Health Service Review
Farewell PCTs
Handing over health commissioning to GPs in place of PCTs is a big step, which cannot be achieved in one ‘big bang’, the Department of Health has recognised. Rather, the transfer requires managed stages – which, ironically, initially involve greater centralization, before eventually becoming a more localized commissioning process.
In December, DoH announced that PCTs [...]
New government - new health service reform: Health Service Review
Attempts at reforming and improving the NHS became one of the defining and persistent challenges of the last Labour government – despite it doubling funding in real terms. While major advances were made, it remained unfinished business for Labour. The big question is whether the coalition can do better.
Analysis by the King’s Fund concludes that [...]
Busy time for the Confederation: Health Service Review
The NHS Confederation – the membership body of NHS bodies – is having a busy year and the next few months are set to get even more hectic. It is not merely that the financial crisis could bear down on the NHS in ways that risk undermining the service: it is also that the looming [...]
Foundation trusts - success or failure?: Health Service Review
Foundation trusts are now five years old. In their first year, just 10 of the best performing NHS trusts converted to foundation status. Now there are 117 foundation trusts: more than half the acute and mental health trusts eligible to convert have done so. But have the Government’s enormous expectations that greater independence would lead [...]
Health PFI: Going somewhere?: Health Service Review
There were fears that the NHS could have been one of the main losers from the near collapse of the Private Finance Initiative. Over the last 12 years, some £12bn of new NHS capital projects have been commissioned through the PFI. But with the credit crunch and implosion of some of the banks most closely [...]
Co-payments - the inevitable reality for public services?: Health Service Review
A principle of the NHS is that all patients are treated equally. But should that principle extend to effectively banning patients from buying treatments that may prolong their life, just because other patients cannot afford to purchase the same drugs?
The tragic death of Linda O’Boyle in June shone a light on an area of NHS [...]
From a distance: Health Service Review
From a distance
by Paul Gosling
Private sector healthcare providers have responded with their feet to delays and confusion over phase two of the Independent Sector Treatment Centres programme. Many are no longer seeking large volumes of NHS patients and have walked away from dependence on NHS contracts.
Back in 2003, it looked very different. A £1.7bn programme [...]
Two chief executives for the price of one: Health Service Review
Beyond Section 31
by Paul Gosling
Joint social care commissioning by PCTs and local authorities have blossomed under so-called ‘Section 31 Agreements’. But Section 31 of the 1999 Health Act increasingly seems to be just the start of a longer journey to broader and closer integration of what have historically been very separate and culturally very different [...]
Strong Foundations for Mental Health Trusts
Three mental health trusts are at the forefront of a push to obtain foundation trust status. Paul Gosling discovers what others can learn from their experiences.
Ireland’s Modernising Agenda
Significant investment is allowing Ireland to make a fresh start, discovers Paul Gosling.
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