All Nuffield Trust articles – Page 8
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Comment
Cowper’s Cut: What are the blocks?
“Who can block change” in the NHS, is an important question to find out the flow of power in the organisation, notes Andy Cowper
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News
Concerns raised over growing DHSC underspends
The Department of Health and Social Care has repeatedly reported underspends against an accounting mechanism intended to cover the costs of assets over their lifetime.
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News
NHS manager numbers return to pre-Lansley reform levels
The number of senior managers working in NHS trusts and clinical commissioning groups has increased by more than a quarter since 2013 – and is now higher than before the reforms introduced by Andrew Lansley.
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News
Trolley waits soar to record high
Hospitals saw a record spike in trolley waits last month as major emergency departments recorded their worst performance since records began, according to NHS England data published today.
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News
DHSC refuses to explain where bulk of extra £540m comes from
The Department of Health and Social Care has declined to explain how it is funding the bulk of the £540m of additional funding for the NHS next year.
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Comment
Splitting up general practice services won't always work
Fragmentation of general practice services will jeopardise the value that it delivers to patients and the NHS, notes Rebecca Rosen
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Expert Briefing
Performance Watch: No more sticking plasters – have a transparent debate about A&E data
This week’s Performance Watch sets out some of the main issues which need addressing to bring some short term rigour back to the collection of A&E waiting time data amid justifiable concerns about its validity.
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News
Finance and regulation pressures 'put progress since Francis report at risk'
Financial pressures on the NHS and the burden of dealing with demands from regulators risks undermining progress made on patient safety and leadership since the Francis inquiry, researchers have warned.
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Expert Briefing
Performance Watch: Ambulance handover delay hotspots revealed
Welcome to HSJ’s new Performance Watch expert briefing. Our new fortnightly newsletter will delve into the most pressing performance matters troubling system leaders and provide unrivalled insight into what they plan to do about them.
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Expert Briefing
Performance Watch: NHS feeling the winter heat
Welcome to HSJ’s new Performance Watch expert briefing. Our new fortnightly newsletter will delve into the most pressing performance matters troubling system leaders and provide unrivalled insight into what they plan to do about them
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News
Revealed: Seven trusts breaching break even duty until 2022
Seven NHS trusts believe they will not technically break even for five years or more, with two requiring until 2026, HSJ analysis reveals.
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News
Trusts must reduce deficits by two-thirds to hit official forecast
NHS trusts must reduce their combined monthly deficit to £107m to meet the official forecast figures in the second half of 2017-18, after recording a monthly deficit of almost £300m in the first half of the year.
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News
NHS provider sector deficit forecast sinks by more than £150m
The year-end deficit projection for the NHS provider sector has worsened by more than a quarter, NHS Improvement’s latest figures reveal.
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Comment
Support local leaders or risk having no leaders in future
The NHS’s current management approach favours the stick rather than the carrot, leading to huge pressures on local leaders and could undermine the success of STPs, warns Helen Buckingham
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News
Exclusive: Commissioning leaders complain of 'return to command and control'
Leaders of clinical commissioning groups and senior officials in NHS England have complained of “confusing accountability” and a return to “command and control” management, according to a new report by the Nuffield Trust.
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Expert Briefing
Lintern's Risk Register: We need better workforce data
Everything you need to stay up to date on patient safety and workforce, plus my take on the most important under the radar stories.
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Comment
Cowper’s Cut: The brown stuff and the bulletproof
Once nobody in NHS management is bulletproof anymore, everybody in NHS management is bulletproof. By Andy Cowper
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News
CQC: Trusts drop ratings amid 'precarious' care quality
More than a quarter of mental health trusts and almost a fifth of acute trusts previously rated ‘good’ have got worse on reinspection, the Care Quality Commission’s annual State of Care report reveals.
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Expert Briefing
Following the Money: Capital funds are coming for the NHS, but there's a catch
HSJ’s expert briefing on NHS finances, savings and efforts to get the health service back in the black
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Comment
Cowper’s Cut: Jeremy Hunt’s futile gesture
What will the resignation of two chief executives last week actually achieve, asks Andy Cowper