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

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Assessing demand and supply in general practice

Beccy Baird shares her views on the progress of a project that will collect detailed evidence around the changes in activity in general practice over the past five years.

By Beccy Baird - 2 December 2015

Learning from others: devolved governance in the Australian state of Victoria

The health care system in Victoria, Australia, delivers good results compared with other states, but there are still areas where improvements could be made.

By Professor Sir Chris Ham - 18 November 2015

Devolution – silver bullet or Swiss cheese?

Health has found itself caught up in government's latest big idea. But what does devolution really mean for the NHS?

By Helen McKenna - 12 November 2015

Safe staffing in the NHS comes at a cost

When the Care Quality Commission suggested in its recent State of Care report that safer, better care does not necessarily cost more the inclusion of the word necessarily was important, says Helen McKenna.

By Helen McKenna - 26 October 2015

Will the new GP contract improve care for patients?

The government's proposal for a new contract that gives groups of GPs the opportunity to work more closely with a range of other services is not a bad idea, says Hugh Alderwick.

By Hugh Alderwick - 12 October 2015

High-quality health care: do Deming or die

Vijaya Nath visited Intermountain Healthcare to find out how they are able to deliver low-cost, high-quality health care. She found a culture of clinical integration and quality improvement inspired by the work of quality theorist W Edwards Deming.

By Vijaya Nath - 10 September 2015

Is the NHS delivering enough things right?

Misuse occurs in the NHS when health services are poorly delivered. So how big is the problem of preventable harm in health care?

By Hugh Alderwick - 9 September 2015

Inequalities in life expectancy over time: the importance of place and devolution

Tackling persistent inequalities requires consistent, sustainable action and intervention, which in turn requires stable, committed system leadership with a focus on population health systems.

By David Buck - 20 August 2015

Is the NHS delivering enough of the right things?

Underuse happens when effective care isn’t delivered when it’s needed and it can lead to people needing more complex care as their conditions get worse. So, where might the NHS not be delivering enough of the right things?

By Hugh Alderwick - 19 August 2015

Is the NHS delivering too much of the wrong things?

More health care is not always better health care. Sometimes the NHS delivers services that people don’t want or need: the problem of overuse.

By Hugh Alderwick - 12 August 2015

No more inner Stalin: can Jeremy Hunt deliver his vision for the NHS?

The headlines that preceded Jeremy Hunt’s speech at the Fund may have focused on seven-day working, but what he had to say about his approach to reform is likely to be of greater interest to leaders within the NHS.

By Professor Sir Chris Ham - 17 July 2015

Frontline teams are the key to delivering better value care for patients

Ruth Robertson's blog argues that we need to shift the debate on productivity to focus on delivering better value care for patients.

By Ruth Robertson - 13 July 2015

A new deal for general practice: doing things differently, not just more of the same

Now more than ever the medical profession needs to demonstrate leadership and to embrace reforms which are good for doctors and for patients, says Chris Ham.

By Professor Sir Chris Ham - 22 June 2015

Co-commissioning: a new relationship between GPs and their CCG

Co-commissioning has arrived. Today 64 CCGs take on fully delegated responsibility for commissioning general practice, while 87 CCGs take on joint commissioning responsibilities working with NHS England.

By Laura Bennett - 1 April 2015

What Devo Manc could mean for health, social care and wellbeing in Greater Manchester

Last week’s announcement of plans to devolve responsibility for health and social care to statutory organisations in Greater Manchester is a bold initiative that could bring substantial benefits if implemented well.

By Professor Sir Chris Ham - 2 March 2015

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