Front line care

In addition to scrutinizing the details of high level reform of the NHS and social care, CHPI has looked at the implications of policy on the front line of public services.

The Quality and Outcomes Framework (QOF), the pay-for-performance protocol in general practice, has been the subject of significant debate since it was rolled out in 2004. At the core of the debate is whether the quality of general practice can be quantified for the purposes of performance management. There are concerns that the QOF has facilitated a “box ticking culture” which undermines the doctor-patient relationship and... Read More

This 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 More