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

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Do personal health budgets improve quality of life for patients?

The personal health budgets evaluation, published recently by the Department of Health, contains encouraging news for those who believe that giving patients greater choice, flexibility and control can improve their quality of life.

By Angela Coulter - 12 December 2012

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.

By John Appleby - 2 November 2012

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.

By Professor Sir Chris Ham - 3 October 2012

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.

By Candace Imison - 19 September 2012

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?

By Professor Sir Chris Ham - 5 July 2012

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).

By David Buck - 2 July 2012

Please stop muddling shared decision-making and provider choice

Angela Coulter responds to the Department of Health's new consultation on 'No decision about me, without me'.

By Angela Coulter - 1 June 2012

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.

By Anna Dixon - 29 May 2012

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?

By Jo Maybin - 3 May 2012

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.

By John Clark - 24 April 2012

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.

By Nigel Edwards - 3 April 2012

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.

By Lara Sonola - 27 March 2012

Is patient engagement important in leadership?

Is the obsession with organisational structure missing the point? Angela Coulter looks at why NHS organisations need to show leadership in engaging patients.

By Angela Coulter - 22 March 2012

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.

By Anna Dixon - 27 February 2012

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.

By Claire Perry - 23 February 2012

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.

By David Buck - 16 February 2012

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