Human plus machine equals better medicine
Dr Guy Wood-Gush imagines the future of artificial intelligence in medicine and argues that while machines will never take over from doctors they could improve the practice of medicine dramaticallyRelated items from OnMedicaNew technology could determine use of thrombolysis post strokePlans launched to improve technology in the health serviceUK hospital to develop pioneering radiotherapyCommunity pharmacies to gain access to summary care recordUnderstanding individuals (Source: OnMedica Views)
Source: OnMedica Views - June 30, 2015 Category: Primary Care Source Type: news

Local authorities and general practice – getting the partnership right
Jon Rouse reflects on the challenge to local government arising from the 'new deal' for general practiceRelated items from OnMedicaGeneral practice central to NHS vision for next 5 yearsWorkforce shortages threaten delivery of NHS Five Year Forward View Health Secretary announces ‘new deal’ for GPsDeal to devolve £6bn NHS and social care budget to Manchester is signedPublic wants NHS to prioritise 7-day GP access (Source: OnMedica Views)
Source: OnMedica Views - June 30, 2015 Category: Primary Care Source Type: news

The confidence improvement equation
Improving care service provision. What does it mean, why is it important and what can be done to make it happen?Related items from OnMedicaNew funding plans will drive NHS integrationWorkforce shortages threaten delivery of NHS Five Year Forward View Integrated personal commissioning pilots revealedPerson-centred care and support presents a moment of opportunityNext health secretary must secure NHS’s future (Source: OnMedica Views)
Source: OnMedica Views - June 23, 2015 Category: Primary Care Source Type: news

Why have total reward strategies?
A way to square the difficult circle of maximizing employee engagement when financial budgets are tight Related items from OnMedica‘Stop playing games with the NHS’ consultants warn MPsThe war for talent meets the war on attritionNHS ‘neglects’ staff health and wellbeingAction needed to reduce tensions between clinicians and managers Make GP a more attractive career, agree MPs (Source: OnMedica Views)
Source: OnMedica Views - June 16, 2015 Category: Primary Care Source Type: news

‘Smart’ rostering
Sam Gallagher, Executive Director at Skills for Health, discusses how to effectively manage the clinical workforce and limit spending on agency staffRelated items from OnMedicaPublic believe many more nurses needed for safe careHuge rise in locum use in A&E units in EnglandNHS spend on agency nurses rises 150%Government clamps down on ‘rip-off’ agency staffStaff burnout could derail the NHS’s drive for efficiency (Source: OnMedica Views)
Source: OnMedica Views - June 9, 2015 Category: Primary Care Source Type: news

Community mental health services
We need to focus on outcomes, says Liz FeltonRelated items from OnMedicaThe Mental Health Crisis Care Concordat CCGs expected to stump up more for ailing mental health servicesGPs to lead on improving children’s access to mental healthWorkforce shortages threaten delivery of NHS Five Year Forward View Mentally ill should not be detained in police cells, say MPs (Source: OnMedica Views)
Source: OnMedica Views - June 2, 2015 Category: Primary Care Source Type: news

What can we learn from Germany’s experience of hospital chains?
Both the Five Year Forward View and Dalton review highlight the concept of hospital ‘chains’ as an innovative model of healthcare delivery and a new organisational form for the NHS to considerRelated items from OnMedicaThe Alzira modelIntegrated personal commissioning pilots revealedWorkforce shortages threaten delivery of NHS Five Year Forward View Don’t ignore explosion in pressure on GPs as A&E problems mountYou’ve got to think differently to save more cash, MPs tell the NHS (Source: OnMedica Views)
Source: OnMedica Views - May 26, 2015 Category: Primary Care Source Type: news

Person-centred care and support presents a moment of opportunity
There are real opportunities to build on the great strengths of our NHS while making important shifts which reflect a changing society. But these opportunities will not make themselves, says Martin Routledge Related items from OnMedicaHospital finances in ‘parlous state’ as risk of NHS crisis risesWorkforce shortages threaten delivery of NHS Five Year Forward View NHS England announces first 29 vanguard sitesNHS faces greatest challenges in recent historyIntegrated personal commissioning pilots revealed (Source: OnMedica Views)
Source: OnMedica Views - May 19, 2015 Category: Primary Care Source Type: news

How to build a better bike team
All the tinkering with general practice and the absence of any responsible ‘performance director’ has resulted in the equivalent of a bike with only one pedal, argues Terry KempleRelated items from OnMedicaWorkforce shortages threaten delivery of NHS Five Year Forward View GP leader calls for staff boost over better accessCollege report highlights severe GP shortagesDon’t ignore explosion in pressure on GPs as A&E problems mountGP recruitment time-bomb ‘ready to explode’ (Source: OnMedica Views)
Source: OnMedica Views - May 12, 2015 Category: Primary Care Source Type: news

Cross-party health and care debate
Reassurances resound but questions remain following cross-party health and care debate, writes Phil McCarvillRelated items from OnMedicaElection debate must extend beyond ‘save or sacrifice NHS’Political manifestos fail to address all NHS concerns‘Stop playing games with the NHS’ consultants warn MPsNHS faces accelerating decline as election approachesNHS faces greatest challenges in recent history (Source: OnMedica Views)
Source: OnMedica Views - May 5, 2015 Category: Primary Care Source Type: news

The war for talent meets the war on attrition
As pressure on the NHS continues to intensify, the need to ensure the workforce has the right numbers, skills, behaviours and values to improve patient care is the highest priorityRelated items from OnMedicaClinical Skills–why educators need a sea change in their approachGuidance to help doctors with lifelong learning CPD and appraisals: good in theory, criticised in practiceDoctors need more support with CPDConsultant-delivered care will help junior training (Source: OnMedica Views)
Source: OnMedica Views - April 28, 2015 Category: Primary Care Source Type: news

Charity service innovations
They can help transform the NHS, says Mike Hobday, director of policy at the British Heart Foundation Related items from OnMedica60% of patients say life compromised by long-term illnessNew funding plans will drive NHS integrationNHS England announces first 29 vanguard sitesDon’t ignore explosion in pressure on GPs as A&E problems mountIntegrated personal commissioning pilots revealed (Source: OnMedica Views)
Source: OnMedica Views - April 22, 2015 Category: Primary Care Source Type: news

Joint working and cultural change are vital components for integration
It’s not just about changing structures, says Ewan King, Director of Business Development and Delivery at the Social Care Institute for ExcellenceRelated items from OnMedicaCommissioning for integrated care is about more than just the contractIntegrated personal commissioning pilots revealedManchester could take control of its £6bn health and social care budgetDeal to devolve £6bn NHS and social care budget to Manchester is signedNHS England announces first 29 vanguard sites (Source: OnMedica Views)
Source: OnMedica Views - April 14, 2015 Category: Primary Care Source Type: news

Collaboration + determination = real change for better patient care
Only through collaboration and determination can real change happen to improve the quality of patient care, writes Professor Jane Dacre. Are we getting there?Related items from OnMedicaThe future hospitalFive Year Forward ViewNHS England announces first 29 vanguard sitesIntegrated personal commissioning pilots revealedDon’t ignore explosion in pressure on GPs as A&E problems mount (Source: OnMedica Views)
Source: OnMedica Views - April 7, 2015 Category: Primary Care Source Type: news

Can pharmacists be dispensed as a 'fix-all' for GPs?
Is putting pharmacists in surgeries really a fix for over-subscribed GPs and the patients they care for, asks Rob DarracottRelated items from OnMedicaMillions ignore doctors’ and pharmacists’ advice when taking medicationGPs back calls for pharmacists to share workloadPharmacy could ‘save’ the NHSPharmacists set to work in GP surgeriesWho will lead the way to patient-centred care? (Source: OnMedica Views)
Source: OnMedica Views - March 31, 2015 Category: Primary Care Source Type: news