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.
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?
How do other countries respond to the challenges of funding health and care for an ageing population? Sarah Gregory takes a closer look in her latest blog.
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.
NHS England have set out their thinking on how the bulk of NHS money will get to where it needs to be, and on what basis, through allocations to CCGs – David Buck shares his thoughts on this decision.
Some may argue that deep thinking about the future isn’t really necessary, but how could this foresight benefit the health and social care system?
Although politicians say the NHS has been protected financially, this is only relative to real cuts in other areas of government and, crucially, not in terms of the demands on health care, says John Appleby.
The more we have got to know about how Payment by Results and similar payment methods in other countries operate in practice, the more there seems to be a case for a rethink.
To secure the opportunities of the ‘gift of longer life’ we have to think differently about how we organise and fund our health and care services for an ageing population.
With the current state of the payment system for emergency care making evaluation difficult and evidence hard to interpret, is it time for an overhaul?
Three years ago the coalition government’s first Spending Review promised to ‘ring fence’ the budget for the English NHS and to increase spending in real terms each year to 2014/15. So what has actually happened to NHS spending?
Chris Ham introduces our Commission on the future of health and social care in England, explaining that the divison between the NHS and social care established in 1948 is no longer fit for purpose.
Candace Imison explores what we can learn from early experiments in using a failure regime in the NHS.
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.
Chris Ham draws on discussions from our recent integrated care conference to identify four key building blocks of a whole-system solution.
Chris Ham argues that much bolder approach is needed to bring about innovative models of care that meet the population's needs.
Looking back on the conference, Anna Dixon considers outstanding reform issues, including the difficult decisions that must be made around hospital reconfiguration.
Despite the coalition’s pledge in its programme for government that it recognised the urgency of reform, almost a year has elapsed since Dilnot reported.