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 The Essential Guide to Managing Consultants written by Michael E. Rindler and published by . This book was released on 2002 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical guide is for any healthcare leader who is considering hiring a consultant. The book will help you determine when you need to hire a consultant, how to find one qualified for your specific issue, and how to work with one to achieve your desired results. Using real-life examples throughout, the author provides practical advice on using a consultant for a variety of situations including overhauling a strategic plan, improving board performance, hiring a new CEO, improving clinical performance, and remodeling a wing of your hospital. The author also provides numerous helpful resources that will help you establish a productive relationship with consultants, including a sample request for a proposal and sample letters of engagement.

Download or read book Pay modernisation written by Great Britain: National Audit Office and published by Stationery Office Books (TSO). This book was released on 2007-04-19 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: The new contract for consultants was agreed in 2003 and widely implemented by April 2004. It was needed to increase the size and commitment of the consultant workforce if it was to deliver the NHS reform agenda and comply with the requirements of the European Working Time Directive to reduce consultants' hours. By the end of March 2006, the Department had spent £715 million on the new consultant contract (27 per cent more than the original estimate of £565 million), partly because the government had underestimated the amount of work consultants did. In September 2005, approximately 32,000 consultants worked for the NHS in England, primarily within NHS acute and mental health hospitals, accounting for £3.8 billion of expenditure in the NHS in England in 2005-06. The NAO conclude that the contract is not yet delivering the full value for money to the NHS and patients that was expected. The contract has helped to align consultants' pay levels with their contribution to the NHS, but some consultants are actually working the same if not fewer hours for more money. There is little evidence that ways of working have been changed, and few trusts have used job planning as a lever for improving participation or productivity. The contract has delivered some benefits in management of consultant time, prevention of an increase in private practice, securing extra work at plain-time and increasing participation. The contract has the capacity to provide some new levers for further enhancing management control. There is scope for the NHS trusts to make much more of the opportunity presented by the annual renegotiation of job plans to devise a set of agreed job plans that will deliver more efficient and effective services to patients.

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 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 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 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:

Download or read book The Prevention and Management of Violence written by Masum Khwaja and published by RCPsych Publications. This book was released on 2023-04-30 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a comprehensive overview of, and best practice evidence-based guidance on, the prevention and management of aggression and violence by patients with mental disorder across a variety of different settings and specialist patient groups. General aspects of violence management are covered, alongside both pharmacological and psychological interventions. In this second edition, first edition chapters have been fully revised and greatly expanded with new chapters on working with violence in children, criminal and youth justice liaison and diversion systems, forensic psychiatry and adult inpatient secure settings, the relationship between violence and mental health inequality in the Black, Asian and Minority Ethnic communities, service user involvement in training, and engagement with patients and carers. It will be of use to a wide range of mental health professionals working in community, in-patient and forensic (including prison) settings, as well as clinicians dealing with potentially violent incidents day-to-day.

Download or read book Clinical Pain Management Practice and Procedures written by Harald Breivik and published by CRC Press. This book was released on 2008-09-26 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt: Largely reorganised and much expanded in this second edition, Practice and Procedures brings together in a single volume general methods of pain assessment and presents the wide range of therapies that can be provided by a range of health care disciplines. Authored by a multidisciplinary team of experts, chapters can stand alone for readers looking

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 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 Symptom Oriented Pain Management written by D K Baheti and published by JP Medical Ltd. This book was released on 2012-07-31 with total page 626 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive guide to help practitioners diagnose the cause of pain based on symptoms presented, and facilitate its management with appropriate treatment. Beginning with an introduction to clinical examination and radiology, the following sections each examine pain in a different part of the body and possible causes and treatment. The final sections discuss alternative pain management with physiotherapy, psychotherapy and allied therapy.

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 161 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 Health and the National Health Service written by John Carrier and published by Routledge. This book was released on 2015-09-16 with total page 342 pages. Available in PDF, EPUB and Kindle. Book excerpt: The NHS came into existence in an atmosphere of conflict centred on the strong ideological commitment of the Post-war Labour Government and the opposition of the Conservative Party of that time to the idea of a universally available and centrally planned medical care service. There was also opposition from some sections of the medical establishment who feared the loss of professional autonomy. Setting health policy in both an historical and modern context (post 1997) Carrier and Kendall weigh up the successes and failures of the National Health Service and examine the conflicts which have continued for over sixty years, in spite of efforts to solve financial problems in the NHS through increases in funding as well as structural and organisational change. After looking at recent responses to supposed failures of the NHS, they conclude that the NHS has successfully faced the challenges before it and is likely to continue to meet the changing health needs of the population. Financial stresses, concerns about the quality of care and demographic change, with consequent issues for the elderly and the chronically ill, continue to be urgent and politically contentious issues. This book is appropriate for a wide range of undergraduate and postgraduate students studying health policy and the NHS.

Download or read book Parkinson s Disease An Interdisciplinary Guide to Management written by Fiona Lindop and published by Elsevier Health Sciences. This book was released on 2021-11-17 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evidence shows that a multidisciplinary approach to Parkinson's care provides better patient outcomes and is more cost effective. This new title provides a practical guide to this approach, with the perspective of the person living with Parkinson's firmly at its core. Written by experts in their field and firmly grounded in up-to-date evidence, Parkinson's Disease: A Multidisciplinary Guide to Management addresses multidisciplinary intervention through the various stages of disease, rather than by discipline. It covers all aspects of care, from pharmacological management to non-drug interventions that are helpful for Parkinson's symptoms. This book is unique in its holistic approach to the patient and their family, and will help all members of the team to implement a biopsychosocial model of health that puts the person with Parkinson's at the centre of care. - Clinician-led content provides perspectives of different members of the interdisciplinary team, including medics, nurses, physiotherapists, occupational therapists and psychologists - Includes practical advice and top tips enhance management of common problems - Includes best practice for Parkinson's as well as Atypical Parkinsonian Syndromes - Progressive Supranuclear Palsy, Corticobasal Syndrome and Multiple System Atrophy - Includes management of falls and bone health, palliative care, management of inpatients - Provides practical advice on delivering services remotely by telephone or video