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Author: Great Britain: National Audit Office Publisher: The Stationery Office ISBN: 9780102980608 Category : Medical Languages : en Pages : 56
Book Description
A new contract for hospital consultants, introduced in October 2003, delivered many of the expected benefits. This was in exchange for a significant increase in consultants' pay. By 2011-12, there were around 40,000 hospital consultants employed at a cost to the NHS of £5.6 billion, 97 per cent of whom were on the 2003 contract. Of the expected benefits that could be measured, all have been either fully or partly achieved. More could be done, however, to achieve better value for money by fully realising the benefits set out in the Department's business case. Despite, for example, the contract providing a clear structure for paying for additional work at contractual rates, most trusts still use locally agreed rates of pay for additional work outside job plans, which ranges from £48 to £200 per hour. Pay progression is also the norm and not linked to consultant performance. According to an NAO survey, only 41 per cent of consultants thought that their trust motivated them to achieve the trust's objectives. While most trusts monitor consultant performance, only 43 per cent of trusts (27 per cent of consultants) thought that information was good enough to assess individual consultant performance. Trusts also reported that nearly a fifth of consultants have not had an appraisal in the last 12 months. Many trusts are not implementing the good practice job planning guidance published jointly by NHS Employers and the British Medical Association in 2011.
Author: Great Britain: National Audit Office Publisher: The Stationery Office ISBN: 9780102980608 Category : Medical Languages : en Pages : 56
Book Description
A new contract for hospital consultants, introduced in October 2003, delivered many of the expected benefits. This was in exchange for a significant increase in consultants' pay. By 2011-12, there were around 40,000 hospital consultants employed at a cost to the NHS of £5.6 billion, 97 per cent of whom were on the 2003 contract. Of the expected benefits that could be measured, all have been either fully or partly achieved. More could be done, however, to achieve better value for money by fully realising the benefits set out in the Department's business case. Despite, for example, the contract providing a clear structure for paying for additional work at contractual rates, most trusts still use locally agreed rates of pay for additional work outside job plans, which ranges from £48 to £200 per hour. Pay progression is also the norm and not linked to consultant performance. According to an NAO survey, only 41 per cent of consultants thought that their trust motivated them to achieve the trust's objectives. While most trusts monitor consultant performance, only 43 per cent of trusts (27 per cent of consultants) thought that information was good enough to assess individual consultant performance. Trusts also reported that nearly a fifth of consultants have not had an appraisal in the last 12 months. Many trusts are not implementing the good practice job planning guidance published jointly by NHS Employers and the British Medical Association in 2011.
Author: Great Britain: National Audit Office Publisher: The Stationery Office ISBN: 9780102970029 Category : Medical Languages : en Pages : 44
Book Description
Productivity in hospitals has been falling by around 1.4 per cent a year since 2000 whilst NHS expenditure has increased by over two thirds in ten years. The Department of Health has achieved significant improvements in such areas as waiting times, healthcare associated infection rates, patient outcomes, reduced cancer mortality and the patient experience. However, the NHS pay contracts introduced since 2003 have increased costs but are not always used effectively by hospitals to drive productivity improvements. The NHS needs to deliver between £15 billion and £20 billion of efficiency savings per year by 2013-14. Around 40 per cent of these savings are expected to come from increasing efficiency in hospitals, requiring productivity gains of approximately six per cent per annum. The 'Payment by Results' system of setting national tariffs has promoted some efficient practice, but there is still substantial variation between hospitals. If all hospitals performed at the level of the top 25 per cent in respect of staff costs, use of estate, control of emergency admissions and bed management, the NAO estimates that the NHS could save around £1.6 billion a year. The Department has launched a national initiative (QIPP) to help the NHS deliver annual savings of up to £20 billion. There are risks to the delivery of the initiative, which is the responsibility of Strategic Health Authorities and Primary Care Trusts, whose focus may be distracted by the proposals for their closure by 2013.
Author: Stephen Gillam Publisher: CRC Press ISBN: 0429533322 Category : Medical Languages : en Pages : 194
Book Description
This guide helps undergraduate medics and junior doctors, as well as experienced doctors taking on new managerial responsibilities, to become effective leaders and managers by introducing both management and clinical leadership theory and practice, and the challenges facing medical managers in today's NHS. Despite growing recognition of the importance of leadership and management to doctors in meeting their clinical responsibilities, training in medical schools and foundation years remains patchy.
Author: Penny Cavenagh Publisher: CRC Press ISBN: 1000605299 Category : Medical Languages : en Pages : 138
Book Description
This fascinating new book describes the evolution of the medical profession and how the role of the doctor and expectations of that role have changed over time. It critically examines developments in the light of both external influences such as the ageing population, patient attitudes and knowledge and government regulation, and internal changes such as the increasing knowledge base, advances in technology and changes in recruitment. Challenges in management, working environment, education and training are considered and practical recommendations for both practising and student doctors are offered. The holistic approach is supported with contributions from both primary and secondary care practitioners together with academics and educationalists. It is highly recommended for doctors and medical students seeking new strategies for understanding and managing change. Sociologists and policy makers, too, will find the wide-ranging perspectives enlightening.
Author: Ewan Ferlie Publisher: Oxford University Press ISBN: 0198705107 Category : Business & Economics Languages : en Pages : 577
Book Description
The Oxford Handbook of Healthcare Management offers a variety of current scholarly perspectives which explore important policy developments in health care management on an international basis.
Author: Rob Flynn Publisher: Routledge ISBN: 1134945175 Category : Social Science Languages : en Pages : 213
Book Description
Using a variety of evidence the author documents the rise of general management, the application of new techniques to reduce medical costs and improve efficiency, and other methods to control use and evaluate clinical performance.
Author: Karen Simpson Publisher: OUP Oxford ISBN: 0191629626 Category : Medical Languages : en Pages : 286
Book Description
Concentrating on techniques rather than pain pathology, Spinal Interventions in Pain Management is focused purely on the spine. This practical handbook covers anatomy and imaging, how to choose patients, how to undertake procedures, and includes advice on potential pitfalls. Perfect reading for pain interventionalists and trainees before doing a procedure or before an exam, the book covers the most common spinal interventions for pain that pain specialists undertake, including epidurals, diagnostic facet interventions, the intra-articular injection of the sacroiliac joint and radiofrequency denervation, cervical, thoracic and lumbar discography, and neuromodulation (spinal cord stimulation and intrathecal drug delivery). Extensive illustrations, both x-rays and figures, make the book accessible and help to provide a clear understanding of the anatomy, which underpins spinal interventions.
Author: Peter Spurgeon Publisher: CRC Press ISBN: 1351656228 Category : Medical Languages : en Pages : 272
Book Description
This title is a comprehensive account of the key aspects of medical leadership. A highly accessible, text book-style resource, it explores how the medical profession has evolved in tandem with administrative and structural aspects of the NHS. Assuming leadership roles at all stages of their training and career is a progressively vital component of the definition of a good doctor. This book will provide invaluable support and guidance to anyone engaged in leadership within the NHS, but particularly to junior doctors in the primary and secondary care arenas taking on leadership roles for the first time.
Author: John Edmonstone Publisher: eBook Partnership ISBN: 1904235816 Category : Business & Economics Languages : en Pages : 280
Book Description
This book has been stimulated by the author's continuing work as a programme tutor on the national Medical Leadership development programmes run through the Centre for Health Planning & Management at the University of Keele, together with three years part-time working with the Centre for the Development of Healthcare Policy & Practice at the University of Leeds. The experience of working with colleagues in these settings, together with his own consultancy work, has convinced the author of the centrality of clinical leadership to the success of health care organisations - and therefore also of the need to develop that leadership. While aware that much excellent work was going on, it was also clear that this emerging good practice needed to be brought together into a single publication which captured the innovation and challenge in as comprehensive a way as possible. This book is for leaders at all levels in the NHS, spanning board and executive levels to directorate, network and front line leadership roles. It is also of value to those involved in leadership development, education and research.
Author: Ian Calder Publisher: Cambridge University Press ISBN: 1139493744 Category : Medical Languages : en Pages : 331
Book Description
Every anaesthetist reaches the end of their career with a collection of difficult airway experiences. Managing airway challenges relies on a combination of good clinical practice, knowledge of relevant basic sciences and critical evaluation of every aspect of airway care. This new edition of Core Topics in Airway Management provides any trainee or consultant involved in airway techniques with practical, clinically relevant coverage of the core skills and knowledge required to manage airways in a wide variety of patients and clinical settings. All new procedures and equipment are reviewed, and detailed chapters advise on airway issues in a range of surgical procedures. This edition also contains a series of practical questions and answers, enabling the reader to evaluate their knowledge. Written by leading airway experts with decades of experience managing difficult airways, Core Topics in Airway Management, 2nd edition is an invaluable tool for anaesthetists, intensivists, and emergency physicians.
Author: Great Britain: National Audit Office
Author: Great Britain: National Audit Office
Author: Great Britain: National Audit Office
Author: Stephen Gillam
Author: Penny Cavenagh
Author: Ewan Ferlie
Author: Rob Flynn
Author: Karen Simpson
Author: Peter Spurgeon
Author: John Edmonstone
Author: Ian Calder