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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
    • Adult social care
    • End-of-life care
    • General practice
  • (-) Leadership, systems and organisations
    • Clinical leadership
    • Integrated care
    • Local service design
    • Quality improvement
    • Workforce and skills
  • Patients, people and society
    • Patient experience
    • Patient involvement
    • Technology and data
  • Policy, finance and performance
    • Commissioning and contracting
    • (-) Governance and regulation
    • (-) NHS finances
    • Performance
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Blog

Operating Framework: playing with the levers

David Nicholson's Operating Framework for 2010/11 will look familiar to the NHS, with many of its messages reinforcing the Next Stage Review.
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By Mark Jennings - 16 December 2009
Blog

Weathering the financial storm

The quality of NHS service does not have to be a casualty of the financial crisis - it could be an opportunity to focus on clinical improvement and effectiveness.
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By Ruth Thorlby - 9 December 2009
Blog

Pre-Budget Report: a real cut overall for the NHS in 2011/12 onwards?

Despite the NHS fairing relatively well in the Pre-Budget Report, the massive productivity challenge remains: a relentless five per cent a year for three years.
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By John Appleby - 9 December 2009
Blog

Implications of a recession for the NHS: a freeze or worse?

Extracts and slides from John Appleby's presentation at the 2009 annual conference, describing research into future prospects for NHS funding.
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By John Appleby - 1 December 2009
Blog

Spending for improvement: how would you pitch?

If you were a chief executive in the NHS deciding how to improve quality and reduce costs, what type of leadership improvement would you choose?
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By Rebecca Gray - 27 November 2009
Blog

Quality in a cold climate: the opportunities

Listen to Mark Jennings' presentation, where he argued that care can only be judged to be high quality if it is also delivered efficiently.
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By Mark Jennings - 27 November 2009
Blog

Let's think differently about workforce planning

The focus in workforce planning needs to be on developing a flexible approach that doesn't seek long-term precision but can enable the workforce to evolve and adapt.
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By Candace Imison - 26 November 2009
Blog

Real QIPP: reflections from our annual conference

Does the NHS have the skills to continue the drive to improve quality despite the impending budget cuts? Mark Jennings reports from our 2009 annual conference.
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By Mark Jennings - 25 November 2009
Blog

Putting the individual at the centre of clinical leadership

What does the individual need in order to grow, develop, learn and ultimately make an impact across the wider system?
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By Gerard McGuickin - 20 November 2009
Blog

The end of the beginning: the social care reform paper

Richard Humphries discusses social care reform, as the consultation on Shaping the Future of Care and Support draws to a close.
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By Richard Humphries - 13 November 2009
Blog

Clinical leadership in a cold climate

Richard Giordano discusses the leadership role that clinical and medical directors will play during the cold resource climate ahead.
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By Richard Giordano - 4 November 2009
Blog

Is the time now right to integrate health and social care?

Integrating the commissiong health and social care should drive new means of delivery that reflect the needs of those using services rather than those who provide them.
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By Niall Dickson - 4 November 2009
Blog

Are we all too depressed?

Does the Health Secretary, Andy Burnham, know something we don't about future NHS spending? He seemed remarkably chipper at our debate at the Labour Conference.
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By John Appleby - 29 September 2009
Blog

Spotlight on the regulators at Lib Dem party conference

Faced with the squeeze on public spending it seems no politician is willing to suggest cuts in frontline staff, so it's quangos and regulators that get their focus.
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By Anna Dixon - 22 September 2009
Blog

Quality at a lower cost: making it happen

Much of the health care improvement over the past decade has been characterised by high levels of investment - how will the NHS cope with the new financial challenge?
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By Mark Jennings - 1 September 2009
Blog

A healthy debate? The US and English health systems

Ruth Thorlby considers the differences between the English and the American health system, as the NHS is used in the political debate over health reform in the US.
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By Ruth Thorlby - 19 August 2009
Blog

Are we ready for change?

This week The King's Fund and the Institute of Fiscal Studies has published its analysis of the likely economic environment for the NHS over the next decade.
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By Karen Lynas - 21 July 2009
Blog

Making markets work for patients: are commissioners up for it?

John Appleby considers whether we really understand how complex and difficult managing a market for commissioning in the NHS is going to be.
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By John Appleby - 29 May 2009
Blog

The NHS beyond the Budget

We are in a serious recession from which the NHS is not immune. The Budget signals that no matter who is in power from 2011, medium-term spending prospects are grim.
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By Niall Dickson - 28 April 2009
Blog

NHS Management: time for transparency at the top

Another month, another resignation. Karen Lynas reflects that the many departures of senior management in the NHS has made it a topic of debate.
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By Karen Lynas - 30 March 2009
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