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

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The Care Quality Commission and improvement: a system-wide issue

How can we maximise the impact of CQC’s regulatory action in health and social care? It takes two at least: CQC, providers and other system partners all need to contribute.

By Ruth Robertson - 5 December 2018

Shedding light on service design involving patients and the public

Rich Stockley explains how good patient and public involvement requires a robust and well-designed research process, and not just hoping for the elusive ‘lightbulb moment’.

By Rich Stockley - 26 November 2018

Co-ordinating care for high-cost, high-need patients

Chris Ham considers the care models for patients with complex needs presented at the Commonwealth Fund International Symposium, and argues that clinical teams need time and resources to effectively co-ordinate the care they provide.

By Professor Sir Chris Ham - 23 November 2018

Prevention is better than cure – except when it comes to paying for it

The government’s emphasis on prevention is welcome, but resources have not been following the rhetoric. David Buck analyses the latest data on local government public health spending.

By David Buck - 21 November 2018

Quality improvement and collaborative working: partnerships across services in East London, Bedfordshire and Luton

Following on from our recent report on the impact of the Care Quality Commission's approach to regulation, Navina Evans, Chief Executive of East London NHS Foundation Trust, writes about their experience of the inspection regime.

By Navina Evans - 12 November 2018

Mental health funding in the 2018 Autumn Budget: the devil will be in the detail

While the additional funding for mental health services announced in this week’s Budget is welcome, it will take more than money to deliver parity of esteem.

By Helen Gilburt - 31 October 2018

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

What should the NHS long-term plan say about STPs and ICSs?

Is the integration of health and social care moving too fast for the current legal framework? Chris Ham identifies five steps to support the continuing transformation by aligning regulation, policy and practice.

By Professor Sir Chris Ham - 25 October 2018

Developing governance to support integrated care: a bumpy ride?

One year on from the introduction of integrated care systems in England, we know that their success depends on local factors. Matthew Kershaw identifies three further key issues that offer wider learning on governance.

By Matthew Kershaw - 22 October 2018

CQC, the state of care and system-level regulation

CQC must ensure it creates a mix of regulatory tools that work together to efficiently assure people’s overall experience of care, rather than simply adding a layer of regulation to a health and care system that is already one of the most heavily regulated in the world.

By Ruth Robertson - 18 October 2018

A short history of NHS winter funding

The NHS relies on the reoccurrence of supposedly non-recurrent winter funding, but is still kept on its toes each year wondering how much money will be available and when it will be provided. Siva Anandaciva looks at how it works.

By Siva Anandaciva - 11 October 2018

Reviewing the Better Care Fund: time to be bold?

The upcoming review of the Better Care Fund needs to highlight opportunities for development to support the integration of the NHS and social care.

By Richard Humphries - 5 October 2018

A potential red herring in the social care Green Paper

Simon Bottery considers government interest in a ‘nudge’ approach to paying for social care but cautions against focusing on it in the upcoming Green Paper.

By Simon Bottery - 26 September 2018

The NHS long-term plan: factoring in multiple risks

A long-term plan for the NHS requires new thinking on how to address multiple unhealthy risk factors, as Harry Evans explains.

By Harry Evans - 21 September 2018

Using technology to build a partnership of trust with patients

Chris Ham explores how technology can enable positive clinician-patient relationships and support patients to take an active role in their health and wellbeing.

By Professor Sir Chris Ham - 7 September 2018

Solving the puzzle of social care: the time for action is now

With new research suggesting that the number of people aged 85 and over needing round-the-clock care is set to double by 2035, the government needs to make hard choices if it is to solve the puzzle of social care, says Chris Ham.

By Professor Sir Chris Ham - 31 August 2018

NHS performance: bad, better or both?

In light of rising demand for NHS services how should we talk about performance against targets? Deborah Ward takes a different view of the data.

By Deborah Ward - 30 August 2018

From lab to bedside: ensuring new medicines are available in a cost-effective and timely way

David Omojomolo explores the challenge of offering new medicines within current financial restraints.

By David Omojomolo - 31 July 2018

The NHS 10-year plan: how much will be spent on NHS deficits?

Richard Murray calls for the reform of the NHS’s current Byzantine financial system.

By Richard Murray - 23 July 2018

The NHS 10-year plan: transformation holds the key to sustainability

Chris Ham calls for the NHS 10-year plan to outline realistic ambitions to transform health and care over the next decade, focused on improving population health and a new deal with the public.

By Professor Sir Chris Ham - 12 July 2018

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