In an increasingly strict financial climate increasing income is just as important as reducing costs, and so is increasing the speed at which income is collected. Tom Jones, of health care management consultants, McLean Jones McCarthy, provides some tips on how managers can deal with debtors, manage an efficient finance directorate--and get off the bill hook.
Efficient and effective patient care can be dependent upon the quality, as well as accessibility and timeliness, of medical records. Dina Tetlow outlines a health records accreditation programme in the south west.
Health reforms in The Netherlands have been introduced into a very different environment but with similar aims: efficient, effective, high quality care that addresses the needs of individual patients. Anne-Marie te Maarssen and Richard Janssen outline progress so far.
With over 100 systems to choose from, buying a computer system for use in general practice can be a difficult and arduous task. The Department of Health provides some guidelines to try and ease the problem, but there is very little empirical evidence which buyers can use to help them make decisions. Cathy Bakewell and Peter Turnbull describe some research which might help.
Health records of different sorts have been shown--in one region--to cost 13m pounds a year, and to take up 10 miles of shelving. Across one region, records would take up the length of the M4. Terry Gould and colleagues describe a project to establish some protocols for sensible record keeping.
Rae Wallin is Director of Personnel, Plymouth Community Services NHS Trust, a trust with 2000 staff and a budget of 40m pounds. Ideally, work and home life are strictly compartmentalised but this does not always happen in practice; there is a challenge in balancing the needs of both. Senior managers are under enormous pressure in today's NHS; for women, Opportunity 2000 has not yet really changed things.
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