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

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The reconfiguration of clinical services is an important but insufficient approach

Our research highlights major gaps in the evidence for the reconfiguration of clinical services.

By Candace Imison - 25 November 2014

This patient’s experience

I had watched One Born Every Minute and kept my eyes open; I’d attended NCT classes and yoga workshops; I’d done my reading. None of this really prepared me for the extreme pain and joy involved in giving birth to my first child, but it helped a bit. What I was absolutely unprepared for was the experience of being a hospital inpatient.

By Jo Maybin - 19 November 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

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

‘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.

By Vijaya Nath - 31 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

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.

By David Oliver - 13 June 2014

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.

By Mandip Randhawa - 14 May 2014

Whatever happened to the Department of Health’s plan for vulnerable older people?

Back in the summer of 2013, Jeremy Hunt announced a public consultation on a new plan to improve care for vulnerable older people. This was finally published last month, but what does the plan mean for older people's care?

By David Oliver - 8 May 2014

Wanted: an even Better Care Fund

In light of our new report on the NHS productivity challenge, Chris Ham calls for a new transformation fund to stop the NHS approaching a major financial crisis.

By Professor Sir Chris Ham - 1 May 2014

It's time to start asking and answering the hard questions: a view from an expert by experience

Dominic Stenning is a member of the experts by experience group for the Commission on the Future of Health and Social Care in England. He spoke at the launch of the interim report, giving a frank and compelling patient perspective on the health, mental health and social care system.

By Dominic Stenning - 24 April 2014

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