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

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2020

A recipe for baking in collaboration? NHS England and NHS Improvement’s proposals for new legislation

NHS England and NHS Improvement’s latest legislative proposals show a desire to fast forward the integration agenda, but without further detail it’s hard to reach a view. Richard Murray reflects on the proposals.

By Richard Murray - 9 December 2020 6-minute read

Politicians should avoid the temptation of another NHS top-down re-organisation

Following today’s Queen’s Speech and an election looming, Richard Murray warns that a major re-organisation of the NHS risks damaging a service that is already under strain.

By Richard Murray - 14 October 2019

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

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

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

Initiating improvement: the impact of the Care Quality Commission’s approach to inspection

In light of the recent National Audit Office report, Rachael Smithson considers the Care Quality Commission’s approach and the ways in which the organisation is having an impact on quality of care.

By Rachael Smithson - 2 November 2017

A system response to provider failure: does Greater Manchester point to a different future?

Should we start to look at provider failure as a system issue rather than an organisational one? Chris Ham looks at the lessons the NHS can learn from Greater Manchester.

By Professor Sir Chris Ham - 13 October 2017

Streamlining the organisation of the NHS without a top-down reorganisation

Chris Ham makes the case for aligning the work of NHS Improvement and NHS England.

By Professor Sir Chris Ham - 19 September 2017

Tearing up the rulebook: legislation and new care models

Ben Collins reflects on the reintroduction of top-down control of the NHS and system-wide planning, despite legislation that aimed to establish a very different type of health system. How far can this go before the wheels fall off?

By Ben Collins - 23 August 2017

Will the capped expenditure process help keep a lid on NHS finances?

Siva Anandaciva asks whether the capped expenditure process is an attempt at a short-term fix for a long-term problem.

By Siva Anandaciva - 29 June 2017

Sending shockwaves through the NHS?

Ben Collins asks whether we are seeing the end of the purchaser-provider split as we know it.

By Ben Collins - 24 March 2017

A health service on the brink: a priority in the corridors of power?

With the much-anticipated Autumn Statement next week and NHS financial pressures hitting the headlines, Chris Ham considers the political context and what lies ahead for a health service on the brink.

By Professor Sir Chris Ham - 18 November 2016

NHS planning guidance 2017-19: steps in the right direction?

Richard Murray evaluates the latest NHS planning guidance, and considers whether the changes proposed are welcome and realistic in the current financial context.

By Richard Murray - 26 September 2016

The consequences of living within your means

The Department of Health's annual accounts, published last week, were further evidence of the increasingly serious financial crisis facing the NHS. Helen McKenna considers the outlook as measures are put in place to restore financial control.

By Helen McKenna - 29 July 2016

Public accountability needs to be at the heart of NHS reform

The need has never been greater for transparency and community involvement in decisions about how to manage changes to health and care services, says Alex Baylis.

By Alex Baylis - 13 June 2016

Separating the noise of contract negotiations from the signal of STPs

Chris Ham considers the progress made so far on sustainability and transformation plans, and whether they really have the potential to be a game-changer for the NHS.

By Professor Sir Chris Ham - 21 April 2016

Challenges ahead for the newly established NHS Improvement

NHS Improvement aims to deliver better healthcare, transformed care delivery and sustainable finances. With the official launch on 1 April 2016, Richard Murray considers the challenges it faces.

By Richard Murray - 1 April 2016

Real trust rather than regulated trust should be the foundation on which improvement in the NHS is built

A shift in emphasis, away from rules and regulation and towards developing positive organisational cultures that encourage risk taking and avoid blame, will be key as the NHS strives to improve quality

By Professor Sir Chris Ham - 4 March 2016

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