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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
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Blog

The public’s view of which treatments should be available on the NHS

It's hard to disagree with the principle that both costs and effects of treatments need to be weighed in order to make decisions about improving value for money and productivity. For a majority of the public however, this is not a principle they hold.
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By John Appleby - 17 December 2014
Blog

Improving care: what can leaders do?

In organisations like hospitals, many of the answers are found among staff rather than in the executive offices and boardrooms, says Chris Ham.
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By Professor Sir Chris Ham - 26 November 2014
Blog

The Better Care Fund: will the plans work?

The government expects councils and NHS partners to achieve way too much, with too little, too soon, says Richard Humphries.
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By Richard Humphries - 5 November 2014
Blog

Waiting for mental health care: what does the public think?

How long is it reasonable to wait for treatment of depression after being referred by a GP? The results from the 2013 British Social Attitudes Survey are revealing and suggest that public expectations exceed current policy ambitions.
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By Chris Naylor - 24 October 2014
Blog

The parallel universes of integrated care: the process of change is as important as the content

Chris Ham reflects on the integrated care summit 2014 and the parallel universes of integrated care researchers and practitioners.
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By Professor Sir Chris Ham - 23 October 2014
Blog

Reshaping general practice from within

What are some of the primary care innovations happening both abroad and in the UK? Nicola Walsh reflects on discussions at our recent conference on the role of general practice.
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By Nicola Walsh - 16 October 2014
Blog

The Cancer Drugs Fund: inequitable and inefficient?

On the face of it, the CDF would seem perhaps to be a good thing, helping improve the quality of life for people at the end of their lives. But is it either a fair or efficient way for the NHS to spend its limited budget?
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By John Appleby - 23 September 2014
Blog

The ups and downs on the road to health service improvement

Parallels between the successful transformation of the Veterans Health Administration in the United States and the changes needed in the NHS in England have been made for a number of years. But recent troubles at the VA offer some important lessons for the NHS in the future.
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By Hugh Alderwick - 11 September 2014
Blog

Now is the time to create a combined health and social care system

The growing problems in the NHS and social care cannot be solved by the Better Care Fund or any of the other short-term solutions on offer. Nothing less than a fundamental reform of the funding of health and social care services and citizens’ entitlements to publicly funded support is required to address these problems.
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By Professor Sir Chris Ham - 4 September 2014
Blog

Taxing retired households to pay for care

The third in a series of guest blogs that we are publishing in the run-up to the launch of the final report from the Commission on the Future of Health and Social Care in England. Each focuses on one of the possible options for funding future health and social care. Here, Andrew Harrop of the Fabian Society argues that retired households should contribute more towards the costs of health and care.
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By Andrew Harrop - 27 August 2014
Blog

Can we ignore NHS charges any longer?

The second in a series of guest blogs that we are publishing in the run-up to the launch of the final report from the Commission on the Future of Health and Social Care in England. Each focuses on one of the possible options for funding future health and social care. Here, Andrew Haldenby and Cathy Corrie of Reform discuss why new NHS charges are necessary and why no political party wants to talk about them.
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By Andrew Haldenby, Cathy Corrie - 20 August 2014
Blog

Nice one NICE: developing the policy narrative on preventing disability, frailty and dementia in later life

Integration cannot just be about treating frail older people, we need to think beyond health and social care, and NICE is leading the way with their new guidelines – out for consultation – on preventing disability, frailty and dementia in later life.
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By David Oliver, David Buck - 18 August 2014
Blog

Can CCGs become accountable care organisations?

‘We need clinical commissioning groups to become accountable care organisations’ – that’s what Jeremy Hunt said recently in parliament. But what does this really mean and will it work in practice? Rachael Addicott gives her analysis.
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By Rachael Smithson - 14 August 2014
Blog

An NHS tax is needed to keep the NHS free to all at the point of need

The first in a series of guest blogs in the run-up to the launch of the final report from the Commission on the Future of Health and Social Care in England. Each focuses on one of the possible options for funding future health and social care. Here, Nick Pearce of IPPR discusses how a dedicated NHS tax might work.
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By Nick Pearce - 13 August 2014
Blog

Will integration widen income-related health inequalities?

We need to be very careful in understanding the links between choice of metrics, impact of policies and population dynamics over time when coming to conclusions about the success or failure of ambitions to narrow inequalities in health, says David Buck.
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By David Buck - 5 August 2014
Blog

‘Herstory’: the barriers facing women in health and care

Leaders across health and care agree that much more needs to be done to address the low representation of women in senior medical leadership roles.
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By Vijaya Nath - 31 July 2014
Blog

A staff-led NHS? Improving patient care by engaging staff and devolving decision-making

In his new blog, Chris Ham discusses the recommendations of his review of staff engagement in the NHS. The review found compelling evidence that NHS organisations with high levels of staff engagement – where staff are strongly committed to their work and involved in decision-making – deliver better quality care.
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By Professor Sir Chris Ham - 15 July 2014
Blog

Better Care Fund, better read the small print?

Although earlier rumours of the demise of the Better Care Fund – the government’s £3.8 billion pooled fund to promote integrated care – have turned out to be greatly exaggerated, the significance of the government’s latest announcement about the fund should not be.
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By Richard Humphries - 8 July 2014
Blog

Delivering innovations in the care of older people: an opportunity to brag, steal, learn and deliver?

We have ample evidence of what good care for older people looks like and numerous service models delivering it, yet we aren’t very good at disseminating good practice, and worse still at adopting and implementing improvements at scale and pace.
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By David Oliver - 13 June 2014
Blog

NHS Equality, Diversity and Human Rights Week: more than shining a light?

Mandip Kaur reflects on Roger Kline's report on discrimination in NHS governance and leadership in London, and her own experience, to call for more action on difference and inclusion in the NHS.
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By Mandip Randhawa - 14 May 2014
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