The deafening silence on future funding amounts to a failure of the political process at a time when the NHS is heading rapidly towards a deep and damaging crisis.
Parallels between the successful transformation of the Veterans Health Administration in the United States and the changes needed in the NHS in England have been made for a number of years. But recent troubles at the VA offer some important lessons for the NHS in the future.
The growing problems in the NHS and social care cannot be solved by the Better Care Fund or any of the other short-term solutions on offer. Nothing less than a fundamental reform of the funding of health and social care services and citizens’ entitlements to publicly funded support is required to address these problems.
I agreed with much of what Simon Stevens said at the Age UK For Later Life conference until he stated that he would be ‘disappointed’ if care homes still existed within the next 50 years. I didn’t get the chance to challenge him but I want to do it now.
The third in a series of guest blogs that we are publishing in the run-up to the launch of the final report from the Commission on the Future of Health and Social Care in England. Each focuses on one of the possible options for funding future health and social care. Here, Andrew Harrop of the Fabian Society argues that retired households should contribute more towards the costs of health and care.
The second in a series of guest blogs that we are publishing in the run-up to the launch of the final report from the Commission on the Future of Health and Social Care in England. Each focuses on one of the possible options for funding future health and social care. Here, Andrew Haldenby and Cathy Corrie of Reform discuss why new NHS charges are necessary and why no political party wants to talk about them.
Nice one NICE: developing the policy narrative on preventing disability, frailty and dementia in later life
Integration cannot just be about treating frail older people, we need to think beyond health and social care, and NICE is leading the way with their new guidelines – out for consultation – on preventing disability, frailty and dementia in later life.
‘We need clinical commissioning groups to become accountable care organisations’ – that’s what Jeremy Hunt said recently in parliament. But what does this really mean and will it work in practice? Rachael Addicott gives her analysis.
The first in a series of guest blogs in the run-up to the launch of the final report from the Commission on the Future of Health and Social Care in England. Each focuses on one of the possible options for funding future health and social care. Here, Nick Pearce of IPPR discusses how a dedicated NHS tax might work.
We need to be very careful in understanding the links between choice of metrics, impact of policies and population dynamics over time when coming to conclusions about the success or failure of ambitions to narrow inequalities in health, says David Buck.
Leaders across health and care agree that much more needs to be done to address the low representation of women in senior medical leadership roles.
Over the past few years we have seen several high-profile failures of care in NHS acute hospitals in England, leading many in the system to question the ability of performance management and regulatory mechanisms to identify and act on poor performance.
If in 2013/14 the NHS struggled to maintain performance even with a recruitment round, the chances it can continue to do so with fewer, rather than more, staff look non-existent, says Richard Murray.
In his new blog, Chris Ham discusses the recommendations of his review of staff engagement in the NHS. The review found compelling evidence that NHS organisations with high levels of staff engagement – where staff are strongly committed to their work and involved in decision-making – deliver better quality care.
There has been a call for the most expensive assets in health care – the doctors – to step up and engage in management and leadership. We use the right words when writing about medical engagement but how do we move from rhetoric to reality and more importantly why should doctors embrace this responsibility?
Relationships and people, not skills and authority derived from powers of office, are what’s important, says Mandip Kaur as she reflects on the responses we received during our Twitter debates on some of the challenges facing emerging clinical leaders.
Although earlier rumours of the demise of the Better Care Fund – the government’s £3.8 billion pooled fund to promote integrated care – have turned out to be greatly exaggerated, the significance of the government’s latest announcement about the fund should not be.
If the third sector is to reach its potential in supporting a new health and social care system, then we should look to its leaders and think hard about their support needs.
New organisational models for the NHS could bring benefits but it's the quality of leadership alongside a culture of excellence in performance and accountability for results that will be key, says Candace Imison.
In The Commonwealth Fund's comparative study of health system performance in 11 countries, the UK ranks first across a range of measures covering quality, access and efficiency of care. But can rankings only tell us so much?