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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
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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

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

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.
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By Candace Imison - 19 September 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

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

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

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.
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By John Clark - 24 April 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

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.
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By Lara Sonola - 27 March 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

Operating Framework: playing with the levers

David Nicholson's Operating Framework for 2010/11 will look familiar to the NHS, with many of its messages reinforcing the Next Stage Review.
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By Mark Jennings - 16 December 2009
Blog

Weathering the financial storm

The quality of NHS service does not have to be a casualty of the financial crisis - it could be an opportunity to focus on clinical improvement and effectiveness.
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By Ruth Thorlby - 9 December 2009
Blog

Pre-Budget Report: a real cut overall for the NHS in 2011/12 onwards?

Despite the NHS fairing relatively well in the Pre-Budget Report, the massive productivity challenge remains: a relentless five per cent a year for three years.
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By John Appleby - 9 December 2009
Blog

Implications of a recession for the NHS: a freeze or worse?

Extracts and slides from John Appleby's presentation at the 2009 annual conference, describing research into future prospects for NHS funding.
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By John Appleby - 1 December 2009
Blog

Quality in a cold climate: the opportunities

Listen to Mark Jennings' presentation, where he argued that care can only be judged to be high quality if it is also delivered efficiently.
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By Mark Jennings - 27 November 2009
Blog

Real QIPP: reflections from our annual conference

Does the NHS have the skills to continue the drive to improve quality despite the impending budget cuts? Mark Jennings reports from our 2009 annual conference.
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By Mark Jennings - 25 November 2009
Blog

The end of the beginning: the social care reform paper

Richard Humphries discusses social care reform, as the consultation on Shaping the Future of Care and Support draws to a close.
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By Richard Humphries - 13 November 2009
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