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Acute clinical linkages: all mapped out

Which acute services depend on which other acute services? We provide a comprehensive map of 24-hour on-site service interdependency.

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Any Willing Provider: still the future

Plus ca change... the latest guidance on NHS commissioning only goes half-way to opening up GP commissioning.

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Cherry-picking and clinical linkages

If new providers "cherry-pick" profitable elective services, does that put acute services at risk?

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Do GP Commissioners need MBAs?

No. They just need to be GPs.

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From Challenged Trust to Foundation Trust (2)

Why turning the hospital upside-down could be the best way forward.

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From Challenged Trust to Foundation Trust?

How boring old accountancy could save the day for Challenged Trusts.

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Providers will be the innovators

Why service innovation and detailed pathway analysis are jobs for providers, not GP Consortia.

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Service Reconfiguration rules: too many cooks

The straightforward tests for service reconfiguration are welcome. The process for applying them is not.

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Should pilot sites ‘go dark’ while testing new A&E measures?

The arguments for 'going dark' look weak, compared with the damage to official statistics and public confidence in them.

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Sorry, I got held up in traffic

Senior managers are increasingly expected to understand why performance varies, using control charts. Mike Davidge of NHS Elect explains it beautifully, using your daily commute... Watch the video