The British Medical Association
As was noted many years before the NHS was born, ‘All change is not growth, as all movement is not forward’. Last week we saw further expressions of anger at changes to local NHS services, which, to those most affected, do not look like forward movement.
Tags: reconfiguration, redundancy, local negotiating committee, access to treatment, private funding, mergers
It is sad to see what short memories people have of the failed SLHT (South London Healthcare NHS Trust).
Tags: reconfiguration, private finance initiative, consultant, secondary care
‘I am relieved on Monday that nothing catastrophic has happened at the weekend…’
Tags: consultant contract, reconfiguration, work patterns, working arrangements, royal college of physicians of london
The current controversy surrounding the plans of the trust special administrator to alter radically the services provided within the London borough of Lewisham tests the whole concept of ‘local commissioning’.
Tags: reconfiguration, commissioning, general practioners, clinical commissioning groups, consultants, NHS reform
The government has made it clear that there will be no more bail outs for hospitals that get into financial difficulties. Instead, foundation trusts that are struggling to pay their debts will find themselves on the path to the new failure regime.
Tags: reconfiguration, foundation trusts, NHS trusts, private funding
It has been alleged by some that the health secretary is a fan of — gasp — homeopathy.
Putting judgements about the validity of homeopathy to one side, there are some interesting parallels between the practice and the preferred approach to reconfiguration of health services.
Tags: reconfiguration, accident and emergency, healthcare management, NHS care
There’s a common saying in the NHS about making sure the patient gets the right care from the right person in the right place and at the right time. The truth is that, though on the whole patients receive good care and standards are improving, not all are getting the right care when they need it.
Tags: reconfiguration, cymru wales, secondary care, recruitment and retention of staff
Healthcare is broken and broke. The latter is a recent realisation while the former is our dirty little secret. And we have known it for some time. Our self-interest and secrecy has served us well, but healthcare poorly.
My role as chair of the NCAT (National Clinical Advisory Team) is to provide advice to reconfiguration teams but ultimately to give formal clinical assurance to plans before public consultation.
We’ve dealt with more than 150 schemes in the past four years, ranging from closing a small mental health ward to large-scale service redesign, and most of these reconfigurations haven’t been driven by the need to save money.
Tags: reconfiguration, NHS reform, clinical commissioning groups
As a clinical commissioner in North West London it’s become apparent to me that the service we are commissioning for the local population is very variable. There is increasing evidence that early senior clinical input and seven-day working will reduce length of stay and morbidity, and save lives.
Tags: reconfiguration, NHS reform, accident and emergency
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