Biomedical subjects
Publications and source records attributed to Alexis Nolan.
The history of NHS management can be viewed as five milestones of reorganisation. The trend of managers being more concerned with patient care started with the 1983 Griffiths inquiry. Leaders from other industries came into the NHS but many underestimated the job and failed. Stress makes many current chief executive posts hard to fill.
A dedicated turnaround team at St George's Healthcare trust has helped cuts its deficit in half in under two years. Work at Eastern Birmingham PCT could be under threat as a result of Commissioning a Patient-led NHS reforms. Cultural changes at South Yorkshire Ambulance
Dartford, Gravesham and Swanley PCT in Kent beat a government deadline to get community matrons in post. The telemedicine technology is being piloted in the country's largest trial of the equipment. The pitot covers patients with diabetes and heart and chest conditions.
Only 495,000 prescriptions have been processed electronically in the last year. This will rise to 1.3 million a day. Progress in pharmacies has been held up by out-of-date computer systems. The hope is that all practices and pharmacies will become partially enabled towards the end of this year, before transition to the full electronic service.
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HSJ has launched a unique regular survey based on a network of 400 middle managers. Respondents are feeling insecure, ill-informed and uncertain about the future--but remain loyal to the NHS. Flexibility and recognition are the prime motivators for middle managers.
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Local commissioners will require improved analytical skills to identify the specific health needs of their populations. Commissioning must be a counterweight to acutes that will be pushing for more work under contestability.
NHS Employers is pushing to promote equal employment opportunities for disabled people. The Disability Discrimination Act allows disabled people to follow medical careers, but progress remains patchy and varies by area. There have been calls for the General Medical Council to issue national disability guidance for medical schools.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.