Articles

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Resource allocation: a forgotten element of health policy

In austere times, the importance of resource allocation in the NHS should be clear for everyone − not just policy nerds − says David Buck

Implementation of the Health and Social Care Act

The reforms that come into place after implementation of the Health and Social Care Act on 1 April represent the largest set of changes the NHS in England has seen since its formation.

This could be the greatest shake-up in the 65-year history of the NHS

Nick Timmins argues that the greatest impact of the NHS reforms may come from the decision to publish data on safety.

10 priorities for commissioners from April

Next week the new commissioning bodies take full control and take on extensive responsibilities. Candace Imison sets out what their top priorities should be.

Transforming our health care system: Ten priorities for commissioners

Health care commissioners will need to deliver a sustainable system in the face of the most challenging financial and organisational environment seen in decades. Here, we set out ten priorities for commissioners to help them drive forward the changes needed.

Future proofing the Quality and Outcomes Framework

We must make the Quality and Outcomes Framework fit for purpose in the era of multimorbidity and cost savings, says Veena Raleigh.

Understanding integrated care: a complex process, a fundamental principle

It remains true that people struggle with what integrated care means and particularly how it can be applied.

Competition isn’t always the best option

Competition in the NHS has to be carefully managed if we are to get the cost-effective, high-quality health care from the service we want, says John Appleby.

Commissioning support unit structures and how they will operate

Commissioning support units could become influential in commissioning strategy, but there is still much we don’t know about them.

The NHS should not underestimate the value of volunteers

Volunteers are helping to deliver care in hospitals and in the community, but the health service does not always make the most of their knowledge and expertise.

Volunteers are a big local asset

We haven’t heard much about the Big Society recently but the importance of voluntary and community action has never been more important, says Richard Humphries.

Regulating the NHS market in England

The government’s draft regulations on procurement, patient choice and competition, published in February, have opened up old wounds in the debate about NHS reform, says Chris Ham.

Health and wellbeing boards: policy and prospects

This article aims to examine the role of health and wellbeing boards in the context of the government's reforms introduced by the Health and Social Act 2012 and the fundamental challenges facing the NHS and local government; it also aims to assess evidence from the early experience of shadow boards and considers what factors will most influence their success.

The NHS in England in 2013

Funding and service pressures are likely to have an impact on the quality of care in 2013, says Chris Ham.

How will reforms to the NHS in England affect mental health services?

The lasting impact of the reforms on mental health services and the people who use them will depend not simply on the legislation itself, but on how it is implemented, says Chris Naylor.

The commissioning reforms in the English National Health Service (NHS) and their potential impact on primary care

Anna Dixon, Nick Goodwin, Felix Greaves, Matthew Harris
This article examines the likely implications of the proposed reforms for primary care, and in particularly for family doctors.

The ‘cottage industry’ model worked well, but won’t last

Small was beautiful, writes Chris Ham, but as the NHS changes GPs will need to start working together to make the most of the funding available.

Public service is not about heroic individualism

Are we asking the right questions about what public services can learn from the Olympic and Paralympic Games?

Dealing with financially unsustainable providers: how will the failure regime work?

This paper explains why a failure regime is required in the NHS, outlines how the failure regime for NHS trusts (currently being applied in South London) works and how the failure regime for foundation trusts introduced by the Health and Social Care Act 2012 will work in future.

Setting objectives for the NHS Commissioning Board

One of the principal aims of England’s Health and Social Care Act 2012 is to distance politicians from the day to day management of the NHS. This aim is being pursued by the creation of the NHS Commissioning Board, which will take responsibility for allocating resources to clinical commissioning groups and commissioning some services directly.

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