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Do the ‘sunny uplands’ of Labour’s NHS demonstrate ‘the dividend obsession’?

With Andy Burnham MP ‘restored’ as Shadow Secretary of State for Health after the latest Shadow Cabinet reshuffle, one can only assume that ‘responsible capitalism’ has not totally subsumed UK Labour’s...

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What’s best for a person isn’t necessarily what’s best for a hospital

It is pretty clear that the NHS as currently engineered puts Foundation Trusts on an elevated platform. Hospitals, being paid on the basis of activity involved for any one patient, can act for a sink...

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Are integrated care packages like M&Ms? Expect a competition law armageddon.

Somewhere along the path of the subconscious of this current Government they realised competition law, as the trojan horse for implementing the private market of the NHS, would be the ‘nuclear option’...

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Market Madness and Hospitals

According to the Regulators (Monitor, NHS Trust Development Authority and  the Care Quality Commission) just under half of our acute trusts have serious problems.  Most are made up of a single hospital...

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“The twittering machine”– Michael White, the NHS and Paul Klee

Just before I got in a black cab to go to my slot for a viewing of Paul Klee’s amazing paintings at the Tate Modern, I was finishing a Twitter conversation which included Michael White (@MichaelWhite)...

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How to Create the Conditions for a Healthcare Market: The Step-by-step...

An Outline of Marketisation Processes in the English NHS On The Basis of Marketization Theory Final Report for the Research Project “The Effects of Marketization on Societies: The case of Europe...

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Many people were warning about competition in the NHS long before Polly...

Many people were warning about competition in the NHS long before Polly Toynbee this morning. Me for example. There are very few people who registered this issue as such a big issue while devoting...

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The future of the NHS? Lessons from the market in social care in England

Executive summary This was first published by the The Centre for Health and the Public Interest where the full paper is available and is reproduced by permission. The authors are Marianna Fotaki, Sally...

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The NHS and markets – the drugs don’t work

  This week, David Cameron MP mocked Ed Miliband MP for sounding like a person who’d rung up a radio show whingeing. Cameron replied, “And your problem is caller?” The problem is a complete collapse of...

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A New Threat to CCGs, Hospitals and Accountability

We need a regime for financially failing Trusts – but this is not it. The government used the existing regime in Lewisham and found that the law only applies to the failing Trust, making their unjust...

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Size isn’t everything…. except in Labour’s competition policy

There are a few squares to circle when it comes to how Labour negotiates the future direction of health policy for the National Policy Forum later this year. One of them will have to be Labour’s future...

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Everything is thought about apart from the patient

Student doctor, pharmacist and nurse from Wythenshawe Hospital explain what working in an NHS hospital is like today. Wythenshawe Forum with Andy Burnham and Mike KaneThe post Everything is thought...

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David Prior is right, but his solution is wrong. Radical change is needed to...

In an article in the BMJ in 2011, entitled “How the secretary of state for health proposes to abolish the NHS in England” (BMJ 2011; 342 doi: http://dx.doi.org/10.1136/bmj.d1695 (Published 22 March...

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For flood victims, the State is not a dirty word. So why should it be for...

Ironically, just as Ed Miliband gave his Hugo Young 2014 lecture on “an unresponsive State”, many people in the SW England saw their sandbags being delivered to a different location. The floods have...

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SHA policy on the NHS and social services we need

The SHA should take the approach taken by its predecessor, the Socialist Medical Association, when it led the fight to create the NHS.  We need to re-establish an NHS publicly owned, publicly run and...

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At what cost? Paying the price for the market in the English NHS

Summary 1. Extreme financial pressure upon the English NHS for the foreseeable future makes avoidance of waste imperative. The ‘market’ in the NHS is a major source of waste. Creating and maintaining...

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Proposed policy on the NHS and social services we need

The SHA should take the approach taken by its predecessor, the Socialist Medical Association, when it led the fight to create the NHS.  We need to re-establish an NHS publicly owned, publicly run and...

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I agree. The effects of the free market on the NHS are indeed terrifying.

Tony Benn said famously, of Tony Blair, “It’s not up to Mr Blair to rename my party. I haven’t suddenly become a member of New Labour. I was never a member of Old Labour.” There is a therefore a...

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What market-based patient choice can’t do for the NHS

The theory and evidence of how choice works in health care  Introduction 1. Patient and user choice is at the forefront of the debate about the future direction of the provision of health and other...

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Challenging the cult of competition in the NHS

Evidence is short that competition leads to improved healthcare performance, says Prof Kieran Walshe. Collaboration and service integration is a better policy goal. For some time – under both this...

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