The NHS in England faces a huge challenge over the next decade. The tighter public spending settlement for the NHS means the NHS will have to increase productivity in the […]
The King’s fund
Anna Dixon: Do we need more generalists in our hospitals?
Medicine is becoming increasingly specialised: there are now almost 30 sub-specialties within the Royal College of Physicians alone. This is partly in response to the exponential rate at which scientific […]
Jo Maybin: Do actions speak louder than words on competition?
“What we are doing, through amendments to the legislation, is to make it absolutely clear that integration around the needs of the patient trumps other issues, including the application of […]
Chris Ham: A chance to go back to basics on health and social care reform in England?
The government’s decision to consult with stakeholders during this pause in the passage of the Health and Social Care Bill through parliament creates an opportunity to revisit the problems the […]
Chris Ham: Education, integration, and involvement: three key steps to quality improvement
Taking time out from the debate about NHS reform, I visited Intermountain Healthcare (IHC) in Salt Lake City, Utah, to find out what makes it one of the most admired […]
Anna Dixon: Should clinicians be responsible for the population as well as individuals?
Historically, clinicians have had a strong tradition of connecting the health of the individual in their surgery to the population’s health. Doctors were, for example, active in early campaigns for […]
Chris Ham on general practice in Australia
If familiarity breeds contempt, then distance lends perspective. This much I learned – or remembered – on a recent visit to Australia. Invited to give the keynote address at the […]
Anna Dixon: The NHS white paper – what do doctors think of their new roles?
The past few months have been busy for anyone like me whose job it is to make sense of the government’s policy on health care. The coalition government launched a […]
Chris Ham: Join the debate over the future of NHS managers
Today, The King’s Fund launches a new commission on leadership and management in the NHS. The NHS is a complex organisation employing more than 1 million people and spending more […]
John Appleby and Nancy Devlin: Which English hospital is best at hips?
Earlier this month, the first set of data on post-operative patient reported outcome measures (PROMs) was published by the Department of Health. For the first time, this has provided a […]