Acute care

This category contains 22 posts

Is proactive error reporting in pathology services the shortcut to quality-oriented governance, asks Dr Ian Barnes

Providers who want to stand out ­– or even get by – in the new quality regime will need new tools and approaches to clinical quality. The new acute hospital inspection model makes use of a mixture of intelligent monitoring and announced/unannounced inspections to get to the heart of service quality. The Care Quality Commission … Continue reading

Time to level the playing field for sickle cell and thalassemia sufferers, says John James

The recent peer review of NHS services for people with haemoglobin disorders (inherited blood diseases that affect how oxygen is carried in the body) highlighted what we always knew about these services: they are far behind the standards of other patient services within the NHS. But what really needs to be done to change this? … Continue reading

We all have a part to play to deliver the new blueprint for urgent and emergency care, says Professor Keith Willett

You will have all seen Sir Bruce Keogh talk about the recent publication of NHS England’s Urgent and Emergency Care Review End of Phase 1 report. I have led the review for Sir Bruce and our report sets out a vision for how we can deliver a new system of urgent and emergency care. Our … Continue reading

Four decades, numerous configurations, one aim: parity of esteem. Are we there yet? asks Stephen Dalton

I think I must be getting on a bit. I seem to be increasingly relying on cultural references to recall when and where I was, and what was happening at that moment in time. Is it any wonder, then, that my reflections on the struggle for parity of esteem takes us from the Punk days … Continue reading

Disease-specific pathways and hospital-based care are a redundant strategy for the multi-morbidity future, says Sir John Oldham

Over the next 40 years, most healthcare systems worldwide will face a tsunami of need from people with long-term conditions such as diabetes, chronic airways disease and circulatory diseases. There will be a rise of 252 per cent by 2050, and this is built into existing demography and prevalence. The mathematics are inescapable. In England … Continue reading

What are community services? asks Michael Scott

It is widely accepted that community services have a vital role to play in the future of the NHS. Barely a day goes by without some new piece of rhetoric declaring them to be ‘the only way forward’ and ‘the light at the end of a dark heath service tunnel’; acute services to be doomed. … Continue reading

The Keogh Review, where do we go from here? asks Matt Tee

I was ‘out and about’, as my press office put it, discussing the Keogh Mortality Report yesterday. I spent a significant part of the day working out the Confed’s position and then touring radio and TV studios doing interviews – taking in a chat with Channel 4′s Jon Snow about the joys of cycling in … Continue reading

More change is required, says Sir Cyril Chantler, with leadership by doctors an ‘ethical imperative’

We are in trouble. A recent report from the Institute of Medicine in the USA showed that while America is the unhealthiest nation in the developed world in terms of life expectancy and amenable mortality, we in the UK are the second worst for preventable death, and the second fattest. This is likely to be … Continue reading

It takes an onion – not an eon – to bring about changes with impact for patients, says Samantha Jones

When I was a staff nurse thinking of going into management, there were many things I thought I would be doing.  Talking about ‘onions’ was never one them – however, it is what I am doing, with my team, on a daily basis. ‘Onionising something’ is becoming part of the language at West Hertfordshire Hospitals … Continue reading

Mind the cost and feel the quality, says Tony Whitfield

Costing has a key role to play in the drive for higher quality services for patients. Costing is not – or at least should not be confined to the finance department. It is not an activity done solely to meet central demands for information about productivity and costs. Nor is it just to inform tariff … Continue reading


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