Finance and efficiency – Page 132
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LeaderHSJ Finance: helping you achieve NHS efficiency
This week HSJ introduces a new section in the magazine. HSJ Finance has two goals: to explore how increasing financial pressures are impacting on the NHS, and to plot the developing relationship between the service and the private sector.
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LeaderWe need NHS managers to tackle the first financial crisis since 1987
Today the government’s spending review will be announced and the implications for the NHS will start to become clear.
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LeaderYour idea could redefine the health service
What is the big idea that will guide and inform the development of the NHS throughout the next decade?
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LeaderThe NHS has too many hospitals - something’s got to give
Bristol, Alder Hey, Mid Staffordshire; some hospital trusts are forever synonymous with failures which shone a light on problems found throughout the NHS. Could South London Healthcare Trust and Heatherwood and Wexham Park Hospitals Foundation Trust be about to join them?
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NewsPace of public spending cuts 'not set in stone'
The pace and scale of public spending cuts is not set in stone and could be changed if the policy fails to rescue the economy, a Liberal Democrat cabinet minister has said.
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LeaderThe health community remains doubtful of Cameron’s big idea
Does the “big society” have any relevance to the future of the NHS?
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LeaderNHS spending debate focuses on the wrong type of consultant
Why is health secretary Andrew Lansley still acting like an opposition politician? That is the question raised by the government’s haranguing of primary care trusts for their use of management consultants.
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LeaderThe accountability of overspending GPs
The British Medical Association has declared GP consortia must be “democratically accountable” to practices. And they “should act with integrity and leadership when considering the accountability of practices”.
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LeaderAlarm bells sound as financial scrutiny falls victim to the cuts
Amid the sound and fury surrounding the abolition of the Audit Commission there was little comment on how it would affect the NHS.
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LeaderClinical engagement is about more than GPs
At last week’s NHS Confederation conference, health secretary Andrew Lansley stressed the need for managers to engage with GPs, while batting away the question of how Treasury officials feel about giving them control of the commissioning purse strings - a question that is not going to go away.
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LeaderLansley must keep information flowing while NHS targets ebb away
Andrew Lansley’s keynote speech at this week’s NHS Confederation conference could be the largest audience of health service managers he will ever address as health secretary.
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LeaderWe embrace NHS reform – but not the idea of a clinical takeover
Last week’s leader explored the risks of giving GPs a central role in commissioning.
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LeaderWho will help GPs if managers are laid off?
A third of senior health service managers think they will no longer work for the NHS in two years.
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LeaderMcKinsey report: unthinkable solutions set scene for NHS cuts
What lies behind the governments’s decision to publish the McKinsey report into NHS cost savings this week?
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NewsPublic procurement remains wasteful
Public sector bodies are still wasting taxpayers’ money by failing to co-ordinate the way they buy products and services, spending watchdogs have said.
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LeaderNHS managers are not overpaid – but their rewards must reflect results
Health service managers are comfortable with - or at least resigned to - the paradox of rising public expectation and plunging public regard.
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LeaderNational GP referral guidelines are needed to reduce inequalities
HSJ’s analysis of the first national collection of patient reported quality measures confirms what has long been suspected: better off patients undergo surgical procedures sooner after they develop health problems than poorer patients.
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LeaderNHS pay: will you dare to lead by example?
Will the post-election period bring radical pay reductions and pension reform to the public sector similar to those being experienced in Ireland?
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LeaderFoundation trusts: new approach needed to unblock the pipeline
The financial discipline that comes with foundation status is alone an argument for moving all NHS trusts in that direction. A powerful secondary reason is the greater clarity given to the accountability of board directors.
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LeaderNHS medics must face the issue of productivity
Trusts are taking tentative steps into the landmine riddled territory of their consultants’ productivity.