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Not carpet bombs, but competition.. Pixabay/LoboStudioHamburg

If anything, the NHS should be carpeted with more competition

David Nicholson, the retiring Chief Executive of NHS England, has warned against what he called “carpet bombing” the NHS with competition. For him, and others, less focus on competition is a good thing…
Getting the green light for NHS treatment - but who pays? Flickr/Martin Kliehm

Distinction between ‘sick’, ‘frail’ and ‘disabled’ has to go

Since the 1940s our welfare state has been built around the assumption that it’s possible to distinguish between people who are “sick” and people who are merely “frail” or “disabled”. While we consider…
Everyone seems to prefer a big punch up. Flickr/Peacay

Doctors bashing Jeremy Hunt is just a Punch and Judy show

It’s a traditional part of the theatre of health policy for trade unionists to give secretaries of state for health a hard time. The latest example of this was the vote of no confidence in Jeremy Hunt…
Competition and integration in the NHS are chalk and cheese. Flickr/Foomandoonian

Integrating health and social care needs cash as well as talk

Foundation essay: This article on the relationship between health and social care in the UK by Bob Hudson, Professor of Applied Social Science at Durham University, is part of a series marking the launch…
A game of two halves: publishing performance can improve services but could also affect who surgeons choose to take on. PA/Gareth Fuller

Publishing surgeons’ performance could lead to gaming

Data on hospital performance often shows a wide variation and this poses the question of whether it should be available to the public or kept confidential. The government wants more transparency and announced…
Bum deal: people in poorer inner city areas tend to get worse services, such as less access to GPs. PA/Gareth Fuller

A&E visits research needs more careful scrutiny

A new study shows an association between less access to GPs and high rates of attendance in nearby accident and emergency (A&E) units. It’s an interesting piece of work but risks inflaming an already…
Emergencies only but are people turning to A&E because they find it difficult to see a GP? Flickr/lydia_shiningbrightly

High number of A&E visits in areas where access to GPs is worse

New research linking less access to GPs and higher demand in Accident and Emergency (A&E) departments could ignite the row over the A&E crisis. The number of people visiting A&E in England…
Four hours in A&E? Haven’t you got homes to go to? Rui Vieira/PA

Attacking GPs for A&E crisis ignores roots of the problem

Politicians and policy makers are blaming failures in out-of-hours GP care for the rising demand on accident and emergency (A&E) units. The number of attendances at A&E departments in England rose…
The real problem in care for the elderly is not so much about protection from costs as eligibility for council help. PA/John Stillwell

Capping elderly care costs won’t matter if no-one can qualify

Despite a big overhaul in the way care for the elderly will be funded, there are still fears that it isn’t enough and we’re surely “heading towards disaster”. The government is keen to emphasise the importance…
GPs and hospitals aren’t incentivised to properly manage demand, which has contributed to the crisis in Accident & Emergency. PA/Stephen Kelly

A&E is in crisis because we all take it for granted

Our increasing use of hospital services is out of control and unsustainable and is contributing to the current crisis in accident and emergency (A&E). But the problem isn’t new and 30 years of NHS…
Angelina Jolie’s double mastectomy has sparked a series of reports about preventative surgery. PA/Alastair Grant

Greater access to genetic testing in NHS will help cancer fight

Following Hollywood actress Angelina Jolie’s revelation last week that she’d undergone a double mastectomy to prevent breast cancer, it has emerged that a 53-year-old man had his prostate removed after…
It’s never easy when someone we’re close to is dying but there are things we can learn from the professionals who deal with this every day. PA/David Cheskin

We need to get over our fear of talking about dying

It’s not always easy to talk to someone who is dying. Conversations about future plans and wishes may appear insensitive and fuelled with great pain and distress when it’s somebody we love. For some, not…
David Cameron meets nurses during an NHS tour but the government doesn’t want to introduce mandatory staffing levels. PA

Finding the golden ratio for hospital nurses

Senior nurses warned this week that the number of patients looked after by nurses has become dangerously high in some hospitals. Quoting research from the University of Southampton, the Safe Staffing Alliance…
The convictions of Asian sex-grooming gangs have thrown social work into the spotlight. PA/Peter Byrne

Integrated health and social care could help victims of abuse

The conviction of seven men for rape, child prostitution and trafficking in Oxford on Tuesday brings to an end another horrific case of child sexual exploitation. Social services were again in the firing…

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