All Leader articles – Page 20
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LeaderThe many questions we still need to answer on integration
Integration: what does it mean to you? For some it is an antidote to the evils of competition, for others a way to create a sustainable future for shaky organisations.
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LeaderCCG support vision will calm anger but spark controversy
Last week Sir David Nicholson summoned the 51 primary care trust cluster chief executives to a meeting at which he set out how they should address the challenges ahead. The audience listened dutifully, but the tension in the room was palpable.
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Leader
Rewriting the rules of the blame game
An honest debate about the challenges and tensions of making management decisions in the NHS is hard to find.
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LeaderPension squeeze is another victim of inept NHS reform
“I’m not touching that, it’s a quagmire,” said the health minister fleeing from HSJ’s question at last week’s Conservative Party conference.
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LeaderDH chases up service changes with an undisguised urgency
The Department of Health’s report on the NHS’s record in the months April to June presents an impressive list of achievements and the NHS staff responsible for them should rightly feel proud. But look closer and a less reassuring picture emerges.
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Leader'Only mugs work in commissioning’: tackling the management brain drain
Of all the postgraduate courses in the country, places on the NHS management training scheme are among the most fiercely contested.
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LeaderNHS giants sound warning of acute financial turmoil
The leafy villages of Great and Little Shelford lie around five miles south of Cambridge. Shelford boasts a rich history reaching back to the Domesday Book, but it is also has claim to fame in NHS circles.
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LeaderClare Gerada ups the stakes in her fight to ‘save’ the NHS
The unlikeliest and, perhaps, most powerful alliance affecting the delivery of the NHS reforms is between Royal College of GPs chair Dr Clare Gerada and what some might term the “old guard” of NHS managers who have wielded the greatest influence over the last decade.
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LeaderWhy caution on hospital failure still has its price
This week the government looked into the abyss of hospital failure and shuffled nervously back from the edge of the precipice.
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LeaderFear of failure or staff fury may drive further job cuts
During the summer our HSJ Local service has been reporting on plans to reduce hospital workforces. This week we reveal Aintree University Hospital Foundation Trust’s decision to remove 200 posts during each of the next three years.
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LeaderRival factions fight for influence in Future Forum’s second coming
Why continue with the NHS reform listening exercise? The NHS is already changing with a momentum no report is likely to affect.
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LeaderDistrust and pragmatism inform softly-softly authorisation plan
There is one sentence in the government’s draft authorisation process for clinical commissioning groups which highlights the atmosphere of distrust in which the new arrangements are being negotiated.
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LeaderThe government risks severing links with valuable volunteers
It was inevitable that a government regarding the empowerment of individuals and communities as its raison d’être would seek to instil a greater public voice into the health service.
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LeaderGetting clinicians to speak up is the real key to fighting poor care
To the list of life’s certainties, Benjamin Franklin might have added the change from strong to light-touch public sector regulation and back again.
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LeaderThe vision for public health dims as confusion surrounds spending
When health secretary Andrew Lansley unveiled the public health white paper last November he called for a “paradigm shift” by which professionals would be locally empowered to bring about the improvements that a plethora of central initiatives failed to achieve under New Labour.
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LeaderLansley’s defence of management cuts is disingenuous and dangerous
“I try to avoid saying things that are capable of misinterpretation,” Andrew Lansley told HSJ last week.
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LeaderTransparency offers a chink of light in a dark week for reform
You should not mistake Professor Roger Boyle’s outspoken criticism of the health reforms as the demob happy words of a man about to retire.
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Leader
Save now, pay later: the pension cuts folly
Not for nothing was public service pensions commission chair Lord Hutton placed at number 28 in HSJ’s list of the people with the most influence on the NHS last year.
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Leader
High trust, robust challenge and a firm grip are key to success
Failing NHS organisations get much more attention than successful ones, despite the fact that the latter far outnumber the former.
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LeaderNicholson’s power is unrivalled – so is his responsibility to lead
This week is expected to see the publication of the revised Health and Social Care Bill. Health secretary Andrew Lansley has written that it will contain more than 150 amendments. It would be only mildly surprising to find one of them enshrining in law Sir David Nicholson’s position as NHS ...