All Health Service Journal articles in Opinion – Page 25
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Comment
Skilled analysts of little use to the NHS
Do external consultants working in NHS organisations really deliver the goods? Birmingham University's Jonathan Shapiro argues that they may know how to diagnose problems, but cultural signposts pass them by
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Comment
Simon Stevens on the lost art of analysis
'Explaining NHS Deficits detonates many of the most powerful urban myths surrounding the NHS'.
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News
Statutory control on decisions is not enough to allay fears
All over the country, primary care trust chief executives are sitting hot and sweaty in their best suits, fighting for their future careers.
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Comment
Pick-and-mix NHS will serve all customers
Having the right people involved in the right discussions is the key to keeping the NHS in check, says Anna Coote, while Jessica Crowe argues for a wide form of accountability that leaves no voice unheard
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News
Nursing chief is good and bad cop all in one
The Royal College of Nursing's general secretary, Peter Carter,.has altered its stance on reconfiguration, plurality and the wisdom of heckling Hewitt. But he promises fierce opposition to poor management and short-term cuts
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Comment
Good buy to all that: the need for procurement focus
With the government set to become a major purchaser of public services far more attention must be paid to the procurement process, warns Ann Rossiter of the Social Market Foundation
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Comment
Simon Stevens on engagement and alienation
'Clinical engagement has to be approached critically. It cannot be pursued as an end in its own right'
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Comment
Forging ahead with lessons from the future
Imagine being able to see the future and assess health needs and the repercussions of policy initiatives. Windmill 2007 did that and found some valuable pointers, as Alasdair Liddell and colleagues explain
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Comment
The age of uncertainty: new Audit Commission chair speaks out
New Audit Commission chair Michael O'Higgins has a lot on his plate as he waits for the health regulatory review and oversees the transition to a new inspection era ushered in by the local government white paper
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HSJ Knowledge
Data briefing: what affects same-day discharge rates?
Over recent years there has been a growing trend in the number of non-elective patients discharged on the same day as they were admitted.
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Comment
Data briefing: the truth behind the A&E target
A recent analysis from Les Mayhew and David Smith at City University's Cass Business School has suggested some theoretical reasons - backed by data - why achievement of the accident and emergency maximum four-hour wait by 98 per cent of hospitals was probably not all it seemed.
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Comment
Sophia Christie on treating adults like kids
Outcomes for children generate emotional engagement; those for adults are dull in their worthiness
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News
Variation in A&E admissions
Across England the rise in emergency admissions to hospital shows no sign of abating. Alongside it, bed days also continue to rise. The year-on-year rise in emergency admissions in the first quarter of 2006 was 7 per cent, while the corresponding rise in bed days was 5.9 per cent.
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Comment
What's driving the admissions rise
In last week's Data Briefing I raised some issues about the increase in emergency admissions to acute hospitals over the last five years. The increase has primarily been in accident and emergency, and there has been a dramatic increase in the number of patients turned around on the day. While ...
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News
Sophia Christie on challenging acute trusts
'A trust has never pointed out where the tariff gives a generous cross-subsidy to other activity'
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News
Datamonitor: steady progress for acute productivity
The NHS Institute for Innovation and Improvement has published the Q3 2006-07 Better Care, Better Value indicators. As the indicators have been published for the first time on the basis of the 152 new primary care trusts (previous quarters reported on the 303 PCTs that existed until Q2 end) the ...
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Comment
Increased activity may put bright future at risk
While health service investment has soared, the pressure on organisations to secure financial control may be driving down productivity. Peter Smith unravels the paradox
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Comment
Christopher Newdick on treatment abroad and the law
Should PCTs be alarmed by the European Court of Justice's ruling on covering the cost of treatment abroad? Christopher Newdick explains
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Comment
The real story about Wales' ambulances
I enjoyed the Your Humble Servant column on 15 March. In fact, I have it framed on my office wall. But, I really can't let Michael White's Welsh travelogue pass without comment.