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.
Lean is a methodology developed by Toyota which aims to improve flow while minimising waste. But why is it so difficult to apply to health care?
Anna Dixon discusses whether asking patients what care they wanted could be a much simpler solution towards making savings.
Richard Humphries discusses the government’s forthcoming social care White Paper and the final piece of the jigsaw – Andrew Dilnot’s report on how care is funded.
Will our trust in clinicians lend local decisions on restrictions to treatments a new kind of legitimacy? Or will such decisions erode our trust in our local doctor?
One of the benefits of the UK’s primary care based system is that it keeps patients away from unnecessary admission to hospital – however it may not be succeeding.