All Service redesign articles – Page 86
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HSJ Local
NHS Derbyshire overcomes opposition to standardise services and income for GP practices
FINANCE: A primary care trust has won agreement from its GPs to move to a more standard contract and income, including a pay cut for some practices, despite the threat of legal action from some.
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HSJ KnowledgeHow a holistic approach to healthcare drives better value
Services are often fragmented across systems and even within organisations, causing waste. True value in healthcare, says Kate Hall, comes from smoothing patient pathways.
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HSJ KnowledgeA blueprint to improve services for patients with hepatitis C
Hepatitis C is a growing problem in London but many sufferers are not getting the care they need. Kosh Agarwal and colleagues present a blueprint for treating the disease.
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Comment'An important moment in public health history'
Ruth Hussey, the woman at the heart of smoothing the public health shake-up, says there will be great gains after the strains. She talks to HSJ deputy news editor Steve Ford.
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HSJ KnowledgeHow enhanced recovery in acute trusts can improve quality and outcomes
A programme that aims to accelerate recovery after elective surgery could have wider benefits that lead to improved patient and staff outcomes, leaner practices and higher quality. Helen Scrimshire and colleagues report from Nottingham Iniversity Hospitals Trust.
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HSJ KnowledgeHow predictive modelling can help reduce risk, and hospital admissions
Accurate prediction of patients at risk is central to preventing admissions, but funding to develop predictive models has been withdrawn by the DH. Geraint Lewis and colleagues look at some of the tools available to local commissioners now charged reducing admissions.
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HSJ KnowledgeHow a weather forecasting service can reduce COPD hospital admissions
Hospitals are routinely troubled with rising admissions and demand during the winter months, but using a Met Office forecast alert can help patients stay healthier, and help hospitals better manage their services.
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CommentCourage, leadership and public support are needed to avoid nightmare scenarios
We all know that the financial situation facing the NHS is the greatest challenge the health service has faced. Courage and public support are vital if the NHS is to survive, says Mike Farrar.
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HSJ KnowledgeBreathing space: how one trust's approach to respiratory pathways is improving outcomes
Royal Bolton Hospital introduced “patient gateways” to improve its respiratory pathway, with great success. Brian Bradley and colleagues explain how they did it.
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Comment'We cannot tolerate incompetence in the search for sustainability'
The turnaround of one factory into an efficient, clean, collaborative and effective faciility should shame healthcare organisations into doing more to make sure sustainability in the NHS becomes less an ideal and more a way of working, writes Sir John Oldham.
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HSJ KnowledgeHow care bundling drives down mortality rates in pneumonia care
The North West London Hospitals Trust, implementing a care bundle approach, has reduced mortality rates for patients with pneumonia. Trish Winn and Sunder Chita explain how.
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HSJ KnowledgeImproving mental health screening for individuals in police custody
Mark Rapley and Dr Simon Sandberg find out how mental health assessments are changing in Lambeth custody suites - and the benefits that could be adopted as a result.
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SupplementsAchieving efficiency in the NHS - a special HSJ supplement
This week’s HSJ features a special 27-page supplement devoted to efficiency in the NHS.
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Comment'Healthcare without competition is financially unsustainable'
Despite increased competition raising fears, in some quarters, for the future of the NHS, now is not the time to play it safe - but to harness its power to do great things, says Sir Stephen Bubb.
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HSJ KnowledgeCan competition transform healthcare delivery in the NHS?
With competition at the core of the government’s NHS redesign, the goal should be improved health output at lower cost. But can competition be used to improve healthcare without increasing market costs or slashing employee compensation and engagement, asks Stephen Sellery.
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Comment'Healthcare history can help us transform elderly care today'
Looking back to the healthcare revolutions that helped transform practices in the past identifies the strength of ambition and passion that is needed to rescue modern day elderly care. But most importantly, it shows it is achievable, argues Mark Goldman.
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HSJ KnowledgePositive outcome: why the new DH strategy for COPD and asthma promises improvements
In July the Department of Health published the long awaited Outcomes Strategy for COPD and Asthma. What does this tell us about how things will develop for the future, asks Dame Helena Shovelton.
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HSJ KnowledgeIs more surgery the answer to the nation's obesity crisis?
Obesity is perhaps the biggest crisis facing the nation’s health. Effective treatments such as bariatric surgery must be used more widely, say David Haslam and Carel Le Roux.
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CommentIntegrated care needs the clinical-managerial marriage to work
Integrated care is the new Holy Grail but it won’t happen without some bold new relationships, says Mark Britnell.
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Comment'The NHS needs to avoid the wrong kind of integration'
Now that the government accepts that integrated care has a major role to play in the NHS, we must avoid the pitfalls that could prevent it delivering proper benefits to patients, argues King’s Fund chief executive Chris Ham.