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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

New CCG allocations: straw men laid to rest but deeper questions remain?

NHS England have set out their thinking on how the bulk of NHS money will get to where it needs to be, and on what basis, through allocations to CCGs – David Buck shares his thoughts on this decision.
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By David Buck - 17 December 2013
Blog

The National Intermediate Care Audit: key to understanding integrated care for older people

We can’t deal with the emergency care crisis at the front door of the hospital without addressing the situation at the back door – there are still too many patients who could be sent home within 0 – 2 days but who would not be able to access community support in time, says David Oliver.
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By David Oliver - 3 December 2013
Blog

The Integration Transformation Fund: the foundation of a genuinely integrated system or just another brick in the wall?

Expectations for the Integrated Transformation Fund are high, but will it actually help to deliver integrated care when the system is so under pressure?
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By Richard Humphries - 31 October 2013
Blog

What are we spending on the English NHS?

Although politicians say the NHS has been protected financially, this is only relative to real cuts in other areas of government and, crucially, not in terms of the demands on health care, says John Appleby.
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By John Appleby - 22 October 2013
Blog

What are the real costs of falls and fractures?

David Oliver looks at the direct and indirect costs associated with falls and fractures, and how we can disentangle these from the costs of the multiple morbidities people who fall often live with.
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By David Oliver - 4 September 2013
Blog

The NHS workforce: how do we balance cost-effectiveness with safety?

Professor James Buchan explores how NHS reforms have affected the health and social care workforce, and the importance of maintaining the balance between safety and cost-effectiveness.
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By James Buchan - 3 September 2013
Blog

Future payment systems in the NHS

The more we have got to know about how Payment by Results and similar payment methods in other countries operate in practice, the more there seems to be a case for a rethink.
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By John Appleby - 29 August 2013
Blog

Ageing: opportunity or challenge?

To secure the opportunities of the ‘gift of longer life’ we have to think differently about how we organise and fund our health and care services for an ageing population.
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By Richard Humphries - 14 August 2013
Blog

Let’s hear it for allied health professionals

It is impossible to deliver effective care without the crucial contribution of highly trained allied health professionals. Yet, whenever the quality of health care is debated, these vital staff are written out of the conversation.
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By David Oliver - 8 August 2013
Blog

Is it worth tinkering with an emergency care payment system in need of a thorough overhaul?

With the current state of the payment system for emergency care making evaluation difficult and evidence hard to interpret, is it time for an overhaul?
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By Loraine Hawkins - 30 July 2013
Blog

Named clinicians for vulnerable older people – how will it work in practice?

Jeremy Hunt recently announced that vulnerable older people in England are to have a named clinician responsible for their care when they leave hospital – but how will it work? And what are the caveats?
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By David Oliver - 9 July 2013
Blog

What happened to the extra NHS billions?

Three years ago the coalition government's first Spending Review promised to ring fence the budget for the English NHS and to increase spending in real terms each year to 2014/15. So what has actually happened to NHS spending?
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By John Appleby - 27 June 2013
Blog

What next for health and social care in England?

Chris Ham introduces our Commission on the future of health and social care in England, explaining that the divison between the NHS and social care established in 1948 is no longer fit for purpose.
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By Professor Sir Chris Ham - 18 June 2013
Blog

We must end ageism and age discrimination in health and social care

David Oliver argues that, unless our society changes its attitudes to older people, it will be an uphill battle to deliver results.
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By David Oliver - 29 May 2013
Blog

Beyond Dilnot: the need for wider reform

The new Care Bill is a breakthrough for social care funding, as for the first time, there will be a limit on how much people have to pay for their care. But there are still dangers in the proposed system.
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By Richard Humphries - 21 May 2013
Blog

The NHS failure regime: what have we learnt so far?

Candace Imison explores what we can learn from early experiments in using a failure regime in the NHS.
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By Candace Imison - 2 May 2013
Blog

A new beginning for the care of older people in hospital?

Although the care of older people will be ‘core business’ for the foreseeable future, numerous reports have highlighted serious failings in that care. Does the government's response to the Francis Inquiry report mark a new beginning?
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By David Oliver - 11 April 2013
Blog

The hospital bed: on its way out?

In his British Medical Journal data briefing, John Appleby examines trends in the number of hospital beds and wonders how low we can go.
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By John Appleby - 15 March 2013
Blog

The crucial role of volunteers in supporting compassionate, high-quality patient care

Volunteers are well placed to help organisations meet a number of Francis’s key recommendations, says Claire Mundle.
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By Claire Mundle - 14 March 2013
Blog

Letter to a friend, a non-executive director on the board of an NHS Foundation Trust

Jocelyn Cornwell gives her advice to non-executive directors following the Francis Inquiry report.
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By Jocelyn Cornwell - 26 February 2013
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