All Health Service Journal articles in Opinion – Page 13
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News
Variance in primary care HRG spending
This data briefing from Dr Foster Intelligence shows how primary care spending on healthcare resource groups varies across strategic health authorities. The research covers year-on-year changes in the first quarter of 2006. It is based on the number of spells coded with HRGs and covered by payment by results.
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Comment
Sophia Christie on why tenders need loving care
Community foundation trusts reproduce the organisations we disbanded five years ago
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News
Care UK chief urges swift ISTC take-up
Chief executive Mike Parish sounds a cautionary note that government must move quickly to ensure a local ownership care system takes route
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HSJ Knowledge
Maternity care: eyes on storks
Government pledges on choice in maternity care are at odds with widespread reports of midwives crumbling under the pressure of slashed budgets, writes Daloni Carlisle
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Comment
Laura Donnelly on primary care leaders
One argument is that new strategic health authority chief executives, keen to assert authority and be seen to do so, are indulging in an exercise otherwise known as 'don't think much of yours?'
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Comment
Sophia Christie on primary care
'The challenge of the last three years has been demand management. The focus for the next two years must be a considered challenge to activity attribution.'
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News
Carruthers hit the right note; now follow up with clarity
'What managers need is clarity on what is expected of them and what they can expect from the centre'
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Comment
Simon Stevens on the case for independence
It now seems likely that, regardless of political party, our next prime minister will toy with some version of 'independence' for the NHS. Independence for the Bank of England is seen as one of the government's more important reforms, so an NHS parallel could resonate. And shadow health secretary Andrew ...
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News
Tough decisions still need to make a case
Managers attempting to restructure services across Bedfordshire and Hertfordshire strategic health authority may feel they have at last got friends in the right places.
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Comment
Day case rates
Marc Farr says day-case rates over the last three years have shown little sign of improvement
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Comment
Confessions of an NHS chief executive
'I do not follow rhyme or reason, only the secretary of state'
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News
Patients' memory of offer of choice
It has been nearly a year since choice at the point of referral to hospital by GP was to be formally offered to all patients. Are the poor now getting the choices that have always been available to the rich (to paraphrase former health secretary John Reid)? And through their ...
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Comment
Sophia Christie on national and local tensions
Despite a bad press, national targets have challenged our complacency about poor health in poor people and poor services to support them.
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Comment
Sophia Christie on health and employment
The publication of the Commissioning framework for health and well being is a welcome reminder that 13 months ago the government published white paper Our Health, Our Care, Our Say. For many of us it is a long-awaited statement about the future direction for the 90 per cent of NHS ...
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News
Sophia Christie on the power of targets
'The concern is shifting from absolute targets to the rather more difficult to track agenda of respect and values'
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Comment
Malcolm Lowe-Lauri on clinical engagement
'A meeting of minds gets enormous impetus when the fog of data is converted into information'
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News
Surgical spirit soars in defence of the clinician
Royal College of Surgeons president Bernie Ribeiro is on a mission to stand up for education and to set up a national audit of clinical outcomes to convince commissioners of ISTCS' shortcomings
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Comment
Clinicians and trust
Katzenbach is close (Anna Donald, Opinion, 8th March), but Onora O' Neill is closer. Her Reith lectures in 2002, 'A Question of Trust', pointed not to a crisis of trust but to a pervading culture of suspicion, directed particularly at the professions.
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Comment
Healthcare inspection comes under scrutiny of its own
'Numbers do not impart wisdom in themselves, you have to learn how to select and use them'
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News
Noel Plumridge on questioning commissioning
As HSJreaders will be aware, the Department of Health is keen to improve standards of commissioning in the NHS.Much has been written in recent months about demand-management techniques (or rationing, as we used to call it) being the route to financial happiness. About the ...