All Comment articles – Page 6
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CommentCultural differences in British society are being ignored by NHS reform
Structural reforms ignore how to handle cultural differences within the population, leaving clinicians without frameworks for making complex decisions, risking inequity, unsafe care, and weak accountability
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CommentLeadership resilience is not just about endurance
Leadership resilience narratives overlook systemic pressure, leaving NHS leaders internalising strain while structural demands erode decision-making, wellbeing, and organisational effectiveness
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CommentHow boards handle pressure is more important than any plan
Boards are constantly balancing two roles: translating external demands into something coherent, and transmitting those demands to maintain assurance. How that balance shifts under pressure has profound consequences for behaviour, learning and improvement
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CommentHow to ensure ‘advice and guidance’ works for patients
Transparency will be critical to evaluate whether increased use of advice and guidance leads to better experiences and outcomes, says William Pett
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CommentEverybody needs good ‘neighbours’
The NHS must prioritise leadership, integration and long-term partnerships to turn neighbourhood health plans into meaningful, system-wide change
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CommentTurning the CQC into the regulator health and social care deserves
New draft frameworks signal the CQC’s shift back to sector-based regulation and a renewed focus on clarity, proportionality and improvement, says its interim chief executive
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CommentWes Streeting must cancel Palantir’s FDP contract now
Palantir is not the right partner for the NHS, says Green Party leader Zack Polanski
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CommentFixing the missing link in the NHS’s tech plan
The NHS has ambitious plans to become the most AI-enabled health system in the world, but without a workforce strategy to support adoption, innovation risks stalling between pilot and practice
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CommentNeighbourhood health is not ‘fluffy’
Neighbourhood health can improve outcomes and efficiency, but only if leadership, metrics and resources align with complex local population needs
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CommentEPR promise risks fading without national action
EPRs can improve productivity and care, but poor usability, fragmented systems and inadequate training risk undermining the NHS’s digital transformation ambitions
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CommentIf cancer services were as bad as some mental health care, there would be outrage
Concerns over patient safety at St Andrew’s reflect wider systemic pressures, including staffing shortages, outdated facilities, and limited alternative care provision
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CommentBoth government and trusts are to blame for failing MND patients
The programme designed to give early access to an innovative new drug for motor neurone disease is not operating properly
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CommentSaving money is possible for the NHS but only under six conditions
There are few opportunities for quick savings in the NHS, but there is strong evidence that longer-term gains can translate into real financial headroom if structural barriers are fixed
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Comment‘Cheapest is best’ is still dominating NHS procurement
When buying things, the NHS has focused too much on lowest price, rather than best value. Ministers must not miss the opportunity to put this right
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CommentThe NHS’s lawyers must be incentivised to help improve patient safety
One of the hardest lessons I learned as health secretary was that improving patient safety is not primarily about issuing new guidance, reorganising structures, or creating targets. It is about culture
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CommentThe NHS’s approach to treating anxiety urgently needs an overhaul
NICE’s anxiety guideline has not been meaningfully updated in more than a decade. It is showing its age, with major implications for service users and clinicians alike
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CommentThe £14bn debt the NHS owes to other nations
The NHS relies heavily on internationally trained staff, raising urgent questions about fairness, sustainability, and investment in global health systems
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CommentAI is reading and repurposing NHS info and that’s a problem
AI systems now sit between NHS guidance and patients, introducing a powerful but ungoverned layer that challenges existing accountability frameworks
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CommentThe NHS’s racism problem is being deliberately downplayed by government
NHS leaders risk undermining progress on race equality by weakening transparency and accountability, despite persistent evidence of discrimination across the workforce
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CommentEnglish hospitals are outperforming those in Scotland and Wales
Despite ongoing pressures, England’s NHS is recovering faster than Wales and Scotland, with shorter waits and higher activity, despite similar funding increases