All Policy and regulation articles
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CommentMental health reform is becoming urgent
Demand for mental health support is rising, particularly among young people. The next phase of NHS reform must prioritise prevention, early intervention and services that are accessible when people need them
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Expert BriefingThe Download: Wellness, or else
The weekly newsletter that unpacks system leaders’ priorities for digital technology and the impact they are having on delivering health services. This week, written by Ella Devereux. Contact HSJ in confidence here.
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CommentGovernment must back ICBs or its reforms will fail
ICBs are ready to prove themselves as strategic commissioners. Now the government needs to hold up its end of the bargain
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CommentWhy 30 years of commissioning reforms have failed
NHS commissioning reforms repeatedly fail due to structural, financial and political barriers, raising doubts over whether latest changes can succeed
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CommentPatient power payments risk driving defensive medicine in the NHS
Giving patients greater influence over provider payment could improve accountability, but clinicians warn it may encourage defensive practice and place further strain on NHS services
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Expert BriefingThe Integrator: Abolishing NHSE is the easy part
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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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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NewsTrusts could face ‘AI readiness’ test
Trusts passing an “AI readiness” test before being allowed to use the technology is one of the ideas being considered by an influential government commission.
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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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NewsCQC seeks CEO with ‘clear political licence’
The Care Quality Commission’s next chief executive will need to operate with “clear political licence” and be a ”visible national leader”, according to the troubled regulator’s job description for the role.
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NewsFourteen trusts rated red for ‘capability’
NHS England has rated 14 trusts “red” for “capability” – meaning their management has been unable to “grip” long-running problems.
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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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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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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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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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News‘We have to prove’ ICBs have value, says Mackey
Integrated care boards have to prove they can deliver major improvements if questions over their future are to stop, NHS England chief executive Sir Jim Mackey has told HSJ.
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NewsUpdated: Trust halts launch of AI tool that lacked NHSE-required sign-off
An NHS trust has abandoned plans to trial a major US supplier’s ambient voice technology after concerns were raised about its compliance with NHS England accreditation requirements, HSJ can reveal.
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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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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 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