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Blog

Comment and analysis on the key issues in health and social care

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  • Health and care services
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Blog

New CCG allocations: straw men laid to rest but deeper questions remain?

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.
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By David Buck - 17 December 2013
Blog

The National Intermediate Care Audit: key to understanding integrated care for older people

We can’t deal with the emergency care crisis at the front door of the hospital without addressing the situation at the back door – there are still too many patients who could be sent home within 0 – 2 days but who would not be able to access community support in time, says David Oliver.
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By David Oliver - 3 December 2013
Blog

After the hard truths, the hard actions

Whichever way you look at it, responding to Francis and the associated reports was going to be a challenging balancing act for the government.
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By Catherine Foot - 22 November 2013
Blog

Transforming patient experience: not a quick fix

Turning around a culture of care cannot be achieved through a quick fix. It takes courage, because you can’t start to improve things without first admitting that you could have been doing things better, says Joanna Goodrich.
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By Joanna Goodrich - 14 November 2013
Blog

Foundation trust governors: the promise of local accountability?

Our conversations with governors suggest they are still not fulfilling their potential as the voice of local populations on hospital boards. Not through a lack of will, but rather through a lack of clarity and support, says Becky Seale.
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By Becky Seale - 7 November 2013
Blog

The Integration Transformation Fund: the foundation of a genuinely integrated system or just another brick in the wall?

Expectations for the Integrated Transformation Fund are high, but will it actually help to deliver integrated care when the system is so under pressure?
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By Richard Humphries - 31 October 2013
Blog

A good day to bury a significant piece of legislation?

Amid the furore of the Competition Commission’s decision to refuse the merger of Bournemouth and Poole, some significant changes to the current failure regime have been approved in amendments to the Care Bill.
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By Beccy Baird, Candace Imison - 28 October 2013
Blog

What are we spending on the English NHS?

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.
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By John Appleby - 22 October 2013
Blog

NHS mergers: learning the lessons of Bournemouth and Poole

What are the repercussions of the Competition Commission's rejection of the proposed merger in Bournemouth and Poole?
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By Beccy Baird - 18 October 2013
Blog

Making revalidation work: what have we learnt so far?

Vijaya Nath looks at what responsible officers – those who make recommendations to the General Medical Council about doctors’ fitness to practice – think about the process of revalidation.
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By Vijaya Nath - 15 October 2013
Blog

Why aren’t care homes higher on the agenda in the health debate?

So much of our effort is spent trying to extend life that our ageing society should be a success story, a cause for celebration. Why then aren’t care homes firmly on the agenda in political debates on the NHS?
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By Duncan Hockey - 9 October 2013
Blog

Supporting people with long-term conditions: what is the house of care?

Angela Coulter explains why the house of care ought to be the centrepiece of every integrated care project, with greater attention paid to the contribution that people make towards managing their own health.
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By Angela Coulter - 2 October 2013
Blog

What are the real costs of falls and fractures?

David Oliver looks at the direct and indirect costs associated with falls and fractures, and how we can disentangle these from the costs of the multiple morbidities people who fall often live with.
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By David Oliver - 4 September 2013
Blog

The NHS workforce: how do we balance cost-effectiveness with safety?

Professor James Buchan explores how NHS reforms have affected the health and social care workforce, and the importance of maintaining the balance between safety and cost-effectiveness.
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By James Buchan - 3 September 2013
Blog

Future payment systems in the NHS

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.
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By John Appleby - 29 August 2013
Blog

Ageing: opportunity or challenge?

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.
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By Richard Humphries - 14 August 2013
Blog

Can you change culture from Whitehall?

Can you change culture from Whitehall? Catherine Foot sets out six opportunities for the DH and NHS England to help them prioritise quality of care and safety for patients.
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By Catherine Foot - 9 August 2013
Blog

Is it worth tinkering with an emergency care payment system in need of a thorough overhaul?

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?
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By Loraine Hawkins - 30 July 2013
Blog

The Keogh Review: a welcome return to 2008

As the NHS now enters its 66th year, how far have we got towards Darzi's vision of clinical and organisational leaders collecting data on quality and using it to continuously improve care?
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By Catherine Foot - 17 July 2013
Blog

Could NHS buildings become tools not temples?

In a guest blog for our Time to Think Differently programme, Barrie Dowdeswell gives an international perspective on how the NHS could be utilising one of its prime assests - its buildings.
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By Barrie Dowdeswell - 11 July 2013
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