All Performance articles – Page 5
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News£40m contract review sparked by ‘integrity’ concerns
An integrated care board is re-examining its award of a £40m patient transport contract after the procurement regulator ruled it had failed to “act fairly”.
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CommentWhy improvement programmes fade away
Improvement endures only when boards protect learning, and do not treat it as optional
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NewsDelays repairing ageing ambulances hitting response times
Some ambulance trusts report that up to two-fifths of their ambulances are unavailable, with ageing vehicles sidelined for repairs and replacements.
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NewsNHSE warns against ‘resistance’ to huge expansion of private tests
NHS England is planning to significantly increase the use of the private sector for diagnostic services, which a senior figure warned was likely to be met with “resistance” from some in the NHS, HSJ has learned.
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CommentWaiting list recovery stalls as admissions fall
England’s RTT waiting list returned to long-term growth in December
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NewsHospital group to enter failure regime
A hospital group with major finance and governance problems is about to be put into the new national failure regime for trusts.
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HSJ PartnersFrom data to delivery: Why investing in personalised care is critical for system efficiency and health equity
For senior NHS leaders, addressing health inequalities is no longer just a moral imperative; it is a clinical and financial necessity
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NewsLong A&E waits worst on record
Long A&E waits last month hit their highest level since public records began, as NHS England warns it’s battling its “busiest winter on record”.
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NewsNo neighbourhood provider contracts for another year
None of the neighbourhood contracts proposed in the 10-Year Health Plan will go live until at least April 2027, HSJ understands.
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CommentCan health policy really be evidence-based?
Research evidence is indispensable in NHS decision-making, but it was never designed to answer the kinds of contextual, system-level choices boards and policymakers must make
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News‘Inappropriate behaviours’ persist despite ‘substantial progress’ on trust’s board
Cultural issues persist at a large teaching trust, despite “substantial progress” at board level, according to an external review it commissioned.
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CommentSlow NHS decision-making makes it vulnerable to cyber attacks
When time-critical risks escalate, NHS governance that treats delay as neutral can unintentionally amplify harm and undermine patient safety
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CommentBeware: Reassurance is not assurance
When confidence in NHS service models wobbles, senior oversight can reassure – but without explicit governance, it may fall short of providing real assurance
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NewsA&Es to open dedicated areas for ‘extended stay’ patients
“Extended emergency medicine” areas will be opened in hospitals for A&E patients whose care can’t be turned around within the four-hour target, according to new national guidance.
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NewsNHSE to revive 2000s-style improvement collaboratives
NHS England plans to revive compulsory “structured improvement collaboratives” for outpatients, urgent and emergency care, and frailty services – in an echo of the Modernisation Agency approach of the 2000s.
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CommentBlaming individuals for care failures is sometimes the right response
The Great Ormond Street scandal exposes a growing imbalance in NHS patient safety policy. In moving away from blame, the system has also lost sight of individual competence, leadership responsibility, and the non-negotiables needed to prevent serious harm
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Expert BriefingPatient Safety Watch: Jeremy Hunt’s sobering realisation about bureaucracy and box ticking
HSJ hosts the Patient Safety Watch newsletter, written by Patient Safety Watch chair Jeremy Hunt
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NewsChase ‘quick wins’ to hit A&E target, hospitals told
Hospitals are being encouraged to target children, less sick patients, and “near miss breaches” in the final weeks of the financial year, in an attempt to hit the government’s A&E target.
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NewsMinisters overclaimed impact of ‘crack’ elective teams
Elective activity has “barely increased” at the hospitals targeted with “crack teams” to cut waiting lists – contrary to ministers’ claims that the work has “turbocharged activity” – analysis reveals.
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NewsTrust bosses clash over ‘car park care’
Ambulance service leaders have clashed with a large hospital trust for putting “pressure” on its crews to deliver “car park care” while patients wait to be admitted.