Health

Dilnot’s not for diluting

Cross-party talks are about to start on funding long-term care in England. A positive start would be implementing the recommendations of the Dilnot Commission in full Read more

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NHS management: in the line of fire

Hospital boards are finding it difficult to cut costs and maintain standards of health care. They should consider devolving operational decisions to different business units or ‘service lines’ Read more

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The £33bn question

Will Scotland’s Budget allocate resources in the best possible way? It seems unlikely when a fixed formula is used to determine spending in both health and local government Read more

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Health committee tells it like it is

Today’s Health Select Committee report has many home truths to tell, and they go way beyond the headline-grabbing observations on the Health Bill Read more

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NHS efficiency: closing the gap

Variation in hospital performance has to be addressed both by hospital managers and policy makers if the taxpayer is to get true value for money Read more

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Restoring fiscal sanity to the US

The United States faces a financial crisis, with soaring debt levels and trillions of dollars in unfunded health and social security obligations. Radical reform is required to avert disaster argues the country’s former comptroller general Read more

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Elderly care: discharging our duties

The pressures facing the NHS from demographic change are building up all year round. Frail, elderly people deserve better from our health and social care services Read more

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Open and shut case?

The evidence for a targeted, nurse-led approach to care is mixed but it would be wrong to view this as a flawed concept. Case management still has a central part to play in meeting the needs of older people and those with complex illnesses Read more

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All for one?

So we’re not ‘all in this together’ after all. According to the latest British Social Attitudes survey, the public is becoming increasingly individualistic, intolerant of the poor and unwilling to pay taxes to fund services.
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Unhealthy consequences

The Health and Social Care Bill officially only covers England, but its removal of the private income cap will impact on both Scotland and Wales through the Barnett Formula Read more

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