All Service redesign articles
See all articles with this subject.
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CommentI’ve just left the DHSC – ministers still do not know how the NHS will be run next year
The government’s plan to establish temporary NHS regions by April 2027 is looking increasingly uncertain, with key decisions on its structure, leadership and functions still unresolved
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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.