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

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Commissioning is dead, long live commissioning

With collaboration and integrated care central to the long-term plan for the NHS, Ruth Robertson considers what the future holds for commissioning and commissioners.

By Ruth Robertson - 14 March 2019

Better value and a better night's sleep: keeping acutely unwell children and adults out of hospital

Mathew Mathai, Consultant Paediatrician at Bradford Teaching Hospitals NHS Foundation Trust, explains how the concept of a ‘virtual hospital’ and keeping patients out of hospital where possible has helped to improve quality and reduce costs.

By Mathew Mathai - 30 October 2018

How do you engage clinicians in your digital change programme?

How important is user engagement when it comes to managing digital change projects? Dr Robert Fearn, a clinician from Homerton University Hospital NHS Foundation Trust, explores the connection ahead of our new report.

By Dr Robert Fearn, consultant physician and gastroenterologist - 6 June 2018

Hospital bed numbers – can the downward trend continue?

Leo Ewbank asks whether sustainability and transformation plan proposals to reduce the number of hospital beds are realistic.

By Leo Ewbank - 29 September 2017

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

The future of NHS commissioning: no map or clear destination

Ruth Robertson asks how CCGs will be affected as accountable care organisations/systems and sustainability and transformation plans/partnerships are layered on top of an already complex NHS landscape?

By Ruth Robertson - 18 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

We should see acute hospitals as places for healing

Jocelyn Cornwell explores how vulnerable patients can feel in hospital and argues that the quality of relational care should be given the same priority as clinical quality and patient safety.

By Jocelyn Cornwell - 10 May 2017

Shifting attention to acute medical wards would benefit staff and patients

David Oliver explains why we should focus on issues at the NHS front line. Giving more time and thought to the experience of acutely ill medical patients would bring benefits to the entire health system.

By David Oliver - 3 May 2017

Sending shockwaves through the NHS?

Ben Collins asks whether we are seeing the end of the purchaser-provider split as we know it.

By Ben Collins - 24 March 2017

An insight into frontline clinical care in acute hospitals

Having spent time shadowing frontline physicians in acute hospitals, Chris Ham and Don Berwick set out the challenges they observed and talk about how the Fund is working with others to develop an agenda for improvements.

By Professor Sir Chris Ham, Don Berwick - 1 February 2017

Demand and activity in the NHS: still rising

As we publish our new briefing, Richard Murray considers the wider context of increasing demand and activity in English hospitals.

By Richard Murray - 21 December 2016

Missing the wood for the trees

Ben Collins reflects on the reasons behind the failure of the UnitingCare contract, and lessons that have been learnt for commissioning in the NHS.

By Ben Collins - 12 December 2016

Put GPs at the centre of the NHS commissioning roadmap

Ruth Robertson outlines the importance of involving GPs in commissioning and planning in the NHS if we are to meet the challenges of transforming care and balancing finances.

By Ruth Robertson - 12 July 2016

Is strategic commissioning the future for the NHS?

Clinical commissioning is changing in response to financial and operational pressures, and the implementation of new care models. Chris Ham considers whether strategic commissioning is the way forward.

By Professor Sir Chris Ham - 1 June 2016

Careless talk costs lives: noise in hospitals

Hong-Anh Nguyen explores the Fund's historical work on improving patient experience, including the issue of noise in hospitals.

By Hong-Anh Nguyen - 31 May 2016

Why is it more difficult than ever for older people to leave hospital?

David Oliver looks at the findings of the National Audit Office report and considers why hospitals are still failing to discharge older people on time.

By David Oliver - 26 May 2016

Co-commissioning one year on: any progress?

How are new co-commissioning arrangements progressing, a year after their introduction? Chris Naylor considers the results of our survey of GP practices in six clinical commissioning groups, carried out with the Nuffield Trust.

By Chris Naylor - 4 April 2016

Productivity in acute hospitals – are the recommendations of the Carter Review realistic?

With the recent publication of the Carter Review's final report on operational productivity in acute hospitals, Richard Murray reflects on whether it proposes a realistic approach to implementation.

By Richard Murray - 12 February 2016

Improving hospital discharge and intermediate care for older people

Healthwatch England's recent report, Safely home, described in harrowing detail the personal stories of patients who felt that their discharge from hospital was unsupported. It also described patients marooned in acute beds unable to move on. So how can older people's care be improved?

By David Oliver - 6 October 2015

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