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access to treatment accident and emergency clinical commissioning groups commissioning consultant consultant contract consultants cymru wales foundation trusts general practioners healthcare management local negotiating committee mergers nhs care nhs reform nhs trusts private finance initiative private funding reconfiguration recruitment and retention of staff redundancy royal college of physicians of london secondary care work patterns working arrangements

Latest posts

Double vision of the hard decisions to come

Posted on 31 January 2013 by Andrew Barton and Peter Mitchell

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
Read more... Comments (3)
What goes around, comes around

Posted on 23 January 2013 by Andrew Bamji

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
Read more... Comments (4)
Time to end that Monday feeling

Posted on 21 January 2013 by Patrick Cadigan

‘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
Read more... Comments (7)
So much for local commissioning

Posted on 7 January 2013 by Helen Tattersfield

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
Read more... Comments (8)
Should trusts be allowed to fail?

Posted on 13 December 2012 by Madeleine Knight

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
Read more... Comments (8)
Diluting the evidence for reconfiguration

Posted on 30 November 2012 by Tony Bolton

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
Read more... Comments (5)
Shaking up services in South Wales

Posted on 27 November 2012 by members of the South Wales Programme

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
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There is a new world that needs new leaders

Posted on 13 November 2012 by Pritpal S Tamber

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.

Tags: reconfiguration
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Honesty, evidence and teamwork are essential

Posted on 9 November 2012 by Chris Clough

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
Read more... Comments (7)
Clinicians should scrutinise not scaremonger

Posted on 30 October 2012 by Mark Spencer

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
Read more... Comments (9)

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