The NHS never seems to be out of the news. Currently, the sense of a crumbling, deteriorating system is almost palpable, whether it is broken budgets, hospitals in special measures, staffing issues, low morale, or lengthening waiting times. Here, David Hunter argues that we must acknowledge that the real debate is political, not technical, revolving around the erosion of the public […]
In the 2015 Spending Review the government announced it will increase NHS spending by £10bn per year by 2020. Nasrul Ismail argues that combined with cuts to funding for public health, the increase means spending is focusing on urgent care and undermines the prevention agenda. He explains that a more effective preventative policy would decrease financial dependencies in the […]
Migrants’ access to the NHS is part of an ongoing debate in the UK, with the Home Secretary recently arguing that it is “obvious” that migration has an impact on the availability of NHS services. Looking at the impact of immigration on NHS waiting times, Osea Giuntella, Catia Nicodemo and Carlos Vargas-Silva explain that services in areas with a […]
Following an agreement last year to devolve powers to the Greater Manchester region and for the creation of a directly elected mayor, George Osborne has announced a new agreement to devolve the NHS to Manchester. In this article, Bob Hudson examines the agreement in depth, explaining that there are four main policy-implementation gaps regarding national governance, regional/local governance, financial governance and democratic governance.
The £6 billion […]
The heat of the debate about the ‘privatisation’ of the NHS has been intense. The role of the private sector in the NHS is a development which needs serious consideration, but only by resisting the temptation to use generalisations, miscommunications and allegations will we be able to have a proper and nuanced discussion of both the concerns and the possibilities, argue […]
Alex Salmond and the independence campaign have been increasingly vocal with their argument that voting ‘Yes’ in the upcoming referendum will save the NHS from privatisation. Paul Cairney explores why the ‘save our NHS’ message has so much traction while pointing out that spending on the NHS still goes up every year in cash terms and has risen markedly in real terms since 1999. At […]
How staff are treated impacts on patient care, but the NHS has yet to tackle discrimination against black and minority ethnic staff like it does other patient care issues, writes Roger Kline. In this article, he discusses new proposals whereby NHS organisations will be encouraged to take race equality seriously for the sake of patients.
The NHS has so far failed to meet […]
What happens when outsourced contractors are no longer able or willing to continue with the provision of public services? Bob Hudson explores the downsides of outsourcing public services and finds the proposals currently in train to address ‘market failure’ in both health and social care to be lacking. He goes on to explore alternative approaches and writes that public services should be seen as something more than a contract […]