NHS

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    When ‘more for less’ becomes ‘less for less’: the implications of central decision-making for the delivery of frontline services

When ‘more for less’ becomes ‘less for less’: the implications of central decision-making for the delivery of frontline services

With his unique perspective on the public sector, the Comptroller and Auditor General, Sir Amyas Morse, explains some of the elements of financial management and planning that determine success in major reform programmes. He uses examples from local government, adult social care, and NHS reforms to conclude that, too often, ‘efficiency’ improvements have shaded over into unplanned grass roots […]

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    Engineering financial distress: transplanting banking techniques to the NHS?

Engineering financial distress: transplanting banking techniques to the NHS?

The NHS is in what appears to be an endless financial crisis. But why has the government been unable to address the problem? Geoff Meeks draws parallels between a model deployed by the banking industry and the way the NHS is financed to explain why the problem may ultimately be a political one.

In a 2013 report, Lawrence Tomlinson, then […]

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    Co-operation, collaboration and competition – inside the mindset of NHS managers

Co-operation, collaboration and competition – inside the mindset of NHS managers

After two and a half decades of marketization, Pauline Allen argues that the attitudes of NHS managers towards competition in our health services are changing. Whilst in general NHS managers remain committed to co-operation and collaboration, pockets of pro-competitive thinking are present. However, a lack of clear policy direction leaves many managers preoccupied first of all with preserving their […]

Can technology save the NHS?

The NHS has been facing considerable funding and service challenges. In response, a potentially damaging plan aiming to ‘reset’ the £2.45bn record deficit has been launched, while the impact of Brexit will only make things worse. Bob Hudson explains how bottom-up technology initiatives, backed by a robust strategy, can help tackle many of the challenges facing our health service and […]

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    Book Review: All Our Welfare: Towards Participatory Social Policy by Peter Beresford

Book Review: All Our Welfare: Towards Participatory Social Policy by Peter Beresford

As the UK welfare state comes under increased pressure, in All Our Welfare: Towards Participatory Social Policy, Peter Beresford offers a critique of its past, present and future from a participatory perspective. Drawing upon personal experience and the theories of welfare service user movements, Beresford outlines the limitations of past approaches and explores ways in which service user ideas and experiences […]

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    The Queen’s speech and the NHS: Is secondary legislation the new primary legislation?

The Queen’s speech and the NHS: Is secondary legislation the new primary legislation?

Seasoned political observers may have been scratching their heads after yesterday’s Queen’s speech and wondering: where are all the big ticket Bills that are going to dominate this parliament? Many expected a majority Government with four years before the next General Election to announce Bills by the bucket load, argues Sally Percy, but this year’s speech left us with a […]

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    NHS walk-in centres are popular, but they don’t relieve pressure from A&Es

NHS walk-in centres are popular, but they don’t relieve pressure from A&Es

In 2010 NHS Walk-in Centres were a valued feature of around 200 communities in England, but many of these facilities have since closed or are facing closure. Ted Pinchbeck’s research may go some way to explaining why: less than a fifth of patients attending a centre would otherwise have attended an A&E, meaning the centres do little to relieve […]

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    Job coaches in GP surgeries: another attempt to pathologise the unemployed?

Job coaches in GP surgeries: another attempt to pathologise the unemployed?

The government will soon be placing job coaches in GP surgeries in Islington as part of a pilot to “coach” the unemployed into work. What is the aim of this process, how will its results going to be evaluated, and who will deliver it? Here, Elizabeth Cotton explains that the devil is in the detail and raises the questions […]

Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported
This work by British Politics and Policy at LSE is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported.