Blog tagged as: NHS reform

18th December 2014 | Comments: 2
Over the coming months The King’s Fund and The Health Foundation will be exploring the concept of a transformation fund. How big does such a fund need to be? And how should it be spent so that it supports real change at scale across the NHS?
10th December 2014 | Comments: 1
Encouraging leaders to take on new responsibilities will be challenging at a time when financial pain is driving many organisations to focus inwards rather than outwards, says Chris Naylor.
13th November 2014 | Comments: 7
While many policy-makers focus on organisational structures, it is clear that successful implementation of the NHS five year forward view will hinge on getting the staffing right.
27th October 2014 | Comments: 6
Something very important happened on Thursday and it wasn't the publication of the NHS five year forward view. Far more important was the passion and confidence with which Simon Stevens launched the plan and challenged politicians to provide the funding needed to deliver it.
3rd October 2014 | Comments: 8
2014/15 looks like being a watershed year in which the NHS moves decisively into deficit, so where do the opportunities lie in delivering better value?
26th September 2014
In terms of collectively redesigning services to improve patient care, is the most caring form of leadership to allow staff the space to explore and err, as long as certain safeguards are in place?
16th September 2014 | Comments: 3
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.
11th September 2014 | Comments: 2
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.
4th September 2014 | Comments: 8
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.
22nd July 2014 | Comments: 2
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.
8th July 2014 | Comments: 2
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.
1st July 2014
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.
23rd June 2014 | Comments: 3
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?
19th June 2014 | Comments: 3
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.
18th June 2014 | Comments: 3
Unless NHS leaders are prepared to change, reform from within will remain a distant dream, says Chris Ham.
19th May 2014 | Comments: 3
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.
15th May 2014 | Comments: 1
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?
7th May 2014 | Comments: 7
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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.
1st May 2014 | Comments: 5
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.
15th April 2014 | Comments: 2
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.

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