All Health Service Journal articles in Opinion – Page 5

  • News

    John Murray on a joined-up service

    2007-06-11T00:00:00Z

    'Devolution in the NHS means local priorities increasingly drive allocation of resources. While this development has many benefits, it can unfairly disadvantage patients with specialised conditions, who will inevitability be smaller in number and therefore have less of a voice locally'.

  • Comment

    The role of individual responsibility

    2007-06-11T00:00:00Z

    The Association of Directors of Adult Social Services has stressed.that joint working should be the first, not the last, option considered by local authorities and primary care trusts.

  • Comment

    David Peat on fitness for purpose

    2007-06-11T00:00:00Z

    'Fitness for purpose has given us intelligence, new understandings and insights into the changing role of being a fully fledged commissioner in the new NHS. It has.helped us respond to the new realities and changes that have taken place in our relationships in and outside the NHS'

  • Comment

    Your Humble Servant: future imperfect

    2007-06-07T00:00:00Z

    ‘MRSA is discovered to have hidden properties which eliminate the H5N1 avian flu virus and patients now choose hospitals with high bacteraemia rates’

  • News

    Leak reveals plan for Ofcare regime of fines and closures

    2007-06-07T00:00:00Z

    Underperforming trusts will face fines and closure under powers given to new health and adult social care regulator Ofcare, HSJ has learned.

  • Comment

    Ofcare: 'Ambitions and metrics' mark launch of a new regulatory era

    2007-06-07T00:00:00Z

    'Ofcare's performance framework commences with mea culpa, admitting what healthcare professionals have been telling the Department of Health for years - top-down targets undermine innovation, motivation and accountability to communities'

  • Comment

    Neil Goodwin on public service reform

    2007-06-04T00:00:00Z

    'If there is one lesson to be learnt.from the past 10 years, it is to pay much more attention to implementing change. Far better to implement half-a-dozen change strategies effectively than to fire off a dozen in a scattergun way, hoping some will hit the mark'

  • Comment

    Emma Dent's Malawi diary

    2007-06-04T00:00:00Z

    When HSJ senior features writer Emma Dent was asked to join an Oxfam and Unison delegation to poverty-stricken Malawi, she got a lot more than she bargained. Read her day-by-day account of the trip here.

  • News

    David Lock on continuing care liability

    2007-06-04T00:00:00Z

    'The dividing line between healthcare and social care has been the subject of numerous legal cases, endless guidance, appeals to and reports by the parliamentary ombudsman and more than a few scratched managers' heads over the years'

  • News

    Emma Dent's Malawi diary - day 6

    2007-06-04T00:00:00Z

    Before the flight Karen and I have time to go for a walk into Lilongwe, round the central market (just as busy, noisy and chaotic as London's Petticoat Lane market and selling the same hotch potch of goods) and do some shopping. I buy wooden bowls, pottery made in Dedza, ...

  • News

    Emma Dent's Malawi diary - day 5

    2007-06-04T00:00:00Z

    This morning we head in different directions; we say goodbye to Claire as she heads home and Alex and Abbey go back to Bwaila to sweet talk its management into letting them take photos there, Karen and I to meet the Water Employees Trade Union.

  • News

    Emma Dent's Malawi diary - day 4

    2007-06-04T00:00:00Z

    I am woken at dawn by the muezzin from the Lilongwe mosque and prevented from getting back to sleep by the cleaners, whose stockroom is on the same floor, not long after starting work with a great deal of bucket clattering..

  • News

    Emma Dent's Malawi diary - day 3

    2007-06-04T00:00:00Z

    At breakfast in the hotel we are joined by Alex, a freelance journalist who used to work as a media officer for Oxfam after being a journalist and returned to the third estate a few years ago. (He was once a war correspondent after starting out as an arts writer ...

  • News

    Emma Dent's Malawi diary - day 2

    2007-06-04T00:00:00Z

    An early start today. Contrary to my preconceptions about laid back African living, Malawi seems to be an early to bed early to rise kind of place; perhaps not surprisingly when it goes dark (and by dark I mean pitch black as there are no street lights; even city dwellers ...

  • News

    Emma Dent's Malawi diary - day 1

    2007-06-04T00:00:00Z

    International overnight flights should have been banned under the Geneva Convention. The 15-hour journey from Heathrow to Kamuzu airport, with a dash across Johannesburg airport to catch a connecting flight, was my first flight either outside Europe or lasting more than four hours. Although the tiny time difference means that ...

  • Comment

    Emma Dent

    2007-05-31T00:00:00Z

    'Malawi has.only 700 healthcare workers for the whole country. One nurse can be in charge of 100 patients in rural clinics. It has the third worst maternal mortality rate in the world. Not even disposable gloves are available.'

  • News

    Partnership working needs financial conviction

    2007-05-31T00:00:00Z

    'Anxious to move on from rows over cost-shunting, the Association of Directors of Adult Social Services has pledged to champion partnership working, pooled budgets and joint commissioning'

  • News

    Deficit crisis: ground won for training must be held in face of cash battles

    2007-05-31T00:00:00Z

    'The government's service-level agreement - a response to criticism of the 10 per cent cut in training by SHAs last year - looks to be a dead letter within days of being published'

  • Comment

    Mike Cooke on succession planning

    2007-05-28T00:00:00Z

    'I came back with gusto, lungs full, laptop (and pencil) poised and with best away-visit intentions started with my job. I am delighted to say we did fill my job with a great internal candidate'

  • Comment

    Deborah O'Dea on coping with change

    2007-05-28T00:00:00Z

    'Change is no less difficult when our intentions are absolutely right and serving patients' best interests.'.