Download or read book Managing NHS Hospital Consultants written by Great Britain: National Audit Office and published by The Stationery Office. This book was released on 2013-02-06 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Department of Health written by Great Britain. Parliament. House of Commons. Committee of Public Accounts and published by Stationery Office/Tso. This book was released on 2013-07-01 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt: A new contract which increased consultants' pay by between 24% and 28% failed to halt a continuing decline in productivity. Many of the improvements envisaged by the Department were achieved but that's because its objectives were absurdly unambitious. The contract allows consultants to refuse to work during evenings and weekends. Some trusts even pay up to £200 an hour for additional work which is done at weekends. Furthermore, seventeen per cent of consultants have not had an appraisal in the last year and nearly half of trusts do not assess whether consultants have met the objectives in their job plans. Pay progression for consultants is linked to years in the job rather than how well they are performing. And Clinical Excellence Awards, costing £500 million a year and aimed at rewarding consultants whose performance is over and above what is normally expected, are held by 60 per cent of consultants. A proper culture of performance management for consultants and other NHS staff must be implemented if we are to avoid incidents of poor performance. Despite the increased pay, there is still a shortage of consultants in some parts of the country, in hospitals in deprived areas and in specialities such as geriatric medicine. This makes some trusts reliant on locum consultants, who provide less continuity of care for patients as well as being more expensive for the NHS. The Department must consider measures to attract consultants to such areas and specialities without financially disadvantaging the organizations concerned

Download or read book Management of NHS hospital productivity written by Great Britain: National Audit Office and published by The Stationery Office. This book was released on 2010-12-17 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Management Essentials for Doctors written by Rory Shaw and published by Cambridge University Press. This book was released on 2011-11-17 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: Management skills and a sound knowledge of the NHS are mandatory for consultant and general practice careers. Management Essentials for Doctors is an invaluable resource for trainee doctors, hospital consultants and general practitioners, as well as a compendium of 'hot topics' for all doctors preparing for medical interviews. Written by doctors, for doctors, the 60 topics provide: • Clear descriptions of NHS structures, functions, policy and procedures • Detailed coverage of core management skills • An in-depth review of professional, governance, safety and quality issues Written in an easy-to-read style, with alphabetically listed themes for quick reference, Management Essentials for Doctors is not only an indispensable guide for busy clinicians, educational leads and medical managers but also a practical resource for interview preparation and career development.

Download or read book Leadership and Management in Healthcare written by Stefan Abela and published by Springer Nature. This book was released on 2023-01-12 with total page 243 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a comprehensive guide to leadership in healthcare and the management of complex clinical scenarios in the medical or dental practice. Training in leadership and hospital management is not part of the curriculum and so guidance is often not provided in depth. This book outlines strategies for dealing with the management problems that arise in the healthcare profession, and it prepares the reader for interviews, examinations and the supervision of a team. It opens with an overview of the NHS, its evidence-based practice and healthcare regulations. Subsequent chapters discuss data protection, management of new business cases, formal complaints and inappropriate use of social media. Information is provided on the recruitment of new junior trainees, the management of underperforming allied health professionals, and the handling of injuries sustained at work. This book is ideal for final-year medical and dental undergraduate students, foundation year doctors, core trainees, junior and senior specialists and newly-appointed consultants.

Download or read book Restructuring The Medical Profession The Intraprofessional Relations Of Gps And Hospital Consultants written by Baeza, Juan and published by McGraw-Hill Education (UK). This book was released on 2005-11-01 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: What is the relationship between general practitioners (GPs) and hospital consultants in the United Kingdom? How does government health policy impact upon GPs and hospital consultants? What influence does the medical profession have upon policy makers in the United Kingdom? The medical profession occupies a dominant position within the British health care system and as such is able to influence the development and implementation of health policy. The main division within the medical profession lies between general practitioners and hospital consultants.This book provides a comprehensive analysis of British health policy over the past twenty-five years. Drawing on data from case studies, it provides empirical evidence of the impact of recent health policies upon the National Health Service (in general) and the medical profession (in particular). The case studies provide an analysis of the impact of the 1991 NHS reforms, as well as examining the ongoing influence of the post 1999 NHS reforms upon these intraprofessional relations. What emerges is that the relationship between GPs and hospital consultants is transforming from a collegial to a more managerial relationship. This book sheds light on the resulting development of intraprofessional relations between GPs and hospital consultants within the NHS. Restructuring the Medical Profession is key reading for undergraduate and postgraduate students, researchers and professionals in the fields of social policy and health policy. It is also of interest to health service practitioners, health service researchers and health policy makers.

Download or read book Research Handbook on Contemporary Human Resource Management for Health Care written by Aoife M. McDermott and published by Edward Elgar Publishing. This book was released on 2024-02-12 with total page 491 pages. Available in PDF, EPUB and Kindle. Book excerpt: This insightful Research Handbook delivers a comprehensive analysis of the significant contemporary trends and issues affecting human resource management (HRM) for health care, and their subsequent impact on individuals, organisations and national health services. This title contains one or more Open Access chapters.

Download or read book NHS Consultants written by Great Britain. Department of Health and published by . This book was released on 1989 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Leadership and Management for Doctors in Training written by Stephen Gillam and published by CRC Press. This book was released on 2021-04-05 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Management for Hospital Doctors written by Maurice Burrows and published by . This book was released on 1994 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: Doctors in management: three personal perspectives. Managing health care. Management of the NHS [National Health Service]. Hospital funding. Building and capital equipment. Managing people. Information and resource management. Managing in a clinical directorate. A review of management theory

Download or read book Clinical Pain Management Chronic Pain written by Peter Wilson and published by CRC Press. This book was released on 2008-09-26 with total page 728 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of Chronic Pain now covers a vast scientific and clinical arena, with the scientific background and therapeutic options much expanded. In common with the other titles comprising Clinical Pain Management, the volume gathers together the available evidence-based information in a reader-friendly format without unnecessary detail, an

Download or read book Spinal Interventions in Pain Management written by Karen Simpson and published by OUP Oxford. This book was released on 2012-03-01 with total page 286 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Clinical Leadership Development written by John Edmonstone and published by eBook Partnership. This book was released on 2005-02-04 with total page 283 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Essential Notes in Pain Medicine written by Enrique Collantes Celador and published by Oxford University Press. This book was released on 2022-04-11 with total page 737 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essential Notes in Pain Medicine provides a comprehensive review of pain medicine for clinical practice and postgraduate exam preparation. Mapped to the syllabus for the Fellowship of the Faculty of Pain Medicine of the Royal College of Anaesthetists (FFPMRCA)this resource ensures readers have all the information needed in one place. Written by a multidisciplinary team of over 70 international contributors, this resource provides high-quality, up-to-date guidance on 247 topics such as pain assessment, pain physiology, pain interventions, the role of psychology and physiotherapy and many more. Information is presented in concise note form with bullet points, tables, and diagrams, making retaining key facts easier and quicker. References to evidence-based guidelines and directions to further reading allow for identification of areas for further information. Drawing on the editors' expertise, Essential Notes in Pain Medicine is the ideal companion for exams and a comprehensive guide to acute, chronic, and cancer pain management for practising doctors, pain nurses, and allied health professionals.

Download or read book Management of NHS hospital productivity written by Great Britain: Parliament: House of Commons: Committee of Public Accounts and published by The Stationery Office. This book was released on 2011-03-15 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Government spending on the NHS has increased by 70%, from £60 billion in 2000-01 to £102 billion in 2010-11., with around 40% spent on services provided by acute and foundation hospitals. There have been significant improvements in the performance of the NHS, particularly in those areas targeted by the Department of Health (the Department) such as hospital waiting times and outcomes for patients with cancer and coronary heart disease. But productivity has actually fallen over the last decade. The Office for National Statistics estimates that, since 2000, total NHS productivity fell by an average of 0.2% a year, and by an average of 1.4% a year in hospitals. The trend of falling productivity will need to be reversed if the NHS is to meet the Department's productivity challenge, to deliver up to £20 billion of efficiency savings a year, by 2014-15, without compromising services. The Payment by Results approach (a tariff for procedures) has driven some improvements, but it only covers 60% of hospital activity and there is substantial variation in hospital costs and activity. The tariff system could, though, prioritise price over quality. National pay contracts have not yet been used to manage staff performance effectively, and consultants' productivity has fallen at the same time as they have had significant pay rises. There are risks to the NHS being able to deliver up to £20 billion savings annually, for reinvestment in healthcare, alongside implementing a substantial agenda of reform. Productivity improvements will be key to delivering these savings.

Download or read book Handbook of Medical Leadership and Management written by Paula Murphy and published by Oxford University Press. This book was released on 2022-12-06 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Handbook of Medical Leadership and Management couples the essentials of clinical leadership with a practical approach to help healthcare professionals be effective clinical leaders and managers. Beginning with a theoretical analysis it then focuses on practical ways of being a good manager and leader and the day-to-day requirements of a consultant working within a multi-professional clinical team. This is an essential resource for all those leading and managing a clinical team and those who aspire to lead, covering a broad understanding of the requirements of effective leadership. This includes quality care, patient safety, how to ensure good outcomes, using data for improvement, commissioning services and developing business cases, as well as the development of person-centred care and the education of the next generation of leaders.

Download or read book From County Hospital to NHS Trust written by Katherine A. Webb and published by Borthwick Publications. This book was released on 2002 with total page 406 pages. Available in PDF, EPUB and Kindle. Book excerpt: