Stella Vig: Will making new doctors work in the NHS for five years improve retention?

The Department of Health have recently launched a consultation to look at whether doctors should be forced to work in the NHS for at least five years after completing their training in England. The consultation is looking at whether it may improve the retention of trainees and therefore improve workforce numbers. It appears from the language used in […]

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Lillie Wenzel: The impact of NHS financial pressures—a mixed picture

Recent figures revealed that NHS providers have a deficit of nearly £900 million for the first three quarters of 2016/17—a clear sign that NHS organisations are struggling in the face of constrained budgets and growing demand. At the same time, key performance data show that hospital performance, in some areas, is slipping. As NHS organisations seek […]

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Anita Charlesworth: National policy can create barriers which undermine consultant productivity

“Productivity isn’t everything, but in the long-run it is almost everything.” So said Paul Krugman, the Nobel Prize winning economist, and not many economists would disagree. Productivity powers economic growth and funds better public services. Over the last 40 years real income per head has more than doubled while average hours worked have fallen. Productivity […]

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J Robert Sneyd: 1500 new doctors for the NHS—racing to the finish or crawling to the start line?

On 4 October 2016, England’s health secretary, Jeremy Hunt announced government funding for 1500 additional undergraduate medical school places starting in September 2018. Although medical schools were anticipating the need to expand numbers, the timing of the announcement took us by surprise and perhaps Higher Education Funding Council for England (HEFCE) and Health Education England (HEE) […]

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Tom Nolan: QOFerendum

The arguments to leave the Quality Outcomes Framework (QOF) have a familiar ring to them: it’s so big it can’t reform; we need to take back control; we should stop wasting money on bureaucracy and fund the NHS instead; what do the so called experts know about real life? These seem to be working just as […]

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Jonathan Sleath: Why revalidation for older doctors needs to change

In January 2017, Keith Pearson, chair of the GMC’s own Revalidation Advisory Board, delivered a review into the future of revalidation. For many of us, anxious for some crumbs of reassurance that this burdensome ritual would be reformed, this was a deeply depressing document. There are over 50 responses on the GMC website, almost unanimous […]

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