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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
    • Adult social care
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Blog

Payment by Results: time for a rethink?

The more we have got to know about how PbR operates and similar payment methods in other countries operate in practice, the more there seems to be a case for a rethink, says John Appleby.
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By John Appleby - 2 November 2012
Blog

First do no harm: lessons from service reconfiguration in London

What can we learn from service redesign in London? Chris Ham reflects on themes from our conference on progressing health care in the capital.
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By Professor Sir Chris Ham - 19 October 2012
Blog

How can we deal with financial pressures in health and social care?

Chris Ham draws on discussions from our recent integrated care conference to identify four key building blocks of a whole-system solution.
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By Professor Sir Chris Ham - 3 October 2012
Blog

Provider reform: will anything be different this time round?

Current debates about the future of hospitals and bringing care closer to home echo those of the 1970s. So will anything be different this time round?
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By Professor Sir Chris Ham - 5 July 2012
Blog

Who gets how much of the public health budget?

David Buck looks at how public health funding allocations will be decided with the help of the Advisory Council of Resource Allocation (ACRA).
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By David Buck - 2 July 2012
Blog

Radical changes are needed – my reflections on themes from the NHS Confederation conference

Looking back on the conference, Anna Dixon considers outstanding reform issues, including the difficult decisions that must be made around hospital reconfiguration.
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By Anna Dixon - 28 June 2012
Blog

Dithering on Dilnot?

Despite the coalition's pledge in its programme for government that it recognised the urgency of reform, almost a year has elapsed since Dilnot reported.
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By Richard Humphries - 25 June 2012
Blog

Can Lean redesign stick in health care?

Lean is a methodology developed by Toyota which aims to improve flow while minimising waste. But why is it so difficult to apply to health care?
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By Nigel Edwards - 19 June 2012
Blog

Are we wasting money on care that patients don’t want?

Anna Dixon discusses whether asking patients what care they wanted could be a much simpler solution towards making savings.
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By Anna Dixon - 29 May 2012
Blog

The colour of money: Dilnot and the social care White Paper

Richard Humphries discusses the government’s forthcoming social care White Paper and the final piece of the jigsaw – Andrew Dilnot’s report on how care is funded.
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By Richard Humphries - 9 May 2012
Blog

Beware the rationing of care

Will our trust in clinicians lend local decisions on restrictions to treatments a new kind of legitimacy? Or will such decisions erode our trust in our local doctor?
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By Jo Maybin - 3 May 2012
Blog

Managing ACSCs: how can avoidable hospital admissions be reduced?

One of the benefits of the UK’s primary care based system is that it keeps patients away from unnecessary admission to hospital – however it may not be succeeding.
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By Nigel Edwards - 3 April 2012
Blog

Tackling financial failure: how will the proposed legislation work out in practice?

While opposition to the Bill has got louder, there has been relatively little debate about the new powers for Monitor and what they will mean in practice.
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By Anna Dixon - 27 February 2012
Blog

London health care: perspectives from the board

Visiting Fellow, Claire Perry gives us an insight into her previous roles in the NHS and examines the issues surrounding health care in London.
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By Claire Perry - 23 February 2012
Blog

Who gets what gets tricky: allocating public health resources to local authorities

With huge varieties in spending across the country, David Buck considers the role ACRA must play in distributing budgets for public health.
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By David Buck - 16 February 2012
Blog

Effective chronic care means recognising the importance of mental health

As policy-makers focus on how integrated care can become a reality in the UK, integration of mental and physical health care should be a key part of the debate.
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By Chris Naylor - 9 February 2012
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Health Select Committee weighs in to debate on social care

With the government's response to the Dilnot report on social care funding weeks away, will the HSC's new report set out a compelling case for social care change?
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By Richard Humphries - 8 February 2012
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