All Opinion/columnist articles – Page 34
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CommentYour Humble Servant: A twit tweets
Separating the tweet from the chafe around the blogosphere, a twit begins to tweet.
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HSJ KnowledgeMaking changes to achieve savings - without disastrous consequences
In managing the NHS, we have choices. When we have a difficult problem do we think radical, fundamental, realistic, or painstaking? Jan Filochowski, chief executive of West Hertfordshire Hospitals Trust, says that when push comes to shove, it’s worth being an evolver more than a radical, and a realist more ...
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CommentBill Moyes: the reform agenda presents a massive opportunity
The government’s reform agenda for the NHS isn’t the beginning of the end of a primarily tax funded healthcare system. The reforms are probably the best way to preserve that for another generation or more. So, instead of focusing on the risks, let’s give more attention to the opportunities.
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CommentCompetition can work, but only with the right tactics
“Competition in health care should be tactical not ideological”. This was the main message from the “Competition versus integration in the NHS” debate organised by the Cambridge Health Network and the King’s Fund
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CommentYour Humble Servant: health mogul
‘Family doctor to health mogul? It’s what my patients want for me’
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CommentThe Health Bill - rising to the challenge
The Health Bill sets out a vision for commissioning where innovative consortia of GPs take the lead in transforming our health and social care systems from being demand-led and provider-oriented to being patient-centred and outcomes-focused.
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CommentNick Bosanquet: Five steps to security
The pre-Christmas snow shower of documents did little to gather momentum towards better services. Rather, it added to the risk of planning blight for new organisations which have to find personnel and trial their powers and budgets. These are my five steps to rescue the change programme:
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HSJ Knowledge'Through the lens of commissioning consortia the world seems quite different'
To flip or not to flip, that was the wicked question challenging my overloaded synapses recently. In Cambridgeshire we set off down the GP consortium route over a year ago, delegating responsibility to growing numbers of commissioning consortia.
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'Is the long stay trim a haircut too far?'
With payment by results, the devil is sometimes in the detail.
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Michael White: It could have been worse
The danger for ministers over the festive break is to be drawn into the news vacuum that develops when the world goes on holiday. How well did Andrew Lansley survive his first Yuletide vacuum in the health hot seat?
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Comment'The NHS is every health secretary's trainset'
The NHS, always in danger of becoming every health secretary’s trainset, faces yet another major reorganisation. The idea is that GPs will lead the quality and safety and value for money charge that will be needed over the next five, perhaps 10, years.
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CommentTim Riley on GP attitudes to commissioning consortia
The reservations about the establishment of commissioning consortia are not uniformly expressed among all GP colleagues.
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CommentIncentives for doctors: the big chill will hit medics too
Incentives for doctors is not a bad idea but they should only be given for tangible improvements
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CommentA survival plan for non-foundation trusts
The government has committed to the foundation trust model as the default structure for providers in the NHS.
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CommentWaiting times tracker: analysis of seasonal effects
An important issue in understanding trends in waiting times - and what may be influencing changes since June - is seasonal variations.
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Comment'People are skeptical of welfare spending'
As coalition ministers plough on with radical reforms of health and other public services, they should not take much comfort from this week’s social attitude survey suggesting Britain is now more right wing than in the Thatcherite 80s.
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CommentJenny Rogers: Dropping the defensiveness
Wrestling with large organisations when you are a mere minnow yourself certainly takes focus and energy. In the wake of my husband’s death in July this year, I faced the crassness and inefficiency of our bank, NatWest, when my credit card was suddenly withdrawn with no warning.
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CommentAlan Maryon-Davis is dreaming of a white paper
There’s plenty of Christmas cheer in the public health white paper. Warming words about the importance of protecting and improving health.
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CommentAndrew Murrison on the military covenant
The British public is discerning. It may doubt the validity of UK involvement in Iraq and Afghanistan but gives the thumbs up to the means of its prosecution.