The NHS remains in a period of unprecedented change, combining massive post-2012 reorganisations, intense budget pressures, and spiralling service demand. One key new initiative – Sustainability and Transformation Plans (STPs) – has been dogged by controversy over their lack of transparency and public engagement. Here, the University of Manchester’s Dr Anna Coleman introduces STPs to a wider audience; […]
Why isn’t more being done to prevent falls among the elderly?
(image courtesy of Eric Wright, Trafford Housing Trust) For older people, falls can be devastating events. A more co-ordinated national effort is needed to help avoid them, says Emma Stanmore. As anyone with an ageing parent or relative will know, falls can be extremely serious. They can lead to hip fractures, a premature care home […]
The NHS has rushed to fix a weekend problem that doesn’t exist
Extended weekend working is being introduced by the National Health Service in a bid to save lives. But, as Matt Sutton and Rachel Meacock explain, new research casts serious doubt on the premise that more hospital staff on Saturday and Sunday will mean fewer patient deaths. As the raft of recent media coverage has highlighted, […]
What are the real implications for equality in junior doctors’ new contracts?
The government has just released its Equality Analysis of the contract it intends to impose on junior doctors. Its ‘tortured logic’ reveals much about what the government really thinks about gender equality and work and family life issues, argues Jill Rubery. If you delve into the 38-page document from the Department of Health, and work […]
Devo Manc is a far cry from ‘business as usual’
Today, Greater Manchester becomes the first region in England to be given new powers in the devolution of health and social care services from national government to regional decision-makers. But what makes this region’s devolution project so exciting is that its ambitions go way beyond the integration of health and social care, says Helen McKenna. […]
Who benefits from devolution? It depends who’s in control
If the ‘Devo Manc’ experiment is to work, local leaders and the staff who deliver services must be given the power and flexibility to innovate, says Su Maddock. Many are sceptical about devolution, yet city leaders are confident that with greater control and freedoms they can improve their cities and local economies. The Core Cities […]
Devo Manc – risk, opportunity or threat?
The handing over of the health budget to Greater Manchester authorities carries both risk and opportunity says Diane Coyle, who argues that delivering on data and analysis will be key for policymakers. The risk is obvious: as with the entire Devo Manc process, those concerned have to make it work. They have to spend […]
The Times They Are A Changin’ – but will we see the difference?
The Devolution of health and social care to Greater Manchester this Friday (1 April) is being heralded as the dawn of a new era – one that can deliver the fastest and greatest improvement to the health and wellbeing of 2.8 million people. But, asks Ruth Boaden, will any real change be seen? This time […]
DevoManc – a new era in health and social care
Devolved control of health, and integration with social care, creates an opportunity to improve care outcomes, improve value for money and decide local priorities for Greater Manchester, argues Lord Peter Smith. We are on the brink of a new era in Greater Manchester when we take charge of health and social care services. On […]
Health and social care devolution: it’s complicated
Devolving health and social care decisions to local politicians and professionals adds further complexity to an already complex system – and does not guarantee that the correct or popular decisions will be taken – argue Julia Segar, Anna Coleman and Kath Checkland. ‘Keep Wythenshawe Special’ is a campaign led by clinicians from Wythenshawe Hospital. […]
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