The NHS deficit is unprecedented and unsustainable. All eyes are on the forthcoming Comprehensive Spending Review and on some promising ideas for reform, explain Professor Kieran Walshe and Professor Judith Smith. The first quarter financial returns for the NHS, published just after the Conservative Party conference in Manchester, are the worst ever. Trusts were £930m […]
Crisis – what crisis? The reality of life in general practice in England
GPs are dealing with increased stress and more are leaving practice. Yet there are signs for optimism, reports Professor Kath Checkland. GPs in the UK are fed up – this much is commonplace. Newspaper headlines and social media alike tell a tale of dissatisfaction, declining morale and intentions to quit. If these reports are to […]
Migrant Drs keep the NHS going
Research led by Yasmin Ghazala Farooq with Kingsley Purdam, Aneez Esmail and Rob Ford at the University of Manchester has highlighted the vital contribution overseas trained doctors have made to people’s health and to the NHS in the UK. Given the ongoing debates about immigration control it is important to recognise that Britishness is a […]
The Drug Resistance Crisis
Drug resistance and the lack of new antibiotics are creating a potential medical crisis, the government’s Chief Medical Officer Professor Dame Sally Davies warned in this year’s University of Manchester Cockcroft Rutherford Lecture. We are in danger of losing modern medicine. Growing drug resistance among bacteria, viruses and other microbes poses a catastrophic threat to […]
The role of font type in policy implementation
How can information best be conveyed to influence behaviour? Choosing the right font type is surprisingly important, explain Dr Debbie Smith, Dr Andrew Manley and Professor Dame Tina Lavender. What do you take into account when trying to get your message across? The information to be communicated, of course. How to express it – using […]
Lessons from the Caribbean on integrated healthcare
The NHS has much that it could learn from integrated mental health and primary care in the Caribbean, explains Dr Dawn Edge. The government has signalled that health and social care providers must move from ‘engagement’ to full ‘integration’. While the details are being worked out, there is some (albeit muted) disquiet that mental healthcare […]
Integrating physical and mental healthcare for people with multi-morbidity
Multi-morbidity – having more than one long-term health condition, often affecting mental health – is a worsening problem. In the first of two blogs considering the issue, Dr Peter Coventry explains there are ways to improve care. Of the 53 million people living in England, more than 15 million live with a long-term health condition […]
Framing DevoManc
Just how good a deal is DevoManc? David Walker expresses scepticism. Here are two ways of framing DevoManc. The first is (somewhat breathless) localist enthusiasm. A principal city-region is being offered new power to shape spending and services in health and social care, infrastructure and transport. As important as substance is the theatre: a group […]
Can lunch clubs save the NHS?
Social prescriptions have been hailed as a wonderful way of improving health outcomes, at low cost. But Paul Wilson argues that we need less rhetoric and more sound research to evaluate project results. The Queen’s Speech has seen the new government reconfirm commitments to make an extra £8bn of funding available to the NHS. But […]
Beyond the headlines on TTIP: Beware the fine print
Although much of the criticism in the UK of the Transatlantic Trade and Investment Partnership (TTIP) has focused on the NHS and ‘corporate tribunals’, Gabriel Siles-Brügge and Nicolette Butler argue that this overlooks one of its central purposes: a series of provisions that could make it more difficult for governments to regulate in the public […]
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