Service design – Page 163
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News
DoH publishes guidance on expanding patient choice
The Department of Health has issued best practice guidance on how free choice in elective care should operate in the current financial year.The guidance recommends that more providers should be added to the menu offered to patients, with payment for services adhering to the national tariff.Click here to read the ...
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News
Legal briefing: staying in bed
Delayed discharge can be caused when clinically well patients refuse to go home. In such circumstances, what is the legal position for trusts faced with coercing patients to leave? Ian Long explains
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HSJ Knowledge
New ways for old
At one trust in Kent, the private sector is proving to be an essential resource in a complicated delivery mix..Colette Donnelly explains
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News
Process pathways - the answer to 18 weeks?
Traditional efforts to improve efficiency and reduce waste in the NHS have focused on redesigning disease- or condition-based pathways. While this approach reaps the rewards of improved flow and quality of care, improvements are often on a micro scale and do little to attract investment into service improvement at a ...
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HSJ Knowledge
Ruth Hussey on creating social capital
'Social capital consists of.connections between family, friends, neighbours, the people we work with, and membership of community and civic organisations.'
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HSJ Knowledge
New age networks
In just two years, NHS Networks has established itself as a generator of co-operation and innovation. Edna Robinson and Sue Cavill report
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HSJ Knowledge
Healthcare-acquired infections' most recent enemy
Kettering General Hospital trust in Northamptonshire is piloting a new way of tackling healthcare-acquired infections.
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Comment
Deborah O'Dea on coping with change
'Change is no less difficult when our intentions are absolutely right and serving patients' best interests.'.
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News
PCTs grapple with grey areas of GP-led commissioning
PBC has the potential to increase the quality and range of services available to patients, but PCTs must exercise caution to avoid conflicts of interest. Alison Moore reports
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News
Choose and book incentives continue after poor uptake
Incentives for choose and book will be extended for another year as GP practices missed uptake targets.
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News
Mental Health Alliance divided over clinical roles
The Mental Health Alliance, which was formed to oppose the Mental Health Bill, has split following a dispute over planned changes to staff roles.
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News
NAO names inefficient prescribers in £200m drug waste
GPs squander more than £200m a year on overpriced prescriptions and drugs that go unused, a National Audit Office report has revealed.
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News
Resignation over MTAS row 'could weaken' BMA
The resignation of British Medical Association chair James Johnson could weaken the power of the doctors' union, according to the NHS Confederation.
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News
Private slow-down expected as service prepares for Brown
Less emphasis on the use of the private sector and a slow-down in market-based reforms could be the hallmark of Gordon Brown's premiership for the NHS, according to health experts.
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Comment
Micheal White on Maggie's handbag and other stories
Thirty years after filing his first column, HSJ political commentator Michael White looks back at how the landscape has changed
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CommentBrown finally begins to reveal his blueprint for health reform
As the surreal spectacle of Gordon Brown campaigning for victory in a contest he has already won continues, his interviews and speeches are finally shedding light on his health policies.
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Comment
Delayed discharge brought back in focus
Bed blocking is back and, at least in mental health, it is joint working with social care teams where the most effort needs to be applied.
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HSJ Knowledge
Andrew Castle on questioning the status quo
By observing working practices first-hand, it can be easier to challenge the status quo and increase productivity.
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HSJ Knowledge
Kate Silvester on using data
Data is crucial to running an effective health service, but it can be misleading.
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HSJ Knowledge
Death in America: improving end-of-life care
Caring for dying patients.is the biggest challenge facing the NHS, which can learn from the US, say Richard Smith and colleagues