to save NHS from slash and burn
Dear Sir,In a blunt assessment of the coming few years, the Commons Health Select Committee recently stated that the NHS must achieve efficiency savings on a scale never before seen here, or indeed in other countries.
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Jenny Rogers: Dropping the defensiveness
Wrestling with large organisations when you are a mere minnow yourself certainly takes focus and energy. In the wake of my husband’s death in July this year, I faced the crassness and inefficiency of our bank, NatWest, when my credit card was suddenly withdrawn with no warning.
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Comment
The public health white paper: sizing up reactions
HSJ’s sister title Local Government Chronicle gathers reaction to last week’s public health white paper, Healthy Lives, Healthy People.
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Comment
Sharing healthcare costs, pooling healthcare risks
Size seems to be back in vogue. There are two main reasons for the “big is beautiful” organisational trend, and it is important to distinguish between them, as their impacts on that overriding £20bn NHS savings target are quite different.
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'Don't allow healthcare and public health improvement to be divided'
The raison d’être of local government is that elected councillors best represent residents’ concerns.