All Service redesign articles – Page 190
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News
News analysis Trusts feel impact as PFI and payment by results collide
Four days after arrival in post, new trust chief executive Mary Wells found herself working with a crisis team sent in to turn around a maternity unit in serious trouble. Eighteen months later, Daloni Carlisle hears what was wrong and how it was tackled
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News
New stroke toolkit will save lives
National director for heart disease Professor Roger Boyle has issued new guidance and a toolkit providing advice to commissioners on good practice on improving stroke services. It highlights key issues to consider and summarises supporting resources.The toolkit, ASSET, is to assist NHS commissioners modernise stroke services. By using their own ...
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News
PCTs 'should have more responsibility for prisoners'
Primary care trusts should be given responsibility and funding for the treatment of prisoners outside jail, to ensure that decisions not to treat people within the prison walls are based on clinical imperatives.The 'escorts and bedwatches' study, jointly funded by the Department of Health ...
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News
Sir Liam: public health was rushed
The chief medical officer for England has revealed that he was given just two hours to insert a reference to public health into the Department of Health's key policy document, Commissioning a Patient-led NHS.
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News
Alliance warns of NHS emergency
The NHS will face a 'medical emergency' if it fails to get clinicians - especially GPs - on board for its reform agenda, according to NHS Alliance chair Dr Michael Dixon.He told the National Institute for Health and Clinical Excellence conference that new professional executive committees must include greater clinical ...
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News
Hospital campaigns could cause 1,000 unnecessary deaths: think tank
The Institute for Public Policy Research has concluded that campaigns to save services currently provided in district general hospitals could lead to more than 1,000 unnecessary deaths a year.Associate director Richard Brookes said: 'On the strength of the evidence, people should be out on the streets campaigning for changes to ...
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News
Scottish mental health delivery plan published
The Scottish Executive has published a mental health delivery plan, including basic mental health training for everyone who works with children, halving admissions of children and young people to adult beds and reducing anti-depressant prescribing and repeat hospital admissions for mental illness.To read the plan click ...
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News
Czars make case for service reconfiguration
National director for emergency access Sir George Alberti has published a report setting out the clinical case for reconfiguration of access to emergency care services. And national director for heart disease and stroke Professor Roger Boyle has published a report setting out the clinical case for reconfiguration in heart disease ...
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HSJ Knowledge
Gail Richards on local area agreements
'If the first phase of LAAs has concentrated on designing and ensuring focused target delivery, albeit in partnership, now we need to ask whether this is sufficient.'
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News
Peter Mason on social enterprise - the new punk rock?
'Social enterprises have crashed onto the scene with the same energy and style as punk rockers, the new kids on the block full of passion and hope'
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Comment
Return to the windmill - behavioural modelling and the future
The lack of a 'big picture' of where reforms will take us means investment and strategic planning are severely hampered. Alasdair Liddell and Laurie McMahon describe a behavioural modelling approach that can help
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News
New guidance for ophthalmic services
The Department of Health has brought out new guidance on ophthalmic services.The guidance announces increases in the NHS sight test fee, domiciliary sight test allowances and the pre-registration supervisors allowance from April next year. It also details an increase in the continuing education and training allowance.Download the covering letter ...
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News
Stroke group launches guidance on emergency care
A group of experts on stroke has published information on treating stoke and transient ischaemic attack.The guidelines provide explicit recommendations for practising clinicians, managers, patients and carers about the recognition and emergency management of suspected stroke and TIA, from the onset of symptoms to acute intervention in accident and emergency ...
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News
Conservatives slam A&E closure threat
Shadow health secretary Andrew Lansley has warned that Labour has not disclosed the evidence behind the proposed closure of 29 accident and emergency departments.He said the closures were being driven by deficits and has written to NHS chief executive David Nicholson to ask him if the government will give patients ...
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News
Health secretary revisits the NHS cancer plan
Health secretary Patricia Hewitt has announced a new cancer reform strategy to update the NHS cancer plan. Professor Mike Richards, the national cancer director, has been tasked with developing the strategy to 'fit the needs of tomorrow's cancer services'.The move was welcomed by cancer charities, which have been lobbying for ...
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News
Where managers fear to tread, myths and legends may rush in
Surrey and Sussex has opted for a prolonged period of public consultation on its extensive - and controversial - remodelling of services. But has the approach made managers' work any easier? Alison Moore investigates
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HSJ Knowledge
Andrew Castle on service improvement
'There is a belief in some parts of industry that better quality costs more. This is a fallacy'
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HSJ Knowledge
Stephen Thornton on getting engaged, committing to a partner, raising offspring
'One of the common misconceptions around patient safety work is that it is all common sense. But if it were that simple then why don't all our hospitals have a zero per cent adverse event rate?'
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HSJ Knowledge
Managing patients with complex chronic conditions
Derek Feeley is director of healthcare policy and strategy at the Scottish Executive's Health Department. He has just spent a year in the United States on a Harkness/Health Foundation fellowship, looking at chronic-disease management.
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News
National learning disabilities audit updated
The Healthcare Commission has published an update on its forthcoming audit of services for people with learning disabilities.It outlines which types of services will be reviewed, the pilot schemes now under way to test the methodology and plans for the national roll out.The update can be found ...