The Sharp End
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The Sharp End: So much effort, such poor outcomes
I spent 40 years building health services for elderly people living at home – then my…
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The Sharp End: If we want great leaders, stop rewarding the wrong behaviours
The NHS needs top-class leaders, but our approach to performance management and promotion filters out good…
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The Sharp End: Fundamental change needed to rescue NHS from the 1950s
Courageous, system-wide change is the only way to stem increasing demand for medical care and meet…
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The Sharp End: GP Federations – empower professionals who make people healthier
GPs and local councils working together to improve public health is the best way to make…
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The Sharp End: The NHS must be smart about digital tech
Telemedicine could bring huge benefits but, managed badly, we could end up combining the worst aspects…
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The Sharp End: Social care must evolve to collaborate
Integration could transform our health and care services, argues one social care manager, but time is…
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The Sharp End: Time to rethink how we do outsourcing
The Carillion collapse shows the perils of driving suppliers to the brink…
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The Sharp End: Whistleblowing
In today’s NHS, we know it’s crucial to protect people who raise the alarm about poor…
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The Sharp End: Government must commit to its own agenda
A lack of drive and serious commitment to engaging the public is threatening to undermine STPs…
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The Sharp End: The confused centre is holding us back
Dean Royles, director of HR and organisational development at Leeds Teaching Hospitals, calls for a more…
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The Sharp End: I’m no Scots Nat, but they know what they’re doing on health
One senior manager says the SNP government deserves credit for its realistic and supportive approach to…
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The Sharp End: We’re setting leaders up to fail
The needs of the health service have changed dramatically in recent years but, says one NHS…
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The Sharp End: Stepping down but staying on
The NHS’s redeployment policies are hugely wasteful of both management talent and public money, argues one…