Service design
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Insight BriefingsEarly cancer detection and the pandemic
The NHS has committed to getting the number of cancers diagnosed in stages I and II up from 54 per cent to 75 per cent by 2028, but GP referrals tumbled and screening programmes came to a virtual halt as the service was hit by covid-19. HSJ bureau chief Ben ...
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Insight BriefingsWhy outpatients are a mountain of risk and a land of opportunity during the pandemic
The UK’s most well-regarded waiting list expert Rob Findlay joins HSJ’s performance lead James Illman to tackle one of the NHS’ most pressing challenges: the colossal outpatient backlog. The NHS has talked about transforming these non-urgent services. But failure to deliver the substantial changes needed has seen what experts warn ...
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HSJ InteractiveWill covid-19 close the integrated care gap or widen it?
It is time to rapidly shift our focus onto the primary, community and social care frontline to make our vision for integrated care a reality, writes Conor Burke
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HSJ InteractiveThe new dawn of hospital groups: unlocking value
As hospitals look beyond their own institutions and partner with other organisations and alliances, Ben Horner, Stephen Sutherland and Jonathan Scott explore the benefits and how leaders can develop the right combination strategies
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HSJ InteractiveBuilding resilience through a whole system approach
Nicola Mortali explores the concept of resilient organisations and how they work to reduce instability and variability across their wider health ecosystems
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HSJ InteractiveActing on the insights of population health
To reap the potential benefits of patient data, ICS leadership should take measures to identify programmes of work and make population health mainstream, suggests Brian Waters
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HSJ InteractivePartnership defined by purpose and shared values will make a difference
Rob Webster on how West Yorkshire and Harrogate Health and Care Partnership has set out common points of agreement on its purpose, principles and approach and is working towards providing optimum healthcare to its people
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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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CommentHospice care faces a ‘cliff edge’ this spring
Hospices are facing more serious challenges than ever before: costs are rising, demand is growing due to an ageing population, and insufficient funding means at least two in five hospices are planning cuts
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CommentWhy so many acute oncology services are unsafe by design
Despite their central role in cancer care, Acute Oncology Services remain underdesigned and overreliant on professional goodwill. Workforce redesign, not resilience, is now the critical safety issue
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CommentNHS reform is having a disproportionate impact on female staff
NHS reform is accelerating. How leaders support and retain diverse women during change will determine delivery, capacity, and long-term success
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CommentWhy pharmacy is still excluded from neighbourhood care
Community pharmacy is one of the NHS’s most accessible assets, yet it remains largely excluded from new integrated care models.
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CommentNeighbourhood health services must not ignore severe mental illness
Integrated neighbourhood health services must prioritise severe mental illness, or risk deepening one of the UK’s most profound and preventable health inequalities
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CommentNew service models must meet the mental health needs of older people
An ageing NHS must prioritise psychological wellbeing, adapting services to later life realities to improve outcomes, inclusion, and system sustainability
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CommentWe need shared accountability for neurology care
The publication of NHS England’s neurology service specification represents a pivotal opportunity to transform care for millions, but success depends on sustained local leadership and implementation beyond organisational boundaries
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CommentHow further education can relieve pressure on the NHS
Further education colleges across England are already delivering successful preventive health initiatives but remain underutilised and underfunded, according to a new report that calls for better partnership working to ease NHS pressures
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CommentThe NHS must stop worshipping false idols if it wishes to improve
The NHS has clung to false hopes that interventions, prevention programmes and AI will unlock spare cash, but real change requires decommissioning services and moving money, not just reducing activity
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CommentEffective remote monitoring requires much more than choosing the right tech
A major evaluation of remote blood pressure monitoring reveals 10 key lessons for the NHS, highlighting that effective implementation requires more than just deploying technology – it needs systems that patients and staff trust, understand and value
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CommentThe neighbourhood care model that is already making a difference
With 27 centres offering drop-in cancer support without appointments or waiting lists, Maggie’s believes it has already built the neighbourhood health model the NHS is trying to design
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News‘Urgently’ cut ADHD waits to match other services, NHS told
An NHS England-commissioned review says the service should “urgently reduce” ADHD wait times “and require the same standards… as those for physical health”.