Archives for August 10th, 2005

PERFORMANCE MANAGEMENT IN HEALTHCARE

Abstracts, PublicNet: 10 August, 2005

By Peter C. SmithThe collection and use of performance data in the UK health system has seen massive changes in the last 25 years. Performance measurement offers major potential benefits for clinical professionals, managers, regulators, politicians, researchers, patients and citizens. However, uncritical reliance on performance data can lead to a number of unintended and adverse consequences. This article summarizes the history of performance measurement in the NHS, assesses its effectiveness to date, discusses the major challenges in deploying performance measures, and highlights priorities for policy-makers.

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RADICAL REVAMP OF TRAINING FOR DOCTORS

Headlines, PublicNet: 10 August, 2005

A groundbreaking change in postgraduate medical training has been launched as thousands of medical school graduates begin their careers in the NHS. The first year after medical school, known as the pre-registration house officer year, has been replaced by a two year foundation training programme.The programme requires doctors to demonstrate explicitly that they are competent in a number of areas including communication and consultation skills, patient safety and teamworking, as well as the more traditional clinical skills. Trainees will be assessed by consultants. Around 4850 trainees are now starting the programme which will give them exposure to a range of career placements across a broad spectrum of specialties. The programme recognises the multidisciplinary nature of the trainees work environment and it will be delivered with the help of nursing and allied health professionals.

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COUNCILS SET TO EXCEED EFFICIENCY TARGETS

Headlines, PublicNet: 10 August, 2005

Figures published by the Office of the Deputy Prime Minister show that councils are on course to exceed the target set by the Government of achieving efficiency gains of 6.45 billion pounds by 2007-08. The prediction of success is based on the actual efficiency gains of more than 750 million pounds achieved in 2004-05 which provide confidence that savings in 2005-06 will exceed 1.0 billion pounds. The figures exclude schools, fire and police which are subject to separate monitoring arrangements.To qualify as an efficiency gain it must be demonstrated that the same outputs was delivered with a reduced input or a cost reduction. In a similar way, greater outputs or improved quality produced by the same input also qualify as a gain. The savings will release money and other resources that councils can reinvest in local services or use to hold down Council Tax.

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