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CommentThe artificial slowdown in the use of private sector providers must end
NHS elective recovery targets risk being undermined by late-year activity caps and funding constraints, highlighting the need for stable, strategic partnerships with independent providers
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CommentThe NHS’s ‘exhausted’ safety champions need greater support
A decade after the Freedom to Speak Up guardian role was first mandated following the Mid Staffordshire inquiry, the movement faces a defining moment
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CommentSmall improvement in RTT waiting times
The fig leaf of seasonal waiting list shrinkage is about to be ripped away
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CommentChanging the economics of outpatient care through technology
NHS productivity has stalled, not because digital investment failed, but because it was layered onto old ways of working. Ambient technology offers a chance to finally redesign them
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CommentThe NHS does not know where it is succeeding or failing
The 10-Year Health Plan’s promise to spread best practice through greater transparency risks falling short. Many ICBs lack the basic data needed to track whether services meet national standards or identify what works best
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CommentDon’t blame the government – NHS ‘conservatism’ is holding back change
Neighbourhood health has momentum and support, but without structural reform to funding and authority, the NHS risks slow implementation
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CommentThe silent drift towards increased cyber risk in the NHS
The NHS is in the middle of a quiet but consequential shift in how cyber risk is assessed
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CommentWe must not deny the interdependence of local government and the NHS
Closer collaboration between councils and the NHS is essential to tackle inequality, personalise services and deliver meaningful prevention locally, says Rob Webster
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CommentThe safety gap in NHS cancer care
Hereditary cancer risk often goes unreviewed in NHS care, exposing patients to avoidable harm without clear accountability structures in place
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CommentHidden antisemitism in the NHS must be addressed
Antisemitism in clinical workplaces often hides within political debate, leaving staff uncertain and unsupported, and organisations unclear on boundaries, reporting and responsibility
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CommentSuccessful tech business cases do not have to offer cash savings
Humber Teaching Foundation Trust’s new EPR delivered no cash savings – by design. Lee Rickles, its chief information officer, argues the real return lies in clinical time, safety and user experience, not balance sheet gains
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CommentTackling race inequality in maternity care
The UK faces stark racial maternity inequalities; new initiatives, better data, and anti-racism efforts aim to improve safety and access
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CommentIs it possible to be a compassionate leader in today’s NHS?
Compassionate leadership endures in intent, but sustained system pressure is quietly exceeding the human capacity required to sustain it
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CommentUnder-pressure boards abandon curiosity for grip at their peril
When under strain, boards signal what truly matters, and those signals decide whether learning thrives, stalls, or disappears when needed most
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CommentData must be used to better inform decisions, not simply justify them
In a data-rich NHS, the question is no longer how much information is collected, but why so little of it is translated into meaningful improvement
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CommentThe NHS’s digital accountability gap
NHS England’s digital drive risks hollowing accountability: outsourcing and AI can expand assurance capacity, but cannot absorb clinical risk, reputational exposure or the state’s ultimate responsibility
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CommentContinuity of care and improved access are not mutually exclusive
Continuity of care reduces mortality and hospital use, yet has fallen sharply in the UK. Restoring it could improve both outcomes and access
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CommentNHS care should be more personal as well as personalised
The NHS has long promised person-centred care, but the latest evidence suggests delivery still falls short of intent
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CommentFor neighbourhood care to work, we need a shared data infrastructure
An East London initiative offers a practical blueprint for how the NHS can deliver the preventive, neighbourhood-based care set out in its 10-Year Health Plan
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CommentRespiratory care is on life support
The impact of this year’s winter pressures on the health system’s overburdened urgent and emergency care services again highlights the urgent need to improve NHS respiratory care