District general hospitals face handing their specialist services to regional centres of excellence because they will no longer be paid the services' full cost, HSJ has learned.

Hospitals working hard to address historic deficits have been given a reprieve by the Audit Commission: they will no longer automatically score 'inadequate' in the resources element of the health check.

Future pay-offs to senior managers who leave under a cloud may have to be approved by the Treasury. It follows the furore over severance pay to former Maidstone and Tunbridge Wells trust chief executive Rose Gibb.

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The world class commissioning programme aims to extend and improve lives while giving patients real power. NHS commissioning director general Mark Britnell sets out the government's ambitious vision.

Maggie Rae explains how leaders can foster organisational development.

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Sexual safety is one of the biggest issues in inpatient care, with concerns not being heeded because of complacency, burnt-out staff and prejudice. Emma Dent reports.

Adding a million years to the lives of East Lancashire's population requires a big push by local partnerships, says David Peat.

The failure to plan the staffing needs of the NHS adequately has prompted the creation of a menu of training and resources to boost workers' skills.

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