Blog Comment and analysis on the key issues in health and social care Search Apply Listing Content Type Viewing: All blogs All blogs Share this content Share on Twitter Share on Facebook Share on LinkedIn Share on Email Print this page Topics Health and care services Adult social care Community services Emergency care General practice Hospital care Long-term conditions Maternity services Mental health New models of care Public health Leadership, systems and organisations Clinical commissioning groups (-) Clinical leadership Integrated care Local service design Quality improvement Voluntary and community sector Workforce and skills Patients, people and society (-) Older people Patient experience Patient involvement Patient safety Technology and data Policy, finance and performance Commissioning and contracting Devolution Governance and regulation Health and Social Care Act 2012 (-) NHS finances Performance (-) Productivity Social care finances Year 2008 2009 2010 2011 (-) 2012 2013 2014 2015 2016 2017 2018 2019 2020 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. 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. Blog A mounting case for change, but will it drive change in a 'liberated NHS'? In the light of two new reports, Candace Imison reflects on the impact of staff provision during out-of-hours on the quality of care. Blog Use of emergency hospital beds: why is there so much variation? An emergency admission to hospital is a disruptive and unsettling experience, so surely we owe it to our patients to reduce the current variation between areas? 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? 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). 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. 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? 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. 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? Blog Engaging leadership: hope for the future lies with a new breed of doctors As doctors are expected to play increasing roles in commissioning and delivery, it is vital they are prepared for their increased responsibilities early on. 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. Blog Why continuity of care is crucial for patients Continuity and co-ordination is essential for safe, effective and high quality care, however for older patients it has fundamental importance. 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. 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. 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. Blog Running the NHS: if you get the small things right, will the big things follow? Lara Sonola asks if clinicians used data to improve clinical practice and drive efficiency, could a little change help the NHS in a big way? Subscribe to our Weekly Update newsletterPublications: Independent research and analysis on health and social care Reports, long reads and articles.