Latest news – Page 2844
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The financial exchange mechanisms that will replace contracting are still unclear. Eugene Milne suggests a solution
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Red herring
The time has come to overhaul the financing of general practice and abandon the current system of GPs' fees and allowances. Peter Old and colleagues use experience from the Isle of Wight to explain why
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Great dictators
Leadership is a vastly overrated quality, especially in managers, argues Steve Ainsworth
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The internal market
Despite a dearth of research on the internal market, John Appleby looks to two economists for their assessment of its effectiveness at reducing prices and costs
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A summary of evidence of internal market effects on hospital prices and costs
Were GP fundholder prices consistent?
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Monitor
As a loyal mouthpiece of the great helmsman, Monitor is always happy to pass on the thoughts of Chairman Frank. So here goes: there have been 'an alarming number of proposals for private hospitals since January', writes our Dobbo - who should know. He is particularly concerned at joint proposals ...
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Scant evidence that performance-related pay is a motivator for staff
Performance-related pay and job evaluation
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NHS pay group should keep to the principle of simplicity if it wants to gain staff confidence
I refer to the news story 'Pay working group collapses as BMA and RCN withdraw' (page 2, 6 August).
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The situation in Gaza and the West Bank is unusual and requires a unique sensitive approach
I was interested but disappointed to read your interview with Cathy Gritzner on setting up a health service in Palestine (News Focus, 25 June).
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The Patients Association overlaps the role community health councils hold by statute
In your report on the annual conference of the Association of Community Health Councils (News Focus, 23 July), David Spilsbury of South Birmingham CHC seems to feel that the CHC should be and is the only organisation to represent patients' views.
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Heroic effort of NHS in Omagh tragedy
I was glad to see HSJ reported on the tragedy of the Omagh bombing and the heroic efforts of staff at Tyrone County Hospital and other hospitals in Northern Ireland (News, 20 August). The way colleagues in Omagh in particular dealt with the results of this carnage is an example ...
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Pioneering integrated mental health services
With reference to Elizabeth Bayliss's letter (9 July), recommending that services should work jointly, we feel it important to point out that in Hackney we are almost unique in having had jointly provided mental health services for the past four years.
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Cornwall service transfer plans clarified
The plans produced by Cornwall and Isles of Scilly health authority to achieve revenue savings, mainly through the closure of four community hospitals, did not include the transfer of additional elective surgery to St Michael's
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The legacy of free market pay policy must be replaced with something less divisive
No other organisation boasts such a hotch-potch of unco-ordinated salary systems as the NHS. Several secretaries of state must shoulder responsibility. Bevan cobbled together the consultants' remuneration system - which combines moonlighting with a cloak and dagger performance appraisal - so as not to create 'an unfair worsening of a ...
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Genning up on genetics
In the disruption surrounding the setting up of primary care groups, the cutting of waiting lists and the merging or closing of hospitals, it is easy to ignore what is on, or just over, the horizon. Genomics falls into this category.
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How having a knees-up can do a world of good
A colleague answered the phone for me the other day. He left a message saying, 'Russell of Kensington rang - he can't make it tonight.'
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Back to business
Social entrepreneurship offers to health and social services a public- spirited option in community care contracting. Patrick Butler reports