All Service redesign articles
See all articles with this subject.
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CommentThere is no Plan B if we fail on neighbourhood health
Neighbourhood health needs more than policy ambition – it requires smarter investment, better data, and a clear strategy to shift resources from hospitals into community-based care
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NewsMake us feel ‘safe’ while we drive reform, ICBs tell NHSE
Greater “air cover” from NHS England and “assurance” that commissioning leaders will not suffer from making difficult decisions has been demanded by integrated care boards.
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NewsSlow down shift to neighbourhoods, says GP leader
Plans to introduce neighbourhood provider contracts next year should be “reconsidered”, the Royal College of GPs’ president has told HSJ.
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Expert BriefingRecovery Watch: How many beds are enough?
Addressing urgent and emergency care recovery, including reducing A&E wait times and corridor care, remain top operational priorities for the NHS. This week’s Recovery Watch newsletter, by deputy bureau chief Matt Discombe, reports on progress towards these goals.
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NewsNeighbourhood providers to gradually replace PCNs
Integrated care boards will be expected to offer GP practices additional services and funding to drive them to form new “neighbourhood providers” – but will get no new national money to do so.
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CommentRespiratory care is the litmus test for neighbourhood health
Neighbourhood health offers a chance to transform respiratory care, but success will depend on sustained investment, community diagnostics and making lung health a national priority
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NewsShift out of hospitals must be ‘realistic’, warn doctors
A royal college has added to concerns that a shift in NHS funding to expand “neighbourhood” care risks undermining “safe, sustainable hospital services”.
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NewsCEO warns against ‘top slicing’ acutes for ‘well meaning’ neighbourhood schemes
Large acute trusts are shouldering unreasonable risk because their funding has been “top sliced” to pay for “well meaning” but unproven “neighbourhood health” schemes, a leading London CEO has told HSJ.
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CommentWhat the NHS can learn from Indian healthcare
India’s experience shows the NHS can improve productivity and patient care by consistently applying proven operational disciplines
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Expert BriefingRecovery Watch: This year’s validation trick
Elective recovery and returning the NHS to meeting the 18-week standard by 2029 is the government’s main performance priority. The Recovery Watch newsletter tracks prospects and progress against this goal. This week, by bureau chief James Illman.
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NewsDispute flares up over health centre development
An integrated care board is in dispute with one of its primary care networks over a bid to convert a former police station into a health centre.
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NewsRevealed: Promised ‘neighbourhood health centres’ already met requirements
Nearly all the first wave of “neighbourhood health centres” – currently being developed for launch by next year – were already doing the job required of the model, government documents reveal.
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CommentWe need a NICE for operational excellence
Operational decisions directly affect patient outcomes, yet lack the scientific infrastructure supporting clinical care. From theatre scheduling to risk stratification tools, the NHS has adopted interventions without the rigorous evaluation expected of clinical treatments
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CommentReducing hospital demand is not the right test for neighbourhood care
The idea that neighbourhood care can reduce demand on hospitals is not the given many claim it to be. But is it even the right question to ask?
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CommentWhy decommissioning fails
Attempts to decommission failing or out-of-date services are rarely defeated by weak evidence. More often, they do succeed because the costs of decommissioning are immediate and visible, while the benefits are delayed, diffuse and difficult to prove
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CommentGet services right for neurodiverse patients and they’ll work for everyone
Neurodivergent patients expose hidden burdens in NHS pathways, revealing how fragmented services often rely on patients to coordinate care
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CommentThe invisible constraint on patient flow
As pressures on health and social care grow, community equipment services offer a powerful opportunity to improve outcomes, efficiency and patient experience
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CommentThe government must not renege on its promise to make welfare part of neighbourhood services
The government’s neighbourhood health framework failed to mention debt advice, despite initial promises. The Money and Mental Health Policy Institute has published principles to help local leaders deliver effective welfare alongside NHS treatment
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CommentData-driven modelling can take the guess work out of planning
As the UK population ages and demand on hospitals grows, new research shows how predictive and prescriptive analytics could help the NHS better forecast demand, allocate resources and improve care for frail and elderly patients
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CommentThe benefits of slow leadership
Under relentless NHS pressure, speed is replacing judgement. Leaders risk losing reflection, moral clarity, and safe decision-making in this constant acceleration