All Health Service Journal articles in Opinion – Page 27
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Comment
A year in review: catching up with the excess in 12 turbulent months
2006 has been dominated by efficiency drives and government reforms. Financial problems began to bite and the public took to the streets over attempts to revamp local services. Amid the financial storm, NHS chief executive Sir Nigel Crisp resigned and only two trusts got top marks in the Healthcare Commission's ...
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Comment
Christmas comes early, so must planning
Last year most primary care trust chief executives polled by HSJthought their local delivery plans were badly flawed by an operating framework delivered late and with significant errors in the tariff.
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News
RAB is on its last legs, but trusts must look to a future in surplus
Resource accounting and budgeting has no friends left and its days are numbered; we just do not know what that number is yet.
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Comment
Devolving central budgets
David Nicholson needs to ensure that Cinderella services have ring-fenced funding when he devolves 90 per cent of the NHS funds to local budgets.
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Comment
Patricia Hewitt's letter regarding Monitor Compliance
Your article on 7 December ( Monitor will demand service level figures from foundation trusts) refers to general comments I made during last month's NHS Alliance conference about the importance of effective partnership working in the NHS.
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News
Helping middle managers
One of the ills plaguing the NHS that seem to be overlooked by senior managers is middle managers that stay in one job, one position, same department for years. This includes ward sisters in acute hospitals, managers in community and primary care and those in primary care trusts.
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Comment
Hilary Thomas on clinical management
'The gap - often a tribal or cultural one - between doctors and managers seems to be widening again, not helped by the current, and inevitable, obsession with finance.'
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News
Good and bad targets
Malcolm Lowe-Lauri's carefully worded article emphasised the processes that may be provoked by a target culture. It is surely right that these are the clue to any improvement in performance associated with targeting, other than thrashing the horses. However, the article colludes with the general statement of 'Targets Work', without ...
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Comment
Michael Mandelstam imagines the confessions of a chief executive
'I follow neither rhyme nor reason, only the health secretary. I am a member of an elite, a new breed of NHS chief executive, ruthless and efficient - not like the old softies, few of whom now remain'
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News
Service reconfiguration
While there may well be a case for focusing resources on a smaller number of acute sites, there is a huge issue about accessibility and convenience, which doesn't sit well with the supposedly consumer-friendly modern NHS.
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Comment
Nicolaus Henke on Michael Porter's partial answer
The Harvard Business School guru's book Redefining Healthcareis a fascinating but flawed study of reform from which the NHS could learn, says McKinsey's head of global health systems
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Comment
Comment: National directors sign up to reform
No-one ever argues with the case that clinicians at every level are integral to successful service reform. But it is a truth observed more in the intention than the action. It is therefore welcome, although a little late in the day, for the government to wheel out two national clinical ...
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News
Comment: Why a US management guru has vital questions for the NHS
'Michael Porter's book has caught the imagination of many of the most influential voices in NHS reform and has been occupying minds at the highest level throughout this year.'
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Comment
Your Humble Servant: how do you solve a problem like Patricia...?
To: Don Wise, chief executive
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Comment
Manchester inequalities missing
Letter from David Regan, director, Manchester Joint Health Unit
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Comment
Feedback to 'A formula for unfairness'
I read with interest the article in your 16 thNovember edition ' A formula for unfairness'. It confirms the views that many of us have had that there is something wrong with the grant distribution formula used by Government.
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News
Peter Mason on social enterprise - the new punk rock?
'Social enterprises have crashed onto the scene with the same energy and style as punk rockers, the new kids on the block full of passion and hope'
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News
Feedback on efficiency indicators
Nick Edwards is quite right to suggest that efficiency indicators do not tell the story behind the numbers ( Comment, page 3, 26th October) so why did the HSJ compound this by labelling us the worst Acute Trust in England for day surgery rates?