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

2008
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Clinical commissioning groups: what do we know so far?

In the past few days, clinical commissioning groups (CCGs) have come several steps closer to taking control of £65 billion of NHS spending.

By Chris Naylor - 18 December 2012

Measuring accountability for outcomes: is transparency enough?

The NHS Commissioning Board, clinical commissioning groups (CCGs) and providers need to be held to account, with plaudits if they excel, and consequences if they fall short of expected standards.

By Veena Raleigh - 4 December 2012

Is the NHS entering treacherous waters?

Having spent the first half of the Parliament legislating for radical changes to the organisation of the NHS, the government now needs to focus on the mundane but much more important challenge of implementing and executing the service changes on which its record will ultimately depend.

By Professor Sir Chris Ham - 28 November 2012

Payment by Results: time for a rethink?

The more we have got to know about how PbR operates and similar payment methods in other countries operate in practice, the more there seems to be a case for a rethink, says John Appleby.

By John Appleby - 2 November 2012

First do no harm: lessons from service reconfiguration in London

What can we learn from service redesign in London? Chris Ham reflects on themes from our conference on progressing health care in the capital.

By Professor Sir Chris Ham - 19 October 2012

Provider and payment reform in the US: how do Accountable Care Organisations work?

Drawing on her work in the United States, Rachael Addicott looks at how Accountable Care Organisations work and what we can learn from them.

By Rachael Smithson - 15 October 2012

How can we deal with financial pressures in health and social care?

Chris Ham draws on discussions from our recent integrated care conference to identify four key building blocks of a whole-system solution.

By Professor Sir Chris Ham - 3 October 2012

Balancing liberation with accountability?

Anna Dixon looks at the difficulties in setting objectives for the NHS and at how the NHS Commissioning Board can be effectively held accountable for £80 billion of public money.

By Anna Dixon - 27 September 2012

How do the Commissioning Outcomes Framework indicators measure up?

From 2013 we will hear a lot more about the Commissioning Outcomes Framework, which will be used to assess the performance of clinical commissioning groups.

By Veena Raleigh - 15 August 2012

Use of emergency hospital beds: why is there so much variation?

An emergency admission to hospital is a disruptive and unsettling experience, so surely we owe it to our patients to reduce the current variation between areas?

By Candace Imison - 9 August 2012

Integrated care north and south of the border

If the government’s integration framework encourages innovations at scale and pace, England may yet steal a march on Scotland in the development of integrated care.

By Professor Sir Chris Ham - 24 July 2012

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

Provider reform: will anything be different this time round?

Current debates about the future of hospitals and bringing care closer to home echo those of the 1970s. So will anything be different this time round?

By Professor Sir Chris Ham - 5 July 2012

Who gets how much of the public health budget?

David Buck looks at how public health funding allocations will be decided with the help of the Advisory Council of Resource Allocation (ACRA).

By David Buck - 2 July 2012

Radical changes are needed – my reflections on themes from the NHS Confederation conference

Looking back on the conference, Anna Dixon considers outstanding reform issues, including the difficult decisions that must be made around hospital reconfiguration.

By Anna Dixon - 28 June 2012

Dithering on Dilnot?

Despite the coalition's pledge in its programme for government that it recognised the urgency of reform, almost a year has elapsed since Dilnot reported.

By Richard Humphries - 25 June 2012

Can Lean redesign stick in health care?

Lean is a methodology developed by Toyota which aims to improve flow while minimising waste. But why is it so difficult to apply to health care?

By Nigel Edwards - 19 June 2012

Commissioning support units: is externalisation the right way to go?

Chris Naylor looks at what the future shape of support arrangements for clinical commissioning groups will look like.

By Chris Naylor - 14 June 2012

Public satisfaction with NHS plummets in 2011

Why has the British public's satisfaction with the way the NHS runs taken a nose dive in 2011 – falling from 70 per cent (its highest ever level) to 58 per cent?

By John Appleby - 12 June 2012

Please stop muddling shared decision-making and provider choice

Angela Coulter responds to the Department of Health's new consultation on 'No decision about me, without me'.

By Angela Coulter - 1 June 2012

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