Category Archives: Health

A vision for the NHS

On the 23 October 2014, NHS England published its Five Year Forward View, a vision document for the future of the NHS.

The timing, and the timeline, is very deliberate: this is NHS England’s chief executive, Simon Stevens, setting his stall for next year’s general election.

Whichever party (or parties) form/s the next government will have to decide whether they take this vision on. And whether they are willing to pay for it.

This is a crucial point because Stevens has addressed the enduring taboo of money. Politicians are largely in a state of denial about the funding crisis facing the NHS, forecasted to be short by about £30 billion by 2020/21.

That’s just under a third of the annual budget of the NHS. Stevens is clear: if you want the NHS to continue providing a universal health care service, free at the point of delivery, you cannot escape the fact that more money will need to be found.

For a pre-election period, where more spending, even on the NHS, is avoided like the plague by political parties, this is the very definition of throwing down the gauntlet.

So what does the vision say? Continue reading

Health and care: What matters most to older people?

Older people chattingThis week, we have a guest blog from Laura Stuart, Frailty Programme Manager at UCLPartners, a world-leading centre for research, healthcare and education.

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Barker Commission ‘lights the blue touch paper’ over paying for better health and care

Older woman with carerYesterday the Barker Commission published its report on the future of the NHS and social care. Established by the Kings Fund, the Commission was led by Dame Kate Barker, a renowned economist.

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Government aiming to transform primary care

On the 14 April, the Government and NHS England announced two programmes aiming to improve primary care.

The first, the Prime Minister’s Challenge Fund, was in reality a re-launch. In October last year, GP practices were invited to bid for a share of a £50 million pot to improve access to their services.

This could involve extending opening hours; setting up systems for online consultations, using Skype for example; creating new services such as care coordination for people with complex needs.

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