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

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Demand and activity in the NHS: still rising

As we publish our new briefing, Richard Murray considers the wider context of increasing demand and activity in English hospitals.

By Richard Murray - 21 December 2016

The general management 'mistake'

Following Jeremy Hunt's comments about whether the creation of a general management class in the NHS in the 1980s had been a mistake, Matthew Lewis reflects on whether this is the case and how clinical leadership can be better developed.

By Matthew Lewis - 14 December 2016

A health service on the brink: a priority in the corridors of power?

With the much-anticipated Autumn Statement next week and NHS financial pressures hitting the headlines, Chris Ham considers the political context and what lies ahead for a health service on the brink.

By Professor Sir Chris Ham - 18 November 2016

Can the NHS and social care be expected to withstand financial pressures as police and defence services have in the past?

Ahead of next week's Autumn Statement, Nicholas Timmins compares the financial pressures currently facing the health and care system with those weathered by other sectors in the past.

By Nicholas Timmins - 18 November 2016

Should local business rates fund local public health? There’s not a simple answer

David Buck looks at the complex issue of whether local public health services should be funded through business rates, and proposes a set of conditions that need to be met before this option is pursued.

By David Buck - 7 November 2016

The role of clinical leadership in the evolving NHS

Matthew Lewis, a hospital consultant who has recently joined The King's Fund on a part-time basis, talks about the role of frontline staff in demonstrating leadership through managing and using resources effectively at a time of substantial change for the NHS.

By Matthew Lewis - 28 October 2016

Overcoming the challenges to improve health and wellbeing in care homes

David Oliver considers the role of care homes in the social care sector, and the challenges that need to be tackled while seeking to improve the health and wellbeing of care home residents.

By David Oliver - 21 October 2016

NHS England says it cannot fund all cost-effective treatments promptly

Nicholas Timmins looks at some of the big issues raised by proposed changes in the way that drugs approved by NICE should be funded.

By Nicholas Timmins - 19 October 2016

Trust finances raise concerns about the future of the Mental Health Taskforce recommendations

New data shows that mandated increases in investment have failed to materialise on the front line of mental health care. Helen Gilburt considers what this means and the implications for future improvements.

By Helen Gilburt - 14 October 2016

NHS planning guidance 2017-19: steps in the right direction?

Richard Murray evaluates the latest NHS planning guidance, and considers whether the changes proposed are welcome and realistic in the current financial context.

By Richard Murray - 26 September 2016

Home truths: are older people paying the price for social care cuts?

Following the launch of the Social care for older people: home truths report, Patrick Hall considers whether older people are paying the price for cuts to social care.

By Patrick Hall - 15 September 2016

STP leaders face major challenges in transforming care and balancing budgets

With NHS sustainability and transformation plans hitting the headlines recently, Chris Ham discusses how the plans are shaping up and the challenges in developing new care models and delivering unprecedented improvements in efficiency.

By Professor Sir Chris Ham - 12 September 2016

NHS finances: a game of two halves

As the results of our latest quarterly monitoring report make clear, 2016/17 is not going to be an easy year for the NHS. Richard Murray takes a look at how commissioners and providers are coping.

By Richard Murray - 8 September 2016

How many sticks will it take to beat the NHS into financial health?

A key part of our Quarterly Monitoring Report is a survey of NHS finance directors, which offers an insight into the state of NHS finances. Ahead of the publication of our next report, Joni Jabbal considers the results of the latest survey.

By Joni Jabbal - 25 August 2016

NHS rationing under the radar

With local health systems being told to balance their books in the middle of the biggest financial crisis in recent NHS history, Ruth Robertson considers the impact of this pressure on patients and staff.

By Ruth Robertson - 17 August 2016

The consequences of living within your means

The Department of Health's annual accounts, published last week, were further evidence of the increasingly serious financial crisis facing the NHS. Helen McKenna considers the outlook as measures are put in place to restore financial control.

By Helen McKenna - 29 July 2016

Dealing with NHS financial pressures – what do the public think?

Ruth Robertson and John Appleby examine data from NatCen's British Social Attitudes survey to reveal what the public think about the NHS and its financial problems.

By Ruth Robertson - 30 June 2016

Three versions of the NHS

As health care leaders gather this week for the NHS Confederation annual conference, Chris Ham reflects on different versions of the NHS and how these can be combined to secure a sustainable future for the health service.

By Professor Sir Chris Ham - 14 June 2016

Public accountability needs to be at the heart of NHS reform

The need has never been greater for transparency and community involvement in decisions about how to manage changes to health and care services, says Alex Baylis.

By Alex Baylis - 13 June 2016

Is the UK spending more than we thought on health care (and much less on social care)?

John Appleby takes a look at the latest figures for health and social care spending and asks what new accounting rules mean for the UK's position in international health spending rankings.

By John Appleby - 8 June 2016

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