David Rowland considers the contingent role of government policy.
Read MoreThis analysis identifies five key questions to be asked of each of England’s 44 Sustainability and Transformation Plans.
Read MoreThe Appendix (technical notes) for Vivek Kotecha’s paper on STPs and whether they can deliver the NHS FYFV.
Read MoreThe financial assumptions underpinning the Government’s plans to close the NHS’s 30-billion-pound funding gap by 2020/21 are unrealistic and are likely to lead to a decline in the quality of and access to healthcare for patients. Subsequently there is a growing risk that that some vital services will collapse.
Read MoreClosing A&E departments has led to a deterioration in the performance of those that remain in North West London. This analysis warns of the risk to patients if further A&Es are closed.
Read MoreThis analysis looks at how the concept of patient choice has worked in the NHS in recent years.
Read MoreThis analysis looks at four key arguments that have been made to justify the use of individual budgets for health and social care.
Read MoreThis analysis explores how the Health and Social Care Act 2012 has placed requirements on NHS commissioners to engage in both collaboration and competition.
Read MoreThis report reviews the changes proposed for ‘Transforming Services Together’ in Newham, Tower Hamlets and Waltham Forest as part of the North East London STP – assessing the impact on East London’s patients and whether the plan is likely to work.
Read MoreJohn Lister assesses the published drafts of the plans for implementing the Five Year Forward View published by NHS England in 2014.
Read MoreThis analysis looks at why the Sustainability and Transformation Fund is not sufficient to eliminate the providers’ deficit in 2016/17, and what the implications of its insufficiency are for providers who accept the funding, and for the NHS in general?
Read MoreThis analysis looks at the state of care for people with mental health problems today. It argues that the changes in the structure and scale of health services and benefits available to them has made treatment and recovery more difficult and that a changed cultural context has weakened society’s sense of obligation towards people with mental health problems.
Read MoreThis analysis argues that this Government’s NHS reform has created great uncertainty surrounding who makes health policy – raising important questions about who can or should decide the future of healthcare in England.
Read MoreHalting the rising number of suicides by mentally ill patients depends on action to secure adequate reporting.
Read MoreThis analysis asks how far the new Sustainability and Transformation Plans being drawn up by ‘local health economies’ or ‘footprints’ can be expected to overcome the impending financial crisis of the NHS. It also draws attention to the apparent lack of a legislative basis for the planning process, and a corresponding lack of transparency and accountability.
Read MoreThis analysis looks at the evidence showing that creating and maintaining markets in the NHS has incurred huge financial costs and significant ‘opportunity costs’ – money which could have spent upon patient care and clinical redesign. The analysis goes on to argue that it is possible for the NHS to offer patient choice and high-quality health-care without the market.
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