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 […]
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 […]