In the midst of a lethal pandemic, the government controversially axed the main public health body (Public Health England) and announced the creation of yet another bureaucracy, designed by management consultants with no expertise in public health. History shows that without a clear overarching strategy and laws, these ad hoc reforms are likely to further hamper the UK’s ability to protect the population.
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As the political crisis tips over into a full blown constitutional crisis, the NHS in England remains highly susceptible to the ditching of constitutional conventions.
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CHPI’s new Director offers a cutting critique of Simon Stevens’ new NHS Long Term Plan
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David sets out worries about how coronavirus is being used to suspend or ignore safeguards designed to protect the public interest. Originally posted in OpenDemocracy
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Policy makers have known about the likelihood and impact of a virus like COVID-19 for many years. And yet the risks to population health have barely received a mention in long-term planning for the NHS over the last decade.
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In this piece, published today in BMJ Opinion, CHPI Director David Rowland sets out how he sees the Paterson Inquiry’s report as yet another missed opportunity to tackle the systemic patient safety risks which lie at the heart of the private hospital business model.
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This report looks into how the private hospital sector uses financial incentives to attract NHS consultants to work for them.
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The opaque financial structure of the major care home groups means that they are more vulnerable to collapse and enable hidden profits to leak out.
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The government’s recent deal with private hospitals, who will provide their beds and staff to help the NHS cope with coronavirus, has been framed as a significant boost for the NHS. But the larger benefits are arguably for the private hospitals themselves and their lenders and landlords, who in effect have received a bailout from the government at a time of crisis.
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Prof David McCoy considers the UK government’s approach to controlling the disease, the health system, and the social and economic impacts.
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On the day the Independent Inquiry into the Ian Patterson case published its findings, CHPI Director David Rowland appeared on ITV News to discuss our concerns that not enough is being done to address the systemic patient safety risks in private hospital treatment raised by the case.
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Today the Centre for Health and the Public Interest publishes its evidence to the Inquiry into the actions of the convicted Breast Surgeon Ian Paterson.
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Based on evidence from an extensive review of CQC inspection reports of 177 private hospitals in England, this report identifies serious risks to patient safety in the current private hospital business model.
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This report identifies where each pound that goes into the care home industry ends up by using a forensic study of the accounts of over 830 adult care home companies. If finds significant levels of leakage of money from front-line care, including to profit, rental bills and debt repayments.
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This briefing summarises the key forces determining the price and availability of new medicines in the NHS.
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We reflect on the controversy surrounding the case of Dr Hadiza Bawa-Garba, and the serious difficulties faced in finding the correct response when things go wrong in healthcare
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In the context of Brexit, attention must be paid to what a cap on migration means for recruiting and retaining the NHS workforce.
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The first of three essays in honour of Welsh GP Julian Tudor Hart – whose research and practice have lots to teach us about contemporary primary care challenges
Read MoreThe CHPI welcomes today’s letter from the Secretary of State to the private hospital sector which aims at reducing patient safety risks across the sector.
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Taken together, the collapse of Carillion and the National Audit Office’s report on the legacy of PFI and PF2 should be the final nails in the coffin of the use of private finance to fund public infrastructure projects. But what can we do about existing contracts?
Read MoreA 3-minute video summary of how PFI affects the NHS, based on the findings of our latest report.
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This analysis identifies five key questions to be asked of each of England’s 44 Sustainability and Transformation Plans.
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This report looks at the significant profits made by PFI companies from NHS contracts over the last 6 years.
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The June 2017 Conservative manifesto contained a statement which looks like marking the end of a long-running and highly charged debate about how healthcare should be delivered. So do we at CHPI feel vindicated?
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Social care requires a significant injection of public funds to move from being a residual public service to one which enhances the lives of older people. Until then, the crisis will continue to worsen.
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CHPI Research Officer Vivek Kotecha is interviewed about the charging of overseas patients for NHS care on BBC News 24.
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