All Service redesign articles
See all articles with this subject.
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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Attempts to decommission failing or out-of-date services are rarely defeated by weak evidence.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
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CommentThe default model for complex care is no longer fit for purpose
Providers and GPs across North Central London tested a proactive neighbourhood model that improved coordination for patients with multiple long-term conditions
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CommentThere is growing unease about the future of stroke care
The government’s focus on stroke signals a welcome elevation of this critical policy and clinical area, but much hangs on the planned Modern Service Framework
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CommentA mathematical approach to solving real-world problems
Operational research helps NHS teams redesign services using data, improving ambulance efficiency and reducing missed appointments, while maintaining cost-effective patient care
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CommentThe NHS is embracing value-based procurement
In March, Lord Hunt suggested the NHS was too focused on cost when procuring goods and services. Not so, says NHS Supply Chain
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NewsNHSE reveals NHS App self-test specialties
NHS England plans to centralise at-home diagnostics for seven specialties through the NHS App, commercial documents reveal.
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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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CommentDon’t blame the government – NHS ‘conservatism’ is holding back change
Neighbourhood health has momentum and support, but without structural reform to funding and authority, the NHS risks slow implementation
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CommentWhy improvement programmes fade away
Improvement endures only when boards protect learning, and do not treat it as optional
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CommentWe risk creating a two-tier precision health service
Precision health can shift the NHS towards prediction and prevention, but success depends on investment, data, skills and fair access