COVID-19 has reinforced the necessity of effective planning of health services, treatment and prevention capacities in primary and secondary care, and both protecting and optimising our healthcare workforce. Here, Professor Kath Checkland reflects on the renewed centrality of “commissioning” to health policy debates that will follow in the wake of the pandemic, and draws lessons from […]
Marking their own homework? The management of conflicts of interest in the NHS
New research shows Clinical Commissioning Groups face challenges in managing conflicts of interest when commissioning primary care. Here, The University of Manchester’s Professor Katherine Checkland and Dr Imelda McDermott, and the London School of Hygiene and Tropical Medicine’s Dr Valerie Moran and Dr Pauline Allen, reflect on their latest research into achieving effective governance arrangements […]
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 […]
Changing the ties that bind
Clinical Commissioning Groups were introduced by the 2012 Health and Social Care Act. The role of GPs within the NHS and their relationships with NHS managers are changing as a result, explains Julia Segar. The NHS is dealing with severe challenges at present, with A&E in crisis and bed blocking preventing the release of some […]
Open up on costs to improve NHS care
Sharing information on the cost of treatment could help achieve better patient outcomes at a lower cost, says Professor Sue Llewellyn. But, given the current tensions between collaboration and competition in the NHS, some trusts seem unwilling to provide the ‘commercially sensitive’ information to commissioners that would help make this happen. A recent Parliamentary health select committee report urged […]
Challenging the cult of competition in the NHS
Evidence is short that competition leads to improved healthcare performance, says Prof Kieran Walshe. Collaboration and service integration is a better policy goal. For some time – under both this government and its predecessor – there has been a powerful ideological belief that competition leads to improvements in performance in healthcare. It’s a belief unshaken […]