All Integrated care articles – Page 2
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CommentThe global lessons on how to shift care closer to home
Global evidence shows primary care reforms often face political resistance, requiring deliberate strategies to sustain change and avoid stalled or collapsed implementation
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CommentSaying ‘no’ to referrals is the morally right thing to do
The NHS cannot meet rising elective demand within its current resources. Introducing referral thresholds is no longer a theoretical option, but a practical necessity to protect patients with the most serious conditions
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NewsNHSE rows back on controversial target
NHS England has rowed back on what was widely understood to be a new target for the proportion of patients it wanted “diverted” away from waiting lists, after accusations it was rationing care.
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NewsGP upgrades ‘stuck in layers of approval’
A string of bureaucratic barriers are still holding up development of buildings for primary and community care, multiple NHS and industry organisations have warned.
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HSJ PartnersBeyond the minimum: Broadening the field of vision for neighbourhood health
The NHS has been clear about what it wants neighbourhood health to deliver. To succeed, it must be built on the deliberate use of the full breadth of primary care and community partners.
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Expert BriefingThe Integrator: The two-speed problem
Insider tales and must-read analysis on how integration is reshaping health and care systems, NHS providers, primary care, and commissioning. This week, by correspondent Mimi Launder.
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NewsNHSE sets requirements for neighbourhood health centres
A building can be designated a “neighbourhood health centre” without offering mental health services, urgent or minor-injuries care, diagnostics or an on-site pharmacy, as determined by NHS England criteria published this week.
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CommentNational targets protect low-profile services
Devolution without accountability risks worsening NHS inequalities, leaving osteoporosis patients underserved, and the need for national mandates to ensure equitable care
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CommentStrengthening the patient voice after Healthwatch
Removing Healthwatch threatens a decade of progress, leaving patient voice searching for structure, influence and meaningful impact
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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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Expert BriefingThe Integrator: Commissioning’s ‘last role of the dice’
Insider tales and must-read analysis on how integration is reshaping health and care systems, NHS providers, primary care, and commissioning. This week, by deputy editor Dave West
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NewsStreeting: ‘Extraordinary vested interests’ resisted NHSE abolition
Government has faced an “extraordinary [level of] vested interest” from within the health sector opposing the abolition of NHS England, Wes Streeting has said.
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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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NewsICB warned against ‘passing costs’ to council
A cash-strapped integrated care board has been warned against shunting costs to local councils or residents, after making large cuts to NHS Continuing Healthcare spend.
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NewsChild spent two months in A&E
A child spent more than two months in A&E following a breakdown of a care placement, in what the trust described as “one of the longest waits we’ve seen”.
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NewsNearly half of 999 patients don’t need major A&E treatment
Nearly half of patients who arrive at hospital in ambulances are being discharged without needing major care, according to data obtained by HSJ.
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NewsTrust cancels ‘inefficient and expensive’ integration contract
An acute trust has decided to end a 20-year-long partnership agreement with a local authority to deliver adult social care services as the model has become “inefficient and expensive”.
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NewsMackey: Iran war threatens ‘huge shock’ for NHS finances
The NHS will need extra funding from government if the Iran war drives large price increases, which could amount to a “huge shock”, Sir Jim Mackey has warned.
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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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NewsMajor trust accused of shifting work to GPs
A major trust has been accused of inappropriately shifting work to GPs in the capital.