Commissioners, providers and policy-makers are showing a lot of interest in new contracting models currently being implemented. However, the contract is often seen as an end in itself rather than a tool for encouraging new ways of working.
‘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.
In the past couple of weeks, ‘co-commissioning’ has emerged as the latest solution to the problems in primary care. But will it give patients, communities and clinicians ‘more clout’ in deciding how local services are developed, at a time when NHS finances are severely strained?
The new Department of Health document, Transforming primary care, mostly looks to improve services for those with the most complex needs. But what does it tell us about transforming primary care for the rest of the population?
Simon Stevens takes up his post as Chief Executive of NHS England today, with an inbox that will be full to overflowing. But what are the three issues that demand his immediate attention?
One year ago today, clinical commissioning groups formally took on their statutory responsibility for £65 billion of the NHS budget. So how do individuals in CCGs feel about engagement now?
Although all the political parties agree about the importance of integrated care as an end, willing the means to achieve it is another matter, says Richard Humphries.
Following the appointment of Stuart Rose to advise on leadership in the NHS, Chris Ham reflects on whether the NHS can learn any lessons from the way Marks and Spencer operates.
Federations and networks of GP practices are working to deliver extended services and raise standards of care. These innovations are valuable, but much more is needed to ensure general practice really is fit for the future, says Chris Ham.
Chris Ham reflects on his recent visit to the Royal Free Hospital in London to discuss the role of acute hospitals in developing integrated care.
Looking back, there has been welcome progress during 2013 but, for those of us who have advocated integrated care for some time, it is premature to declare victory, says Chris Ham.
The future of clinical commissioning groups hinges to a large extent on the support they receive from local GPs, says Chris Naylor.
Central to the RCGP's new vision, The 2022 GP, is the proposal that GP practices come together as federated or networked organisations. But can GP federations develop alongside CCGs?
The NHS reforms in England will have major implications for all involved in the system, none more so than providers.
The hard work and long hours put in by GPs and managers in setting up CCGs have, so far, paid off. All 211 CCGs have been authorised to take control of their commissioning budgets from the beginning of April.
Andy Burnham’s speech to launch Labour’s health and care policy review was strong on principles but left many questions unanswered.
The NHS Commissioning Board has issued its ‘planning guidance’ to the 211 clinical commissioning groups (CCGs) that are to take control of local budgets from April. So what message does it send to CCGs?
In the past few days, clinical commissioning groups (CCGs) have come several steps closer to taking control of £65 billion of NHS spending.
The NHS Commissioning Board, clinical commissioning groups (CCGs) and providers need to be held to account, with plaudits if they excel, and consequences if they fall short of expected standards.
Having spent the first half of the Parliament legislating for radical changes to the organisation of the NHS, the government now needs to focus on the mundane but much more important challenge of implementing and executing the service changes on which its record will ultimately depend.