Alastair McLellan Profile
Alastair McLellan

@HSJEditor

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I am the editor of HSJ, the No1 source of news on the NHS, and have reported on UK health policy for over 20 years. Subscribe for our unmatched coverage.

London
Joined August 2008
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@HSJEditor
Alastair McLellan
12 days
The NHS spends less money on management than ANY equivalent health system - this is one of the results.
@SammyArab
Sammy Arab, MD
14 days
Our national study found that for every one hour with patients, UK resident doctors spend four hours on admin. In @bmj_latest today, we break down why this isn’t just an inconvenience, it’s a safety risk. 1) Fragmented EHRs → endless copy-paste + re-entering data.2) Trainees
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@HSJEditor
Alastair McLellan
14 days
Congrats Emily.
@emilyltownsend
Emily Townsend
14 days
Really pleased to be shortlisted for specialist news story of the year, for this investigation from December 🗞️
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@grok
Grok
2 days
Join millions who have switched to Grok.
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@HSJEditor
Alastair McLellan
15 days
NOTHING to do with Palantir - or the Federated Data Platform.
@medConfidential
medConfidential
15 days
Palantir working exactly as NHSE intended.
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@HSJEditor
Alastair McLellan
15 days
Er.
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hsj.co.uk
NHS England's elective chief has admitted the service is not on course to hit the main 2025-26 elective care targets and has "more to do" to bring performance "back in line".
@DHSCgovuk
Department of Health and Social Care
15 days
🌟 Hardworking NHS staff have now delivered nearly five million extra appointments. 🌟 With the lowest number of patients waiting for more than 18 weeks for treatment in nearly three years. We’re getting on with turning the NHS around.
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@HSJEditor
Alastair McLellan
16 days
You'll hear a lot about the validation of hospital waiting lists tomorrow. Here's why.
@HSJnews
Health Service Journal
16 days
Exclusive: Ministers using ‘misleading indicator’ to champion waiting list reduction
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@HSJEditor
Alastair McLellan
16 days
Just 3% of hospitals wanted a free portrait of King Charles!.
@zoetidman
zoetidman
16 days
"In effect it implied a public authority which requested a portrait of the king to display in public might sue the government for revealing that it had done so". 😂.
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@HSJEditor
Alastair McLellan
18 days
Is the government's plan for the NHS working? My chat on the @SkyNews podcast with @SamCoatesSky and @annemcelvoy
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news.sky.com
👉Listen to Politics at Sam and Anne's on your podcast app👈    
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Alastair McLellan
18 days
Which I'm sure the UK government would like to do too - if it had the money (which it claims it doesn't).
@NuffieldTrust
Nuffield Trust
18 days
With the #NHS 10 Year Plan having a strong emphasis on shifting more care into the community, we have been studying other health systems which have had the same goal. 🏘️ . This blog by @sjanereed discusses what we can learn from Denmark and Ireland. 👇 .
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@HSJEditor
Alastair McLellan
22 days
“The [10 Year Health] plan is very clear about one really big change. We’ve got to stop viewing the healthcare system in this country as being about a single institution that we happen to call the NHS." That 'happen to call' feels telling. especially for a Lab Govt.
@HSJnews
Health Service Journal
22 days
NHS must be seen as just one part of health ‘ecosystem’, says Milburn
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@HSJEditor
Alastair McLellan
23 days
I suspect it means - 'let's all go on holiday in the hope that you have miraculous change of mind while on the beach'. (said by both parties).
@AliJaneMoore
Alison Moore @alijanemoore also on Bluesky
23 days
Does this mean there may be more money on the table? Whatever, a period of not slaggjng each other off could be beneficial.
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@HSJEditor
Alastair McLellan
23 days
My favourite ever HSJ first sentence. "A trust has seconded the chief operating officer from a neighbouring provider as its interim CEO after the incumbent was temporarily transferred to run a 3rd provider following the move of its CEO to a 4th trust, also on an interim basis.
@HSJnews
Health Service Journal
23 days
Interim CEO appointment latest in regional chain of secondments
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@HSJEditor
Alastair McLellan
24 days
Nearly twice as many people worried about immigration than the NHS.
@YouGov
YouGov
24 days
56% of Britons say that immigration is one of the most important issues facing the country, the highest level since June 2016. Immigration: 56% (+4 from 19-21 July).Economy: 46% (-5).Health: 34% (+2).Crime: 24% (+3).Defence: 19% (-2).Housing: 18% (+1).Environment: 17% (-1).Tax:
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@HSJEditor
Alastair McLellan
25 days
RT @HMAnderson39: NEW: Supreme Court has refused to hear a last-ditch bid to stop cheaper alternatives of a major diabetes drug coming onto….
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@HSJEditor
Alastair McLellan
25 days
RT @rogerkline: Thank you Edna. Telling it like it is. BME staff are sick of being told lack of career progression is nothing to do with ra….
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hsj.co.uk
The Taskforce for Diversity in NHS Communications has uncovered systemic issues affecting BME staff progression, but these can be overcome by concerted action, writes Edna Boampong
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@HSJEditor
Alastair McLellan
30 days
A hyper-rare example of a politician praising managers and critising doctors in the same sentence.
@HSJEditor
Alastair McLellan
30 days
Streeting upping the ante further on the doctor's strike: "Your strike action [has had] a detrimental impact on patients. your colleagues & the NHS, which might have been worse were it not for the considerable efforts of NHS leaders & front-line staff who stepped up 1/2.
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@HSJEditor
Alastair McLellan
30 days
Your action has also been self-defeating, because you have squandered the considerable goodwill you had with me and this government. I cannot in good conscience let patients, or other NHS staff, pay the price for the costs of your decision" 2/2
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gov.uk
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@HSJEditor
Alastair McLellan
30 days
Streeting upping the ante further on the doctor's strike: "Your strike action [has had] a detrimental impact on patients. your colleagues & the NHS, which might have been worse were it not for the considerable efforts of NHS leaders & front-line staff who stepped up 1/2.
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@HSJEditor
Alastair McLellan
1 month
Now spoken to another CEO in Midlands about RD strikes. No changes in combined score (50% turnout, imapct 3.5 out of 10). CEO says 'its the consultants earning £3-4k a day that annoys me most'.
@HSJEditor
Alastair McLellan
1 month
A short thread about the impact of resident doctors’ strikes. I spoke to seven NHS trust CEOs (more at less at random). Three in the south east, two in London, and one each in the Midlands and NW. I asked the CEOs to gauge RD turnout and impact of the strikes 1/4.
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@HSJEditor
Alastair McLellan
1 month
RT @HSJEditor: Their combined view was that about half of the resident doctors had observed the strike. This compared with a typical 80% tu….
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@HSJEditor
Alastair McLellan
1 month
RT @HSJEditor: One CEO told me ‘lots of disruption in outpatients, but limited impact in inpatients and daycase as theatres keeping going.….
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