5pm: Our most “commented upon” story of recent days was that Sir Bruce Keogh had revealed plans to redesignate emergency services. A brief sample:
Another major reorganisation, the nuts and bolts of which will be announced just before the general election. Good luck with that. Hands up who wants their local hospital downgraded?
They could easily solve the workforce crisis in the short term - just say that all doctors in specialty training have to do 6 months in emergency medicine as part of their training. Just like in the good old days. Junior doctors didn’t get to run away from the hard work straight away.
Keogh’s proposals make a lot of sense, but how will he be able to convince people and especially politicians that fewer, bigger emergebcy departments further away are the best for outcomes?
4.40pm: HSJ is seeking to celebrate the healthcare leaders of tomorrow and influencers of today. As this year draws to a close, we will be identifying healthcare’s rising stars and want your nominations. We are looking for people who are making brave decisions to improve healthcare and shape its future. Full story here.
— Shaun Lintern (@ShaunLintern) November 15, 2013
3.24pm: Healthcare facility investor Primary Health Properties has announced the biggest acquisition in its history with the £41m takeover of rival Prime Public Partnerships. PHP, which acts as a real estate investment trust, specialises in the ownership of freehold or long leasehold interests of modern purpose-built healthcare facilities. Telegraph story here
3pm: There is a growing expectation that commissioning support staff face further rounds of redundancies driven by cuts to the NHS management budget, HSJ has learned. HSJ understands some CSUs are anticipating their funding will be cut by up to 20 per cent by 2015-16.
3.15pm: The Daily Mail has an emotive personal story concerning Colchester Hospital University Foundation Trust, placed in special measures yesterday.
1.35pm: HSJ has launched a new microsite and weekly email newsletter focusing on hospital transformation. The new service, which can be found at www.hsj.co.uk/hospitaltransformation, is designed to meet the needs of clinical leaders, chief operating officers, medical directors, and senior transformation managers. It will be a hub for articles about the improvement journey of English hospitals, including analysis, trends, best practice, and interviews.
Interesting how both NHS England and DH/Jeremy Hunt are both sort of claiming credit for the GP contract changes, isn’t it?
— David Williams (@dwilliamsHSJ) November 15, 2013
1.20pm: Commissioning support units will be given a choice of four options for becoming independent, under proposals under consideration by senior leaders at NHS England. Read David Williams’ story here and follow him on Twitter here.
1pm: The position on English waiting times remained steady in September, says Rob Findlay in his latest blog. But nearly half the country’s one year waiters were reported at just one hospital.
12.20pm: Following the launch of a report from RNIB suggesting people are losing their sight because hospital eye units do not have enough capacity, the College of Optometrists is urging commissioners to improve community eye care and improve integration of community and hospital IT systems.
The RNIB report Saving Money, Losing Sight surveyed staff in hospital eye units across England. 80 per cent of staff who responded said their clinic was unable to meet existing demand and 37 per cent said patients sometimes lost their sight because their treatment was delayed by a lack of capacity.
12.10pm: The GP pay for performance framework has been significantly pared back, with some of the proceeds used to pay practices to provide more comprehensive care for those at risk of admission to hospital. Requirements worth around £400m will be removed from the quality and outcomes framework under the deal from April next year.
10.20am: Time to feel better or worse about your lot: the Independent has a story on the best and worst places to live in the UK…
10.15am: The Guardian’s take on that GP story mentioned below.
10.10am: Giving millions of elderly people a dedicated GP personally accountable for their care around the clock will bring back the era of the old-fashioned family doctor, health secretary Jeremy Hunt announced today. Under changes to their contract with the NHS, GPs will ensure the four million patients aged 75 or over will get all the treatment they need for physical and mental conditions.
Other key changes introduce more transparency over practices’ earnings and performance, greater patient choice and fairer pay.
10am: NHS Employers and the British Medical Association have announced changes to the GP contract that will take effect from April 2014. As widely trailed this will see a named GP “accountable for ensuring proactive care for people aged 75 and older as well as patients who are at high risk of hospital admission or have complex health needs.”
There will be a reduction in the Quality Outcomes Framework payments and from December 2014 the Friends and Family Test, already introduced in the hospital sector, will also apply to primary care.
8.50am: NHS England has published its latest news update for clinical commissioning groups, including advice on next year’s standard NHS contract.
8.45am: Good morning and welcome to the last HSJ Live of the week. In our commissioning channel today, Jeremy Porteus says that as the foundations of the NHS are dug up once more, we should not miss the opportunity to integrate better housing into care provision.
And in Resource Centre, Rachel Spink says that claims for unfair dismissal taken to an employment tribunal have declined since the introduction of fees earlier this year but they still occur and can be costly. She explains the process to make sure trusts know what to expect and can justify their decisions.