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Blog

Comment and analysis on the key issues in health and social care

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Blog

Safe staffing in the NHS comes at a cost

When the Care Quality Commission suggested in its recent State of Care report that safer, better care does not necessarily cost more the inclusion of the word necessarily was important, says Helen McKenna.
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By Helen McKenna - 26 October 2015
Blog

Should we be worried about CCG conflicts of interest?

Are conflicts of interest affecting the services patients receive? Or is this inherent feature of clinical commissioning being managed appropriately through common-sense decision-making?
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By Ruth Robertson - 29 September 2015
Blog

High-quality health care: do Deming or die

Vijaya Nath visited Intermountain Healthcare to find out how they are able to deliver low-cost, high-quality health care. She found a culture of clinical integration and quality improvement inspired by the work of quality theorist W Edwards Deming.
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By Vijaya Nath - 10 September 2015
Blog

Is the NHS delivering enough things right?

Misuse occurs in the NHS when health services are poorly delivered. So how big is the problem of preventable harm in health care?
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By Hugh Alderwick - 9 September 2015
Blog

Is the NHS delivering enough of the right things?

Underuse happens when effective care isn’t delivered when it’s needed and it can lead to people needing more complex care as their conditions get worse. So, where might the NHS not be delivering enough of the right things?
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By Hugh Alderwick - 19 August 2015
Blog

Is the NHS delivering too much of the wrong things?

More health care is not always better health care. Sometimes the NHS delivers services that people don’t want or need: the problem of overuse.
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By Hugh Alderwick - 12 August 2015
Blog

No more inner Stalin: can Jeremy Hunt deliver his vision for the NHS?

The headlines that preceded Jeremy Hunt’s speech at the Fund may have focused on seven-day working, but what he had to say about his approach to reform is likely to be of greater interest to leaders within the NHS.
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By Professor Sir Chris Ham - 17 July 2015
Blog

Frontline teams are the key to delivering better value care for patients

Ruth Robertson's blog argues that we need to shift the debate on productivity to focus on delivering better value care for patients.
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By Ruth Robertson - 13 July 2015
Blog

Is it time to look at the third sector afresh?

Let the third sector be round the table when plans for communities are being shaped, says our guest blogger Sarah Swindley, Chief Executive of Lancashire Women’s Centres.
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By Sarah Swindley - 1 July 2015
Blog

Improving mental health: recognising the vital role of charities

There is a long way to go before mental health achieves ‘parity of esteem’ with physical health, and the voluntary and community sector is key to helping address this challenge.
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By Lisa Weaks - 15 May 2015
Blog

Implementing the NHS five year forward view: let’s not forget engaging patients and communities

‘Implementing the Forward View’ is often synonymous with ‘establishing multispecialty community providers and primary and acute care systems’. But this risks leaving behind the more radical chapter of the Forward View – chapter two, on engaging patients and communities.
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By Catherine Foot - 18 February 2015
Blog

Improving care: what can leaders do?

In organisations like hospitals, many of the answers are found among staff rather than in the executive offices and boardrooms, says Chris Ham.
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By Professor Sir Chris Ham - 26 November 2014
Blog

The Better Care Fund: will the plans work?

The government expects councils and NHS partners to achieve way too much, with too little, too soon, says Richard Humphries.
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By Richard Humphries - 5 November 2014
Blog

The ups and downs on the road to health service improvement

Parallels between the successful transformation of the Veterans Health Administration in the United States and the changes needed in the NHS in England have been made for a number of years. But recent troubles at the VA offer some important lessons for the NHS in the future.
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By Hugh Alderwick - 11 September 2014
Blog

Can CCGs become accountable care organisations?

‘We need clinical commissioning groups to become accountable care organisations’ – that’s what Jeremy Hunt said recently in parliament. But what does this really mean and will it work in practice? Rachael Addicott gives her analysis.
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By Rachael Smithson - 14 August 2014
Blog

Better Care Fund, better read the small print?

Although earlier rumours of the demise of the Better Care Fund – the government’s £3.8 billion pooled fund to promote integrated care – have turned out to be greatly exaggerated, the significance of the government’s latest announcement about the fund should not be.
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By Richard Humphries - 8 July 2014
Blog

Why we must value leaders from the third sector

If the third sector is to reach its potential in supporting a new health and social care system, then we should look to its leaders and think hard about their support needs.
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By Lisa Weaks - 3 July 2014
Blog

Take care CCGs: it was the conflict of interest that tripped them up last time

In the past couple of weeks, ‘co-commissioning’ has emerged as the latest solution to the problems in primary care. But will it give patients, communities and clinicians ‘more clout’ in deciding how local services are developed, at a time when NHS finances are severely strained?
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By Ruth Robertson - 15 May 2014
Blog

Wanted: an even Better Care Fund

In light of our new report on the NHS productivity challenge, Chris Ham calls for a new transformation fund to stop the NHS approaching a major financial crisis.
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By Professor Sir Chris Ham - 1 May 2014
Blog

How engaged are CCG members one year on?

One year ago today, clinical commissioning groups formally took on their statutory responsibility for £65 billion of the NHS budget. So how do individuals in CCGs feel about engagement now?
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By Shilpa Ross - 1 April 2014
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