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General practice on the brink: what should reform look like?

Blog post 17/05/2022Dr Rebecca Rosen

Increased demand, staff burnout and deteriorating patient experience are threatening the stability of general practice, but what would reform look like? In the second of our mini series of blogs this week, Rebecca Rosen describes the seven components that need to be built into any policy reform.

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General practice on the brink: what’s needed to implement change?

Blog post 17/05/2022Dr Rebecca Rosen

For general practice to reverse the decline in public satisfaction, retain its staff and avoid criticisms from various quarters, reform and a broader swathe of changes need to be implemented at pace. In the third and final of our blogs looking at general practice this week, Rebecca Rosen argues that...

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General practice: case studies of GP organisations working at scale to deliver access and continuity

Blog post 17/05/2022Case study

As part of our "General practice on the brink" series, we describe what needs to be built into general practice reform. The case studies below illustrate different types of GP organisation, owned and managed in different ways, which demonstrate options for improving access while also maintaining con...

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General practice on the brink: how did it get there?

Blog post 16/05/2022Dr Charlotte Paddison

General practice is on the brink, and policy-makers, clinicians and patients seem to know it. But how did it come to this? At the start of a mini series of blogs on general practice, Charlotte Paddison reflects on how its problems came about and what lessons can be learnt from them.

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NHS patients are more likely to die – it is right to ask why

Blog post 06/05/2022Mark Dayan

Last week a think-tank report drew newspaper headlines with the claim that the NHS ranked second from bottom across "a series of major health outcomes" compared with other international systems. Does the NHS really perform so badly internationally, and is there a real problem with our health outcome...

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Party politics and attitudes towards the NHS

Blog post 05/05/2022John Appleby | Laura Schlepper

The Nuffield Trust and The King's Fund's analysis of the latest NatCen British Social Attitudes survey found that overall public satisfaction with the NHS had plummeted to just 36 per cent. Health is a highly politicised issue in the UK, so how does that picture look when broken down by party-politi...

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Back to the future? What we can learn from the history of integrated paediatric care in England

Blog post 29/04/2022Ritvij Singh | Edward J Maile | Dougal Hargreaves | Mitch Blair | Georgia B Black

The integration of NHS children and young people’s services has often gained ground before faltering over the last 70 years, but there is now renewed ambition on it. So what can we learn from the history of integrated paediatric care in England? This guest blog from Ritvij Singh, Ed Maile, Dougal...

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Adult social care: why it has even lower public satisfaction than the NHS

Blog post 14/04/2022Simon Bottery | Laura Schlepper

The public has grasped what people who use social care already knew: it doesn’t provide all the support they need. Simon Bottery of the King’s Fund and Laura Schlepper from the Nuffield Trust explore the data from the British Social Attitudes survey.

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Offering tax breaks for private treatment: not an effective policy to deal with the waiting list

Blog post 11/04/2022Nigel Edwards

With record numbers on waiting lists, the idea has been raised of offering tax breaks to people who opt for private treatment, to help create more capacity in the NHS. Nigel Edwards explains why this won’t solve the problem. The blog was originally published in the BMJ on 5 April.

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Public satisfaction with the NHS falls to a 25-year low

Blog post 30/03/2022John Appleby | Dan Wellings

How has the Covid-19 pandemic and its effect on health services affected public perceptions of the NHS? The results of the 2021 British Social Attitudes survey reveal an unprecedented drop in public satisfaction with health services.

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