All Service redesign articles
See all articles with this subject.
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NewsSystem’s 10 maternity units ‘all losing money’
Some of South London’s maternity units have “unsustainably low” birth numbers and may need to close, alongside centralisation of children’s services and surgery, a review has found.
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CommentWhat the NHS should do while public attention is elsewhere
The NHS does not need another reorganisation but a shift in power, giving clinicians genuine control over service redesign, spending and decisions that improve patient care
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HSJ LocalHospital rebuilds face further delay
Two new hospitals are likely to be further delayed and cost an additional £200m if plans for major service reconfiguration are pursued, trust bosses have warned.
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NewsClosing two of county’s three maternity units best for safety, says review
Closing two of three consultant-led maternity units run by a hospital group is the best option for safety and staffing, a review by senior local clinical leaders has concluded.
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NewsNHSE abolition group chair hasn’t attended meetings for a year
Alan Milburn has not attended a meeting in his capacity as joint chair of the committee overseeing the abolition of NHS England for more than a year, HSJ can reveal.
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NewsLeaders lukewarm about key provider reforms
Leading trust chief executives are split on the desirability of becoming advanced foundation trusts, an HSJ roundtable has heard.
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CommentMaking robotic surgery financially sustainable for the NHS
Without a mixed-procedure ecosystem, the NHS’s robotic surgical revolution risks clinical brilliance being paired with financial failure
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CommentSuccessful reform means winning or losing together
Canterbury, New Zealand transformed health and social care by building trust, aligning funding and accountability, and connecting services around patients rather than organisations
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CommentIgnorant NHSE is biased against primary care
Neighbourhood health will not succeed through new structures and contracts alone; it requires stronger family medicine, community services and local partnerships built around the needs of patients
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NewsNo ‘space’ for an IHO here, says trust CEO
The CEO of one of the NHS’s best-performing trusts has told HSJ he does not think “there’s much space” for an integrated health organisation in his area.
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CommentRestoring public faith in the NHS’s willingness to listen
The NHS collects millions of patient feedback responses, but a new project aims to ensure they translate into meaningful improvements in care
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NewsLong-awaited children’s cancer move delayed again
The transfer of a children’s cancer service, ordered after years of safety concerns, has been delayed again and will not happen before 2028.
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NewsNHS bosses admit defeat on 18-week pledge
NHS chiefs have told ministers that their top health manifesto pledge - to restore the 18-week elective target by 2029 - is “not going to happen”, as a new analysis confirms the service is significantly off track.
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CommentPrescribing how to improve productivity does not work
The NHS needs fewer targets and more stability if local leaders are to make the decisions that improve productivity
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CommentA fundamentally different concept of neighbourhood health
Neighbourhood health will fail if it simply makes the NHS better at managing rising demand
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NewsStaff exodus to private rivals forces trust to restrict service
A mental health and community trust has been forced to restrict its children’s ADHD service after a string of staff left for private providers.
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CommentA new approach to pain management is necessary and affordable
Chronic pain, trauma, and harmful substance use are often interconnected, highlighting the need for more integrated, person-centred community support
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CommentComing clean about dental rationing
NHS dentistry requires a shift from repeated contract tinkering towards explicit choices about rationing, equity and capacity, supported by a carefully sequenced package of reforms
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NewsCEO drafted in to lead trust out of hospital group
A new chief executive has been appointed to oversee Northern Lincolnshire and Goole Foundation Trust’s departure from its troubled group with Hull University Teaching Hospitals Trust.
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CommentNeighbourhood care should be a utility, not an empire
To make multi-neighbourhood providers work, general practice and hospitals must build a shared, non-profit utility they jointly control