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

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Medical leadership: moving to the sunnier side

We must change our language and behaviour about the capability of medical leadership, says Vijaya Nath.

By Vijaya Nath - 19 December 2013

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.

By David Buck - 17 December 2013

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.

By David Oliver - 3 December 2013

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.

By John Appleby - 22 October 2013

Strong medical leaders: the key to high-quality care in these austere times?

Chris Ham draws on his experience of Australian and American health care systems to highlight the importance of good medical leadership if we are to ensure the survival of a high-quality health care system.

By Professor Sir Chris Ham - 17 September 2013

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.

By David Oliver - 4 September 2013

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.

By James Buchan - 3 September 2013

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.

By John Appleby - 29 August 2013

Be Kind to Humankind: a lesson for leaders?

This week is ‘Be Kind to Humankind’ week. Of course we shouldn’t need a week to exhort us to be kind, but there is much evidence for the benefits of kind and compassionate health care, says Belinda Weir.

By Belinda Weir - 27 August 2013

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.

By Richard Humphries - 14 August 2013

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?

By Loraine Hawkins - 30 July 2013

Named clinicians for vulnerable older people – how will it work in practice?

Jeremy Hunt recently announced that vulnerable older people in England are to have a named clinician responsible for their care when they leave hospital – but how will it work? And what are the caveats?

By David Oliver - 9 July 2013

Developing GP federations: will clinical commissioning stand in the way?

Central to the RCGP's new vision, The 2022 GP, is the proposal that GP practices come together as federated or networked organisations. But can GP federations develop alongside CCGs?

By Candace Imison - 2 July 2013

What happened to the extra NHS billions?

Three years ago the coalition government's first Spending Review promised to ring fence the budget for the English NHS and to increase spending in real terms each year to 2014/15. So what has actually happened to NHS spending?

By John Appleby - 27 June 2013

What next for health and social care in England?

Chris Ham introduces our Commission on the future of health and social care in England, explaining that the divison between the NHS and social care established in 1948 is no longer fit for purpose.

By Professor Sir Chris Ham - 18 June 2013

Health care innovations in the United States: what lessons are there for the NHS?

How do US organisations provide high-quality person-centred care? And what lessons can be drawn for the NHS, local authorities and the third sector?

By Professor Sir Chris Ham - 3 June 2013

We must end ageism and age discrimination in health and social care

David Oliver argues that, unless our society changes its attitudes to older people, it will be an uphill battle to deliver results.

By David Oliver - 29 May 2013

The NHS failure regime: what have we learnt so far?

Candace Imison explores what we can learn from early experiments in using a failure regime in the NHS.

By Candace Imison - 2 May 2013

Medical leadership must move from the margins to the mainstream

The NHS cannot afford to wait another 30 years to ensure that medical leadership moves from the margins to the mainstream, says Chris Ham.

By Professor Sir Chris Ham - 29 April 2013

A new beginning for the care of older people in hospital?

Although the care of older people will be ‘core business’ for the foreseeable future, numerous reports have highlighted serious failings in that care. Does the government's response to the Francis Inquiry report mark a new beginning?

By David Oliver - 11 April 2013

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