All Service redesign articles – Page 189
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News
Senior managers have been awarded a 1.3 per cent pay rise.
Chief executives were informed in a letter by health minister Lord Hunt last week that their annual increase would be in line with raises set for other senior public sector staff, including medical consultants and senior civil servants.
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Comment
o1/p20/070426
With European law and the emphasis on work-life balance already shaking things up, what does the future hold for medical education? Three experts predict the shape of things to come
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Comment
Barometer - Mental health April 07
With the start of the new financial year comes a new record in this Barometer survey of mental health chief executives. The highest result has been recorded, with a confidence score of 9.47 for achieving break even by the end of the financial year.
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News
'Deficits have cut 22,000 jobs' claim
More than 22,000 nursing jobs have disappeared in the past 18 months because of deficits, the Royal College of Nursing has alleged.
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News
Trust offers 6,000 staff voluntary redundancy
Wage slips received last week by almost 6,000 staff at County Durham and Darlington foundation trust also included a letter offering them voluntary severance deals.
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Conservatives call for free hospital parking for vulnerable people
Hospital car parking should be free for the most critically ill patients, say the London Assembly Conservatives responding to the latest Department of Health guidelines.Elizabeth Howlett, Assembly Member for Merton and Wandsworth and deputy chair of the assembly health and public services committee said:'We are calling on the government to ...
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News
Think tank slams NHS reform
The think tank Reform has accused the NHS of failing to develop a coherent vision for change, and warned that unless the government tackles 'centralised, dysfunctional bureaucracy', its funding and policy achievements will go to waste.Author Ian Smith, a private sector manager interviewed for the NHS chief executive's post this ...
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News
DoH puts safety first
The Department of Health has issued a report on improving support patient safety in the NHS.Safety First - a report for patients, clinicians and healthcare managerssays the National Patient Safety Agency should be 'refocused' on collecting and analysing information through its national reporting and learning system, and that this should ...
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Seasonal gloom at the BMA
The British Medical Association has picked up on health secretary Patricia Hewitt's comment that the NHS has had its 'best year ever' by publishing its own review of the Best of Years, the Worst of Years.Overall, it says that while there have been some ...
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News
Private provider queries future of comprehensive NHS care
The NHS will be forced to abandon its founding principle of providing a comprehensive service 'free at the point of delivery' by 2015, a leading private sector provider has predicted.
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Operating framework: updated principles put new emphasis on dignity
The Department of Health is consulting on a set of 10 principles to which all NHS organisations and contractors must sign up.
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News
NICE publishes guidelines on obesity in adults and children
The National Institute for Health and Clinical Excellence has issued its first ever national guidelines addressing both the prevention and treatment of obesity in adults and children.It says diet changes and exercise, supported by behaviour change, should be the first-line treatment for adults who are overweight or obese, followed by ...
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News
High-impact changes for GUM services released
A guide to 10 High-impact Changes for Genitouninary Medicine 48-hour Accesshas been published. The measures include developing a separate pathway for low-risk patients, reviewing current access arranagments and reorganising clinic opening hours.Read the guide ...
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HSJ Knowledge
Quality beyond NHS borders
What does quality in healthcare now mean, how is it measured around the world and how well do the NHS's systems measure up globally? Simon Leary and Rachel Abbott report
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News
Audit finds little improvement in continence care
The second audit of continence care in the NHS has seen little improvement over the past 12 months, the Royal College of Physicians has found.The Healthcare Commission-backed audit found that only 37 per cent of hospitals, and 10 per cent of mental health care sites have a written continence policy.Read ...
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News
Service reconfiguration
While there may well be a case for focusing resources on a smaller number of acute sites, there is a huge issue about accessibility and convenience, which doesn't sit well with the supposedly consumer-friendly modern NHS.
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Comment
Nicolaus Henke on Michael Porter's partial answer
The Harvard Business School guru's book Redefining Healthcareis a fascinating but flawed study of reform from which the NHS could learn, says McKinsey's head of global health systems
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News
Alberti: managers are not believed, instead clinicians must lead
The reports launched this week, written by national emergency access director Professor Sir George Alberti and national heart disease and stroke director Professor Roger Boyle, argue that traditional accident and emergency departments are not the best places to treat many patients, writes Daniel Martin.
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Comment
Comment: National directors sign up to reform
No-one ever argues with the case that clinicians at every level are integral to successful service reform. But it is a truth observed more in the intention than the action. It is therefore welcome, although a little late in the day, for the government to wheel out two national clinical ...
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News
Comment: Why a US management guru has vital questions for the NHS
'Michael Porter's book has caught the imagination of many of the most influential voices in NHS reform and has been occupying minds at the highest level throughout this year.'