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News and analysis

Lord Carter: review proposals

Exclusive: Carter calls for cap on hospital management costs

Lord Carter

Lord Carter

Lord Carter

Lord Carter is set to recommend that all hospital trusts’ management and administrative costs be limited to 7 per cent of income by April 2018

£3bn savings can be made by 2020, hospitals agree

Hospital trusts have accepted they can make £3bn of the £5bn efficiency savings the Carter review says are possible by 2020

Carter to back new measure of nurse productivity

Lord Carter’s review of NHS productivity is to recommend that a new metric – “care hours per patient day” – should become the principal measure of hospitals’ use of nurses and healthcare assistants from April

Patient safety: NICE report leaked

Exclusive: NICE experts called for minimum staff ratios in leaked guidance

National Institute for Health and Care Excellence NICE logo


Suppressed NICE safe staffing guidance for hospital emergency departments called for the NHS to implement minimum nurse ratios to ensure safe care

Expert view: Leaked safe staffing guideline demands action from the NHS

HSJ’s patient safety correspondent Shaun Lintern argues that NICE’s leaked accident and emergency recommendations mean providers must take action


Junior doctors dispute

Doctor strike Jan 2016

Doctor strike Jan 2016

Exclusive: Government offers major concessions in bid to break junior doctors dispute

The government has offered major concessions to junior doctors, including over weekend pay, in a bid to end their ongoing contract dispute

BMA suspends strike action

The British Medical Association has announced that it has suspended next week’s planned industrial action by junior doctors

Exclusive: More than a quarter of trusts asked to breach agency cap

Finance and efficiency

NHS ordered to use fines to boost DH bottom line

All fines against NHS providers for breaching performance targets in the remainder of 2015-16 must be used to prop up the health service’s financial position and help the Department of Health avoid blowing its budget

Quarter of CCGs’ BCF contributions to shrink

Nearly a quarter of clinical commissioning groups will be allowed to contribute less to the better care fund next year than the minimum requirement in 2015-16

Patient experience

Exclusive: Government ‘downgrades’ independence of patient champion body

The role and independence of the NHS’s official patient champion organisation is being “downgraded”, an HSJ investigation has established


Michael White: The truth about the junior doctors’ dispute

Public opinion has so far been sympathetic to junior doctors, but these shallow sentiments could easily vanish

Alex Heritage: Healthier Together and the lessons of the big bad wolf

As the dust settles on last week’s High Court Healthier Together judgment there is the opportunity to reflect on its impact.

Jonathan Shapiro: The unique role of general practice is being undermined

The NHS media profile is dominated by hospital crises, with the rock of growing demand (based on increasing need and rising expectations) meeting the hard place of static resources 

HSJ Knowledge

Engagement: Helping great ideas to rise to the top

Pennine Acute Hospitals Trust chief executive Gillian Fairfield tells Rebecca Thomas how crowdsourcing strategy ideas from her staff have been key to boosting morale

Targeting cancer without silos

Cancer care needs to be properly integrated as a long-term issue. Nic Paton reports on an HSJ roundtable, supported by Macmillan Cancer Support

Technology: Are we truly going paperless?

An HSJ survey captures the progress of the digital revolution in the NHS and takes a close look at what is really lacking. By Claire Read