All articles by John Appleby
-
CommentThe budget was more positive than expected
Overall for the NHS, this Budget was much better than feared but not nearly as good as it needed to be. By Anita Charlesworth, John Appleby and Siva Anandaciva
-
CommentNHS funding: What the public thinks
Taking a look at people’s opinion on how the NHS should be tackling its funding problem and meeting performance targets
-
-
BlogsPolitics and satisfaction with the NHS
To say the NHS is political is to state the obvious. But are the public’s views about the NHS shaped by, or linked to, identification with political parties?
-
CommentCompetition isn't always the best option
We must be carfeul with how NHS competition is used
-
CommentIt's time to rethink payment by results
The landscape has changed, and with it so should the tariff system
-
Comment
John Appleby on risking failure
In his book Adapt: Why success always starts with failure, Tim Harford retells a moving and excellent story about Archie Cochrane’s efforts to conduct a clinical trial in a German internment camp.
-
CommentTaking up the Dorrell challenge? It's the money, stupid
There remains a worry that the government’s efficiency drive is still focused on short term savings that may not ultimately deliver the benefits to patients it claims, writes King’s Fund chief economist John Appleby.
-
CommentAn NHS ice age may have only just begun
Despite positive financial projections for the NHS after the current spending review period ends, the harsh reality is that the funding cold spell could continue beyond 2015 if the economy does not recover as hoped, suggests King’s Fund chief economist John Appleby.
-
CommentWaiting times tracker: analysis of seasonal effects
An important issue in understanding trends in waiting times - and what may be influencing changes since June - is seasonal variations.
-
Blogs
New inflation forecasts imply NHS funding cut
When the spending review was announced in October, the NHS budget faired reasonably well in comparison with other departments, with a real-terms increase of just under 0.1 per cent per year.
-
Comment'What will a real increase in the NHS budget actually mean?'
The 2010 spending review has announced a real rise each year for NHS funding to 2014-15. However, other spending departments now face a horror show of real cuts in their budgets.
-
HSJ KnowledgeWhy NICE values some patients' lives more
Mike Richards’ review of what to do about top-ups seems to reaffirm the line that the NHS should not subsidise private consumption of healthcare.
-
HSJ Knowledge
NHS parallels with the finance markets
As JM Keynes observed, if you owe the bank £100 you have a problem. But if you owe £1m, the bank has a problem.
-
HSJ KnowledgeScottish approach to healthcare is not paying off
At the British Medical Association’s annual conference this month, chair Hamish Meldrum put in a plea for England to emulate Scotland’s anti-market approach
-
HSJ KnowledgeA glance towards the next 60 years of the NHS
Looking back over the past 60 years reminds us of some familiar debates in the NHS: concerns about financial sustainability, wastefulness, and rationing of resources are all familiar issues today.
-
HSJ KnowledgeMaternity services at 60: the birth of a new era
For pregnant women, the birth of the NHS meant the family doctor’s advice could be sought freely without incurring expense, according to the 1949 Ministry of Health report.
-
HSJ KnowledgeCosts and benefits of new policies
The systematic evaluation of costs and benefits of health technologies by the National Institute for Health and Clinical Excellence is one of the success stories of the NHS over the past 10 years.
-
HSJ KnowledgeFirst of the PROMs
If you are a primary care or acute trust (or an independent provider of NHS-purchased care), are you planning for one of the most significant breakthroughs in NHS quality measurement?
-
HSJ Knowledge
Waiting times are just so... 1950s
As waiting times hit an all-time low in the NHS, anecdotal evidence suggests a need to revise the view that waiting continues to be a substitute for prices as a rationing mechanism.