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

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A transformation fund for the NHS

Over the coming months The King’s Fund and The Health Foundation will be exploring the concept of a transformation fund. How big does such a fund need to be? And how should it be spent so that it supports real change at scale across the NHS?

By Lillie Wenzel - 18 December 2014

What does the Autumn Statement mean for health and social care?

As the dust settles on the Chancellor's Autumn Statement, this is a good time to review what it told us. I think it contained three big messages: one on money, one on reform, and one on social care.

By Richard Murray - 11 December 2014

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.

By Richard Humphries - 5 November 2014

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.

By Professor Sir Chris Ham - 23 October 2014

NHS funding: past and future

The NHS featured heavily at all three major party conferences over the past few weeks. How could it not; despite a ring-fenced budget, it is increasingly showing signs of financial strain, says John Appleby.

By John Appleby - 7 October 2014

Delivering better value in the NHS

2014/15 looks like being a watershed year in which the NHS moves decisively into deficit, so where do the opportunities lie in delivering better value?

By Professor Sir Chris Ham - 3 October 2014

Realising the power of digital health

Grand promises have been made about the benefits of recording a deluge of personal data, but what needs to happen for these promises to be realised?

By Matthew Honeyman - 2 October 2014

The deafening silence on the funding of health and care must be challenged

The deafening silence on future funding amounts to a failure of the political process at a time when the NHS is heading rapidly towards a deep and damaging crisis.

By Professor Sir Chris Ham - 16 September 2014

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.

By Professor Sir Chris Ham - 4 September 2014

Admission to a nursing home can never become a ‘never’ event

I agreed with much of what Simon Stevens said at the Age UK For Later Life conference until he stated that he would be ‘disappointed’ if care homes still existed within the next 50 years. I didn’t get the chance to challenge him but I want to do it now.

By David Oliver - 28 August 2014

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.

By Andrew Harrop - 27 August 2014

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.

By Andrew Haldenby, Cathy Corrie - 20 August 2014

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.

By David Oliver, David Buck - 18 August 2014

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.

By Rachael Smithson - 14 August 2014

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.

By Nick Pearce - 13 August 2014

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.

By David Buck - 5 August 2014

What happens when the money runs out?

If in 2013/14 the NHS struggled to maintain performance even with a recruitment round, the chances it can continue to do so with fewer, rather than more, staff look non-existent, says Richard Murray.

By Richard Murray - 22 July 2014

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.

By Professor Sir Chris Ham - 15 July 2014

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.

By Richard Humphries - 8 July 2014

We need to see a new era of leadership for the NHS

Are the days of the heroic pace-setting leadership of the NHS really behind us? Sarah Massie reflects on discussions at this year's NHS Confederation conference.

By Sarah Massie - 19 June 2014

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