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Health and care services
Leadership, systems and organisations
Patients, people and society
Policy, finance and performance

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2019

Politicians should avoid the temptation of another NHS top-down re-organisation

Following today’s Queen’s Speech and an election looming, Richard Murray warns that a major re-organisation of the NHS risks damaging a service that is already under strain.

By Richard Murray - 14 October 2019

Cancer or dementia: the social care system is unfair to people with either condition

The often-made contrast between ‘free’ support for cancer and ‘means-tested’ support for dementia is not entirely accurate, says Simon Bottery.

By Simon Bottery - 30 September 2019

The NHS and climate change: a decade of distraction

As the realities of climate change become ever clearer, Chris Naylor explores how the NHS has responded to the challenge so far, and why it needs to do more to overcome the ‘tyranny of now’.

By Chris Naylor - 25 April 2019

The story of NHS England: the world’s biggest quango

Chris Ham delves into a new book from Nicholas Timmins on the history of NHS England and reflects on the relationship between Jeremy Hunt, the Health Secretary, Simon Stevens, Chief Executive of NHS England and the NHS.

By Professor Sir Chris Ham - 24 May 2018

Streamlining the organisation of the NHS without a top-down reorganisation

Chris Ham makes the case for aligning the work of NHS Improvement and NHS England.

By Professor Sir Chris Ham - 19 September 2017

Commissioning: barking up the wrong tree?

Faith in the purchaser/provider split as a key driver for reform is fast dissolving, argues Nick Timmins.

By Nicholas Timmins - 5 June 2017

‘Teflon’ Jeremy Hunt and the de-politicisation of the NHS

Nicholas Timmins asks whether the 2012 health and social care reforms allowed politicians to avoid taking responsibility for the state of the NHS.

By Nicholas Timmins - 22 February 2017

Local Healthwatch: progress, promise and power

The coalition government outlined a framework for a network of local Healthwatch organisations, with the aim of creating a credible, representative and influential public voice in the system. So how have these organisations been developing?

By Phoebe Dunn - 16 September 2015

The cost of reform

Empirically it is hard to say, anecdotally the costs of the NHS reforms – such as lost and delayed focus on the main business of delivering health care – have not been insignificant.

By John Appleby - 11 February 2015

The government's record on NHS reform: our verdict

As we head towards the general election, the government's record on the NHS will come under intense scrutiny. Our review of NHS reform argues that this has been a parliament of two halves.

By Professor Sir Chris Ham - 6 February 2015

The Cancer Drugs Fund: inequitable and inefficient?

On the face of it, the CDF would seem perhaps to be a good thing, helping improve the quality of life for people at the end of their lives. But is it either a fair or efficient way for the NHS to spend its limited budget?

By John Appleby - 23 September 2014

The NHS was not a major issue during the 2010 election, so what should we expect in 2015?

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.

By Professor Sir Chris Ham - 7 May 2014

The future provider landscape: are foundation trusts taking us down a dead end?

We don't need more organisations with the label foundation trust, we need financial and clinical sustainability in the provider sector, says Candace Imison.

By Candace Imison - 10 April 2014

Can Simon Stevens build a coalition for change?

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?

By Professor Sir Chris Ham - 1 April 2014

The NHS in 2013: no place for the faint hearted

The NHS reforms in England will have major implications for all involved in the system, none more so than providers.

By Professor Sir Chris Ham - 1 April 2013

How are health and wellbeing boards shaping up to their new responsibilities?

As implementation of the government’s controversial health reforms draws near, Richard Humphries looks at how health and wellbeing boards are shaping up.

By Richard Humphries - 20 March 2013

Evolution or revolution: the story behind the Health and Social Care Act 2012

Following Nicholas Timmins's book on the story of NHS reform, Anna Dixon looks at the events that led to the Act reaching the statute book.

By Anna Dixon - 12 July 2012

Do local voluntary organisations hold the key to improving health outcomes?

Lisa Weaks argues that it is often small community-based charities' understanding of local need and how they work across services that allows them to be so effective.

By Lisa Weaks - 26 April 2012

The Health and Social Care Act: what next for the NHS?

How does the Health and Social Care Act differ from Lansley's original plans? And what challenges will the NHS face now as the Act is implemented?

By Anna Dixon - 28 March 2012

Should GPs be given statutory commissioning roles?

Many aspects of the NHS reforms have given rise to debate, but one of the most controversial has been whether GPs should have responsibility for commissioning.

By Nick Goodwin - 2 March 2012

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