Service design
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Insight BriefingsEarly cancer detection and the pandemic
The NHS has committed to getting the number of cancers diagnosed in stages I and II up from 54 per cent to 75 per cent by 2028, but GP referrals tumbled and screening programmes came to a virtual halt as the service was hit by covid-19. HSJ bureau chief Ben ...
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Insight BriefingsWhy outpatients are a mountain of risk and a land of opportunity during the pandemic
The UK’s most well-regarded waiting list expert Rob Findlay joins HSJ’s performance lead James Illman to tackle one of the NHS’ most pressing challenges: the colossal outpatient backlog. The NHS has talked about transforming these non-urgent services. But failure to deliver the substantial changes needed has seen what experts warn ...
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HSJ InteractiveWill covid-19 close the integrated care gap or widen it?
It is time to rapidly shift our focus onto the primary, community and social care frontline to make our vision for integrated care a reality, writes Conor Burke
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HSJ InteractiveThe new dawn of hospital groups: unlocking value
As hospitals look beyond their own institutions and partner with other organisations and alliances, Ben Horner, Stephen Sutherland and Jonathan Scott explore the benefits and how leaders can develop the right combination strategies
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HSJ InteractiveBuilding resilience through a whole system approach
Nicola Mortali explores the concept of resilient organisations and how they work to reduce instability and variability across their wider health ecosystems
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HSJ InteractiveActing on the insights of population health
To reap the potential benefits of patient data, ICS leadership should take measures to identify programmes of work and make population health mainstream, suggests Brian Waters
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HSJ InteractivePartnership defined by purpose and shared values will make a difference
Rob Webster on how West Yorkshire and Harrogate Health and Care Partnership has set out common points of agreement on its purpose, principles and approach and is working towards providing optimum healthcare to its people
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CommentThe NHS is holding the economy back by failing to share its data
Matthew Swindells writes about how unlocking AI’s potential in the NHS can boost productivity, improve patient care, and free clinicians from admin tasks by prioritising simpler, proven technologies like RPA and machine learning
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CommentThe NHS is not empowering charities to help the service
Wes Streeting has highlighted the urgent need for change in NHS maternity care, to address a workforce crisis and significant inequalities. Integrating charities into NHS care pathways could enhance services and provide cost-effective solutions, writes Angela McConville
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CommentThe investment in people that’s needed to make the most of AI
The prime minister plans to unleash AI across the UK, fervent in his belief that it can revolutionise healthcare and other key sectors. So can we sit back and let the robots take charge? Health Economics Unit director Andi Orlowski takes a look at the role left for humans in ...
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CommentThe use of volunteers is no longer just a 'nice to have'
From its pandemic origins, the NHS and Care Volunteer Responders programme has evolved to tackle broader healthcare challenges in the NHS, delivering promising results
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CommentI was an NHS leader for 30 years. Only now do I fully understand dementia care
Dame Ruth Carnall calls for greater collaboration between the NHS, local authorities, and care providers to improve outcomes for frail and dementia patients through better integration, long-term planning, and shared resources
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CommentForming a ‘group’ should not be the ‘default option’ for trusts
With clarity of purpose, forming a “group” with other trusts can benefit providers – but it should not be a default option just because it can be labelled as reform, says Paul Roberts.
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CommentThe NHS has to rewire its decision making
Empowering NHS staff voices through insight pathways can tackle inefficiencies, boost morale, and drive productivity, offering a sustainable solution to the health service’s pressing challenges of reform, resource allocation, and workforce engagement, writes Annie Williamson
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CommentICBs must retain a role in provider oversight
Integrated care systems embrace devolution and collaboration to deliver government reforms, prioritising prevention-focused neighbourhood care and sustainable health outcomes through an updated NHS operating framework, writes Kathy McLean
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CommentThe NHS is drowning in recommendations
Overloaded with duplicative recommendations, the healthcare system must prioritise impactful actions, improve collaboration, and ensure meaningful implementation to enhance patient safety and restore public trust, writes Rosie Benneyworth.
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CommentHow to build an effective integrated neighbourhood team
Nigel Edwards suggests that successful integration of health services hinges on prioritising staff engagement, simplifying processes, and fostering local collaboration, rather than top-down policy initiatives
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CommentICSs need to do more for young children
Rukshana Kapasi and Raj Jain highlight the urgent need for a shift from crisis intervention to early, preventive measures to tackle rising health inequalities and improve children’s long-term wellbeing and development
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CommentLocal communities should lead on setting priorities, not ICBs
Brian Fisher highlights the Coalition for Personalised Care’s work in examining the key conditions that empower communities to set and address their priorities, a tactic which yields numerous benefits
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CommentThe 'three shifts' are already happening
Moving care from hospital to community, implementing digital transformation, and shifting from treatment to prevention are the three shifts being led by NHS trusts to mitigate the challenges in how care is delivered, writes Emily Gibbons