All Service redesign articles
See all articles with this subject.
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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Attempts to decommission failing or out-of-date services are rarely defeated by weak evidence.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
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CommentBeware: Reassurance is not assurance
When confidence in NHS service models wobbles, senior oversight can reassure – but without explicit governance, it may fall short of providing real assurance
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CommentBlaming individuals for care failures is sometimes the right response
The Great Ormond Street scandal exposes a growing imbalance in NHS patient safety policy. In moving away from blame, the system has also lost sight of individual competence, leadership responsibility, and the non-negotiables needed to prevent serious harm
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CommentHospice care faces a ‘cliff edge’ this spring
Hospices are facing more serious challenges than ever before: costs are rising, demand is growing due to an ageing population, and insufficient funding means at least two in five hospices are planning cuts
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CommentWhy so many acute oncology services are unsafe by design
Despite their central role in cancer care, Acute Oncology Services remain underdesigned and overreliant on professional goodwill. Workforce redesign, not resilience, is now the critical safety issue