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.
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.
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.
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.
Leadership in NHS organisations needs to be collective and distributed rather than located in a few individuals found at the top of these organisations. Involving doctors, nurses and other clinicians in leadership roles is essential, says Chris Ham.
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?
While public satisfaction with the NHS remains high, there is unprecedented pressure on NHS finances, particularly in 2015/16. Chris Ham considers the political landscape a year before the 2015 general election.
In light of our new report on the NHS productivity challenge, Chris Ham calls for a new transformation fund to stop the NHS approaching a major financial crisis.
The last time the NHS fell into deficit it came to many as something of a surprise. This time – going by the responses in our latest quarterly monitoring report – it’s looking rather predictable.
We don’t need more organisations with the label ‘foundation trust’, we need financial and clinical sustainability in the provider sector, says Candace Imison.
The post-war settlement that created the current divide between health and social care must be replaced. If we duck the hard choices laid out by the Barker commission, then services will progressively deteriorate with patients, users and carers the real losers.
Kate Barker, Chair of the Commission on the Future of Health and Social Care in England, introduces the key findings of the commission's interim report and calls for further evidence to consider the funding options.
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.