All Service redesign articles
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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”.
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HSJ PartnersRemote patient monitoring: the NHS’s missing data set for system transformation
Luscii’s Jonathan Lewis shares how live patient data, integrated into shared care and population health, could unlock prevention-first care at scale
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NewsNHSE’s improvement teams axed
NHS England’s elective, emergency care and mental health improvement support teams are being axed – and their staff and functions merged into the Getting it Right First Time programme, HSJ has learned.
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CommentThe neighbourhood health service risks becoming a conceptual muddle
The government’s ambition to establish a neighbourhood health service will fail to move from rhetoric to reality without a clearer clarity of purpose and measures for success, writes Matthew Taylor
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CommentGovernment reforms are leaving managers without a lifeline
The NHS risks breakdown, not from clinical shortages alone but from the silent collapse of corporate systems that sustain frontline delivery, writes Colin Graham
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CommentThe 366 words that could reshape the NHS
The 10-Year Health Plan introduces integrated health organisations as a potential way to reshape provider roles, giving them greater autonomy and responsibility over whole-population health budgets, writes David Williams
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CommentImprovements in cancer care are benefitting some more than others
England’s cancer plan must amplify patient voices, address inequalities and improve support, ensuring person-centred care across pathways from diagnosis to survivorship, says Olli Potter
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CommentCompetition between GPs and pharmacies is hampering service integration
Community pharmacies are vital to NHS reforms, but funding, workforce, collaboration and digital barriers threaten their expanded role, write RAND Europe’s Robert J. Romanelli, Saoirse Moriarty and Maggie Bradford
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HSJ PartnersUnlocking the power of end-to-end digital solutions in healthcare: Global insights for the NHS
As the NHS faces ever-increasing demand, persistent staffing shortages, and an expanding backlog of care, all eyes are on digital solutions.
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CommentThe heavy lifting on NHS financial reform is still to come
The 10-Year Health Plan sets out a compelling vision, but its success will depend on overhauling financial systems to truly transform care, writes Anita Charlesworth