All articles by Lawrence Dunhill – Page 20
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Expert BriefingShould the London Nightingale be more like its regional counterparts?
Around three-quarters of the London Nightingale’s beds are earmarked for intensive care, in contrast to the “step-down” care model being planned at its Birmingham and Manchester counterparts. As the capital’s capacity concerns shift from ICU to community provision, should London refocus?
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HSJ LocalNightingale NW chief: We will ‘not destabilise existing trusts’
Having more time to prepare for the surge in coronavirus cases helped the North West region formulate “considered” plans, the chief executive of its new temporary ‘Nightingale’ hospital has told HSJ.
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Expert BriefingWhy Manchester is not following London’s coronavirus plan
Essential insight into NHS matters in the North West of England. Contact me in confidence here.
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NewsNHS needs a third fewer ventilators than forecast, says Hancock
Matt Hancock has revealed the NHS is now aiming to have 18,000 ventilators to meet a “worst case scenario” - a reduction of more than a third from previous estimates.
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HSJ LocalExclusive: Region sets out leaders and care model for Manchester ‘field hospital’
The executive team for Manchester’s new “field hospital” will be run by a community health chief with a significantly different clinical model to its London counterpart, HSJ has learned.
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NewsExclusive: Details of Nightingale’s clinical model revealed
Extensive details of the clinical model for the new Nightingale Hospital in east London have been seen by HSJ — including the criteria for admitting patients and expected difficulties in transferring patients from other acute sites.
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HSJ LocalAcute trust to close smaller A&E during covid-19 crisis
An acute trust in Lancashire will temporarily close one of its emergency departments, with staff sent to bolster the workforce at its main hospital during the covid-19 outbreak.
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Expert BriefingRevealed: The challenges and dilemmas as NHS Nightingale prepares to open
The NHS and Army’s project to convert London’s ExCel into a 4,000-bed field hospital — a plan of unprecedented scale for this country — is grappling with major clinical and cultural tensions, as well as the huge logistical challenge, ahead of its official opening next week.
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Expert BriefingNorth by North West: Calm before the storm
Essential insight into NHS matters in the North West of England. Contact me in confidence here.
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NewsExclusive: Frantic action to stop London ‘running out of beds in four days’
Details of a massive ramp-up in intensive care beds have been circulated to NHS bosses in London, amid concerns from national leaders that they are four days away from full capacity.
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NewsExclusive: Intensive care staffing ratios dramatically diluted
The staff-to-patient ratios for intensive care are being dramatically reduced as the NHS seeks to rapidly expand its capacity to treat severely ill covid-19 patients, HSJ has learned.
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NewsNHS told to ‘up its game’ in helping social care respond to crisis
Significant tensions are emerging between hospitals and care homes around patients who are ready to be discharged but have not been tested for coronavirus and also around personal protective equipment.
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NewsTrusts given further guidance on pregnant staff
Local NHS leaders facing difficult decisions over the deployment of pregnant staff during the coronavirus outbreak received further guidance from national leaders on Thursday, warning the main risks arise in the final three months of pregnancy.
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NewsExclusive: Critical care unit overwhelmed by coronavirus patients
A major London hospital has declared a “critical incident” due to a surge in patients with coronavirus, with one senior director in the capital calling the development “petrifying”.
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Payment by results suspended
The financial targets for NHS trusts as well as the established payment system under which money flows through the system have been suspended by national leaders, while the biggest health policy decisions have been put on hold.
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Exclusive: Winners and losers from £3bn spent on ‘transformation’
Less than a third of the £9.2bn pot earmarked to potentially be used for “transformation” over the last three years has been used for that purpose – with more than half England’s health systems receiving under £25m.
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NewsChancellor lifts capital budget by £1bn next year
The Department of Health and Social Care’s budget for capital investment will be lifted by £1bn in 2020-21 compared to previous plans.
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Expert BriefingDealing with decline
Essential insight into NHS matters in the North West of England, with a particular focus on the devolution project in Greater Manchester. Contact me in confidence here.
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HSJ LocalGreater Manchester must ‘deeply recognise’ its A&E problem
The need for Greater Manchester to improve its performance against the accident and emergency target needs to be “deeply recognised” — and lessons learned from the slower than expected impact of the region’s prevention work, one of its senior leaders had told HSJ.
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NewsHancock: CCGs’ power to determine IVF cycles should be removed
Matt Hancock has said it is “absurd” that NHS leaders in some parts of England are able to decide to commission lower levels of IVF, rather than having it determined nationally.