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

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2019

Five reasons why this NHS winter may be different

Siva Anandaciva considers the prospects for a NHS dealing with winter pressures, workforce challenges and limited funding, while planning for a no-deal Brexit.

By Siva Anandaciva - 2 December 2019

Inside England’s first accident and emergency department for older people

With accident and emergency performance reaching new lows across England, one NHS hospital is taking an innovative approach to meet the needs of its older patients.

By Siva Anandaciva - 20 September 2019

NHS admin: how does it affect patient experience?

NHS administrative processes and staff have an important role to play in delivering care. But what happens when administration is poor? What impact can it have on patient experience? As we begin our new project on NHS administration, Lillie Wenzel shares the findings from our early work.

By Lillie Wenzel - 13 September 2019

Theresa May: credit where it is due?

As Theresa May formally steps down as Conservative leader, Nicholas Timmins considers whether history will remember her legacy on health kindly.

By Nicholas Timmins - 6 June 2019

A new trend in elective hip surgery?

After more than a decade of steady growth, the number of elective hip procedures is in decline. Deborah Ward and Lillie Wenzel unpack this surprising trend.

By Deborah Ward , Lillie Wenzel - 3 June 2019

The NHS misses its new target for planned elective care

Siva Anandaciva considers the shift in priorities for the elective care waiting list and outlines three key considerations for developing a new strategy: how to best measure waiting times, setting realistic targets and the importance of short waits for patients.

By Siva Anandaciva - 16 May 2019

Spare change: the public and NHS funding

Is the NHS adequately funded, and how should funding be raised? Harry Evans explores the findings of the British Social Attitudes survey on public attitudes towards NHS funding and taxation.

By Harry Evans - 2 May 2019

The NHS needs to be more productive – or is it more efficient?

Stop reading this and get back to work – you need to be more productive. Or is it more efficient? David Maguire explores the difference between productivity and efficiency in the NHS long-term plan.

By David Maguire - 12 March 2019

What does the public think about the NHS and Brexit?

Will leaving the European Union be good or bad for the NHS? Beccy Baird explores the results of the BSA survey, which asked members of the public what they think Brexit will mean for the health service.

By Beccy Baird - 11 March 2019

Why is public satisfaction with the NHS still falling?

Ruth Robertson explores the factors behind why public satisfaction with the NHS is still falling, despite 2018's funding boost.

By Ruth Robertson - 7 March 2019

Co-ordinating care for high-cost, high-need patients

Chris Ham considers the care models for patients with complex needs presented at the Commonwealth Fund International Symposium, and argues that clinical teams need time and resources to effectively co-ordinate the care they provide.

By Professor Sir Chris Ham - 23 November 2018

Better value and a better night's sleep: keeping acutely unwell children and adults out of hospital

Mathew Mathai, Consultant Paediatrician at Bradford Teaching Hospitals NHS Foundation Trust, explains how the concept of a ‘virtual hospital’ and keeping patients out of hospital where possible has helped to improve quality and reduce costs.

By Mathew Mathai - 30 October 2018

A short history of NHS winter funding

The NHS relies on the reoccurrence of supposedly non-recurrent winter funding, but is still kept on its toes each year wondering how much money will be available and when it will be provided. Siva Anandaciva looks at how it works.

By Siva Anandaciva - 11 October 2018

NHS performance: bad, better or both?

In light of rising demand for NHS services how should we talk about performance against targets? Deborah Ward takes a different view of the data.

By Deborah Ward - 30 August 2018

The changing shape of NHS finances

As austerity and widespread staffing shortages began to bite over the past decade, the finances of NHS providers often took a familiar shape each year. But more recently this pattern of financial performance has been increasingly pulled out of shape and distorted.

By Siva Anandaciva - 10 July 2018

Is the problem of excessive winter deaths unique to the UK?

Veena Raleigh assesses patterns in the latest mortality data for European countries.

By Veena Raleigh - 2 July 2018

NHS medicines provision: a tricky balancing act

With medicines spending growing at a time of NHS funding restraint, difficult choices lie ahead for policy-makers. Leo Ewbank assesses the current situation and looks at what the future may hold.

By Leo Ewbank - 27 April 2018

The perpetual winter’s tale

Matthew Kershaw looks at the ongoing pressure on NHS performance and calls for action to ensure that the situation during the winter crisis does not become the new normal.

By Matthew Kershaw - 9 April 2018

Achieving a balance between quality, access and money

Focusing on just one of these priorities can seem more straightforward, but that is not the reality of life for NHS leaders and is not the right approach, says Matthew Kershaw.

By Matthew Kershaw - 8 March 2018

Public satisfaction with GP services drops to lowest level in 35 years

Ruth Robertson considers why public satisfaction with GP services has dropped to its lowest level in 35 years.

By Ruth Robertson - 28 February 2018

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