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 […]
The good ship SS DevoManc: full steam ahead?
SS DevoManc has now set sail after a six weeks stopover in port during the general election. Dr Lawrence Benson tries to plot its course. Let’s recap on DevoManc. It’s about the devolution of power and resources from Westminster to the city region of Greater Manchester (GM), including for health and social care. This marks […]
We are deBono, we are Devo
Laurence Benson routinely uses the lateral thinking techniques of the original thinker Edward deBono to review new and old policy for public services. As a teaching focused academic at Manchester Business School here Laurence runs the recent devomanc policy through deBono’s Six Thinking Hats technique. Each hat has a different colour to represent a different […]
How the high cost of PFI has added to the deficit
The debate on the deficit has been dominated by the cost of bailing-out the banks and the affordability of the welfare state. The impact of expensive PFI contracts should not be overlooked, explains Dr Anne Stafford. No matter who wins the General Election, the next government will have to deal with the growing cost of […]
Statistics, the Sun and government press offices
Reporting the relationship between mental illness and homicide and suicide must be handled sensitively. When it is not, a social media firestorm can follow, explains Professor Louis Appleby. It was about 18 months ago, late at night, when I checked my Twitter timeline for news. What I found took me by surprise. The mental health […]
Reorganising the NHS: Never again?
As we approach the election, the prospect of yet more organisational restructuring for the NHS fills Kieran Walshe with dismay. The next government needs to focus more on changes which make a difference to patients, and which are founded on good evidence about what works. The ability to hold two conflicting positions in your mind […]
Can performance pay in primary care reduce mortality?
Government policy assumed that incentives for general practice through performance-related-pay would improve mortality rates and other outcomes. Its scheme for doing this appears not to have worked as intended, explains Evangelos Kontopantelis. Primary care has enormous potential for improving population health outcomes – including mortality from common chronic conditions – through early intervention in the […]
DevoManc: does the future of health and social care start here?
Devolving health and social care in Greater Manchester is an attractive idea. But will the practical challenges undo it ask Kath Checkland, Julia Segar and Anna Coleman. Devolution has been coming to Greater Manchester (GM) for some time. The recent announcement that the total health and social care budget for GM – £6bn – is […]
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