Times, Sept. 8th 2000, p. 5
One in 50 hospital beds has been lost since last year, making another winter crisis in the NHS almost inevitable. Nearly 4,000 beds have gone because of a lack of nurses or funds, government figures show. In particular the loss of 19 intensive care beds in the past six months will result in many more patients being turned away.
Times, Sept. 19th 2000, p. 6
Plans to reform NHS dental services include:
(See also Independent, Sept. 19th 2000, p. 1; Financial Times, Sept. 20th 2000, p. 9)
Acute Services Development Group
Report argues that hospital services in Wales should be planned to match "patient flows" rather than health authority and trust boundaries. The natural affiliations between clinical services and existing patient flows should be recognised and developed to create new "health economies". Each health economy would develop its own service model, with some hospitals being given a more specialised role, and others providing local services.
British Journal of Health Care Management, vol. 6, 2000, p. 430-435
Article examines the role of the mission statement in creating a "quality culture" in the NHS, and questions the effectiveness of some attempts at culture management.
Health Service Journal, vol. 110, Sept. 21st 2000, p. 13-14
Government guidance will be issued next month offering a prescriptive 'model' for calculating the number of hospital beds needed in each area per head of population. The Department of Health will issue a toolkit, including a national interactive database into which trusts and health authorities will input their own data on bed capacity. Regional offices will examine the resulting data and negotiate with the DoH to agree what the distribution of 2,100 beds promised in the NHS plan will be.
Daily Telegraph, Oct. 2nd 2000, p. 7
NHS hospitals depend too much on charity in providing basic healthcare, the baby care charity, Bliss, said. About 80% of orders for incubators and ventilators now come from charities, not hospital managers. Medical charities provide about £322m a year for medical research, health workers and equipment.
Health Policy and Planning, vol. 15, 2000, p. 319-325
The objective of the paper is to assess the human resource dimension of the NHS reforms in the United Kingdom, and to highlight lessons for the health systems of countries undergoing reform or restructuring. The impact on the HR function of the NHS reforms is assessed in the paper by examining three central requirements of the HR function:
Health Service Journal, vol. 110, Sept. 14th 2000, p. 13-14
Reports that one single clinical software support system will be used for the whole of NHS Direct instead of the three currently in use. The contract has been awarded to AXA Assistance, which is not one of NHS Direct's existing suppliers.
Health Service Journal, vol. 110, Oct. 5th 2000, p. 18
The Royal College of Nursing has dropped its previous opposition and has begun a process that will lead to the granting of associate membership to Health Care Assistants.
Community Practitioner, vol. 73, 2000, p. 742
Expresses concern that the Labour government's latest plan to reform the NHS focuses on the acute sector at the expense of community health services.
A. MacFarlane and S. Kerrison
Health Service Journal, vol. 110, Sept. 28th 2000, p. 32-33
The government's plans for multi-agency health care will be hampered by the variability of data available in different sectors. Data collection from private hospitals, clinics and nursing homes lags far behind the NHS. Unless data collection improves, no information will be available on the care provided to the 270,000 people expected to receive rehabilitation or intermediate care in nursing homes under the NHS plan. This lack of essential data will weaken mechanisms for control.
Health Service Journal, vol. 110, Sept. 7th 2000, p. 13-14
Despite its protestations to the contrary, results of a survey of health managers show that the Commission for Health Improvement is perceived as being about punishment and censure. Inspections are feared, and it is felt that they will increase stress, distract from the delivery of patient care, and not lead to developmental change.
Department of Health
Includes the following key targets:
T. Bamford et al
British Journal of Health Care Management, vol. 6, 2000, p. 406-412
A panel of health service commentators give their views of various aspects of the NHS Plan, including Care Trusts, patient empowerment, centralisation and the use of performance indicators, the role of primary care, charging for personal services, and political aspects.
British Journal of Health Care Management, vol. 6, 2000, p. 428-429
The success or failure of the NHS Plan will largely rest on the recruitment, training and retention of new medical staff to enable the commitments and objectives to be met. Managers will need to work to improve the pay and conditions of staff, particularly nurses, in order to attract young people.
Community Care, no. 1338, 2000, p. 14
Welcomes the abolition of Community Health Councils under the government's NHS plan, but expresses concern that the multifarious bodies created to replace them will not be able to work together to achieve a consistent, integrated approach to public involvement.
Health Service Journal, vol. 110, Oct. 5th 2000, p. 13-14
Criticises make up of the NHS modernisation board. For all the government's emphasis on partnership working, the membership of the newly appointed board essentially reflects acute hospital issues.
Independent, Sept. 25th 2000, p. 8
Reports results of a survey which shows that 33% of GPs have taken out private health insurance to avoid delays. Only 57% of GPs would use the NHS if they needed major surgery and only 59% would recommend it to a friend, even for routine surgery.
(See also Times, Sept. 25th 2000, p. 4)
J. Carvel and S. Boseley
Guardian, Sept. 28th 2000, p. 6
Reports announcement of a raft of NHS reforms, including implementation of booked appointments; increase in the number of chest pain clinics from 50 to 84 by April 2001; abolition of compulsory competitive tendering for ancillary services; and investment in cancer services.
(See also Times, Sept. 28th 2000, p. 8)
Department of Health
Proposes routine use of electronic prescriptions by 2004; referral by NHS Direct to a local pharmacist where appropriate by 2002; establishment of one-stop primary care centres where pharmacists work alongside GPs, dentists, opticians and social workers; improvement in out of hours pharmacy provision; institution of local pharmaceutical services pilots to test new ways of organising community pharmacy; and empowering pharmacists to issue repeat prescriptions by 2004.
J. Sherman and N. Hawkes
Times, Sept. 27th 2000, p. 9
Reports government pledges that cancer patients will all be treated within one month of diagnosis, that the number of cancer specialists will increase by 1,000 within the next six years, that £300m will be spent on 295 new scanners and radiotherapy machines, and that by 2003 government will match pound for pound charity funding for cancer research. In fact the 1,000 new cancer specialists are included in the 7,500 extra consultants announced as part of the NHS Plan in July, and the government's commitment to match charity funding for cancer research appears to involve no spending not already announced.
(See also Guardian, Sept. 27th 2000, p. 7)
Health Service Journal, vol., 110, Sept. 7th 2000, p. 26-27
Reports results of a survey of who health authorities are consulting over planning and by what methods. The survey of 25 health authorities showed that user groups, professional fora, newsletters, complaint schemes, road-shows and focus groups were the most extensive means of consultation. The majority of health authorities had identified the parties to be consulted over strategic planning. Results suggested that consultation is being used more for service planning than strategic purposes. Many health authorities plan to include police and fire services, the media, unions, and the private sector and schools in consultations.
Health Service Journal, vol. 110, Oct. 5th 2000, p. 37
Reports on the potential of digital TV for the dissemination of health information to the public and for the support of NHS organisational activities such as professional development and staff recruitment.
Health Service Journal, vol. 110, Sept. 14th 2000, p. 22-23
Argues that government imposition of a plethora of performance indicators on the NHS diverts effort and creates perverse incentives. Its addiction to centralised control stifles local initiative and demoralises staff who feel powerless.
Health Service Journal, vol. 110, Aug. 31st 2000, p. 9-10
Speculates about the future of NHS regional offices. The NHS plan's promises of "earned autonomy" for health authorities and trusts and the prospect of "progressive devolution" point to a reduced role for the regions in the longer term. On the other hand, they will have an enhanced performance management role running the "traffic light" system of grading NHS organisations.
Times, Sept. 1st 2000, p. 12
Results of research by the Independent Centre for Economics and Business Research show that the average NHS patient now waits nearly seven and a half months for treatment after seeing their GP. There are huge regional variations, with patients in the South often waiting a month more than those in the North. Longest waiting times occur for non-urgent procedures in orthopaedics and ophthalmology, such as hip replacements and cataract removal.
(See also Independent, Sept. 1st 2000, p. 8)
Independent, Oct. 4th 2000, p. 8
Explains Conservative proposals to expand private sector health care and insurance and to use private hospitals to treat NHS patients. Waiting times would be cut by prioritising patients and treating the most seriously ill ahead of people with minor ailments.
(See also Times, Oct. 4th 2000, p. 8)
Times, Oct. 3rd, 2000, p. 1
The Conservatives are planning to spend more than Labour on health through expansion the private sector. They also hope to encourage companies, trade unions and other organisations to invest in private health insurance. The party is planning to reverse changes made by Gordon Brown which mean that companies have to pay national insurance employer's contributions on the private health plans they offer to employees. Another move under consideration is the restoration of tax relief on private health insurance for the elderly.
(See also Daily Telegraph, Oct. 3rd 2000, p. 1 & 2; Guardian, Oct. 3rd 2000, p. 2; Independent, Oct. 3rd 2000, p. 1)
Health Service Journal, vol. 110, Sept. 14th 2000, p. 14-15
Reports plans for mobile doctors to be employed by the NHS Modernisation Agency to provide clinical leadership and, where appropriate, direct patient care in trusts with enduring performance problems.