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LeaderStreeting is Lansley reborn
The government’s abandonment of its stricture against a top-down reorganisation would be breathtaking if it was not so tragic.
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LeaderWhat the abolition of NHSE means for the service’s leaders
A few hours after Sir Jim Mackey told trust CEOs that NHS England was to be abolished, its outgoing chair Richard Meddings held his leaving do in the same room.
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LeaderPlanning round could be a ‘bloodbath’ without a change of course
Daniel Elkeles is to be congratulated on his appointment as the chief executive of NHS Providers. He has proved himself not only a successful CEO, but one who is prepared to speak truth to power and challenge conventional thinking. He is the right person for the job ahead.
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LeaderNHS England reaches a tipping point
The decline of NHS England’s power and influence has been a gradual, not sudden, affair. The direction of travel has been clear to most for at least three years, but HSJ contends the shift in the leadership of the service has, over the last few months, reached a tipping point. ...
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LeaderThe return of grown-up financial planning offers hope for 2025
The most pressing task facing NHS England and the service it oversees in the next three or four months will be to agree on a trust by trust, system by system financial and operational settlement that is both credible and acceptable to both parties and the government.
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LeaderThe return of austerity to the NHS means making tough choices
The implications of last month’s budget are now being fully understood throughout the NHS – and the conclusion of leaders at all levels is that austerity will return to the service for 2025-26.
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LeaderNot having a row about failing managers
There are many better things Wes Streeting could focus on than picking rows with NHS managers, writes HSJ editor Alastair McLellan.
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LeaderMental health is not a priority for this government
This government is fond of declaring it is committed to “three shifts” in health and care policy: hospital to community, analogue to prevention, and treatment to prevention.
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LeaderThe future of NHS England
NHS England is to have a new chair, albeit the current incumbent Richards Meddings has agreed to stick around until March in line with the government’s tactic of getting the previous administration to ‘own’ a very difficult winter.
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LeaderThe NHS’s national clinical leaders need a clearer, stronger role
There are many candidates competing for the title of the most difficult leadership role in the NHS. However, national medical director has one of the most compelling cases, with chief nursing officer coming a close second.
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LeaderAre site chief executives a good idea?
The number of hospital groups is increasing rapidly as HSJ’s analysis earlier this year showed. Their growth has brought about the arrival of a new breed of NHS leader – the site chief executive or managing director who reports to a group chief executive.
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LeaderDoctors’ pay: a warning from Labour’s past
In November 2002, HSJ sat opposite then prime minister Tony Blair in the cabinet room and asked him what he planned to do about consultants’ refusal to accept the new contract the government wanted to introduce.
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LeaderThe three tensions the new government must resolve
The new government will need to resolve three tensions in its mission to fix the broken NHS, writes Dave West.
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LeaderThe NHS needs a strong CQC
With close to £200bn spent every year on English health and care, it seems ridiculous that some believe there is no need to judge whether that investment is producing the outcomes it should. It is only human to want your boss to ‘give you the money and leave you alone’ ...
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LeaderPoliticians beware: The NHS will never again meet the four-hour A&E target
The English NHS as a whole will never again achieve the target contained in the NHS constitution to admit or discharge 95 per cent of A&E attendees within four hours. In an election year, politicians of all colours, as well as NHS leaders, need to be overtly honest about this.
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LeaderBarclay has crossed the line this time
In writing directly to NHS organisations effectively instructing them to stop recruiting to equality, diversity and inclusion roles Steve Barclay has taken a step which is as unacceptable as it is unwise.
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LeaderHow to read between the lines of the Hewitt review
The first thing to remember when embarking on reading Patricia Hewitt’s comprehensive and compelling review of ICS autonomy is how it came about.
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LeaderThe year of the great distraction
That 2023 will be the fourth in a series of increasingly brutal years for the service will come as no surprise to HSJ readers.
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LeaderThe Hewitt review could fundamentally change the way the NHS operates
To understand the nature and importance of Patricia Hewitt’s review of the role of integrated care systems announced last week it is necessary to understand its highly unusual genesis.