This is a guest blog post. The views expressed are the authors’ own and do not necessarily represent the views of The King’s Fund.
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 NHS is facing a serious funding gap if demand continues to increase and budgets remain frozen – up to £30 billion by 2021 according to NHS England. The independent Commission on the Future of Health and Social Care in England, set up by The King’s Fund, is a timely contribution to determining how to address the financial challenge.
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?
Are the days of the heroic pace-setting leadership of the NHS really behind us? Sarah Goodson reflects on discussions at this year's NHS Confederation conference.
Unless NHS leaders are prepared to change, reform from within will remain a distant dream, says Chris Ham.
Delivering innovations in the care of older people: an opportunity to brag, steal, learn and deliver?
We have ample evidence of what good care for older people looks like and numerous service models delivering it, yet we aren’t very good at disseminating good practice, and worse still at adopting and implementing improvements at scale and pace.
What more is possible when leadership is shared with patients and service users? This was the question we posed at a roundtable event last month.
Patient and Family-Centred Care is a simple, low-technology approach to patient-centred service improvement – Bev Fitzsimons blogs about the benefits of using the approach, following the launch of our new toolkit with the Health Foundation.