This category contains 27 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

Less rhetoric, more action – the people of Wales need us to push through change, says Helen Birtwhistle

“The NHS must change or die by 2020.” The stark statement is from the Bevan Commission, a group set up by the Welsh health minister to provide independent scrutiny and analysis of the Welsh health service. It is this statement that provided the inspiration for a paper published today (16 January) by the Welsh NHS … Continue reading

Surely positive and proactive actions – not punitive practice – must undergird our culture change, says Angela McNab

Since my last blog on our journey to achieve culture change, it’s been a pretty bumpy ride for our trust, and probably for others! Daily communications put the spotlight on NHS services and commonly draw attention to ‘failures’ of some kind. On top of these criticisms, we have had two quite difficult incidents in our … 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

Tough decisions needed on NHS pay says Dean Royles

It is the same every year. The annual planning cycle means that each September, we submit our written evidence to the NHS Pay review bodies – independent bodies that recommend pay awards for NHS staff. They will decide in spring 2014 whether or not to accept our recommendations. The review body asked us for evidence … Continue reading

Older people deserve purposeful change, not well-meaning words, says Dianne Jeffrey CBE

I have always been clear that dignity and compassion must be at the heart of our health and care system. This is why the Commission on Improving Dignity in Care for Older People (made up of the NHS Confederation, Age UK and the Local Government Association), which I co-chaired, put forward a raft of recommendations … Continue reading

Can we really do this patient and community engagement ‘stuff’? Joan Saddler poses the question

The move towards framing the language of our health and care system to put patients at the centre of everything we do has been a positive and heartening development. Not only is this better for individuals receiving care – who should always be treated with compassion and respect – but also for the carers who … Continue reading

It’s time to take healthcare IT out of the shadows, says Ian Dalton

The NHS is at a key point in its history:  a £30 billion challenge; a focus on the quality of care; and ever rising demand have set the scene for the next five critical years. In this environment, the success or failure of the NHS will depend on making not incremental change, but fundamental change … 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

Primary care can make a powerful contribution to system-wide challenges, says Dr Nav Chana

When we were enjoying an Indian Summer earlier this month I was struck by how complex and wicked problems have attracted reductive and simplistic solutions. Take the emergency care ‘crisis’ facing A&E departments, where the automatic response has been to cast blame on many things, including the quality of general practice, the GP contract and … Continue reading


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