health and health care

Following Lord Darzi’s pledge to pilot direct payments and individual budgets in health care, this paper provides a brief background to the concept and principles of these ways of working, before focusing in more detail on some frequently asked questions.

The paper is intended to help inform forthcoming pilots, and was initially commissioned by NHS West Midlands as part of their Investing for Health strategy.

This report provides a snapshot in time of a rapidly changing primary care market. As PCTs conclude their procurement of new GP practices and GP-led health centres, there is a need for more systematic evaluation of the impact of choice and competition on the delivery and outcomes of primary medical care.

Paper which draws on evidence from the US as well as on previous experience in the NHS of GP commissioning in different forms, to identify lessons for policy makers as they take this policy forward.

While the government is on the right lines in promoting GP budget holding, the paper suggests that there is a need for caution in promoting budget holding as a universal solution without regard to the capabilities of practices to manage a budget and the safeguards that need to be put in place to avoid the downside risks.

The description of care trusts as either the ‘vanguard’ of integrated organisations or a ‘lost tribe’ was made by the former Chief Executive of a care trust at an HSMC learning event soon after their creation. It nicely captures the mixed views of care trusts as either the cutting edge of integration between health and social care or as a band of individuals and organisations that have happened upon a clumsy structural solution as a way of shielding themselves from other agendas.

Presentation by Stuart Keys, Strategic LEAN Network Manager, NHS Lanarkshire at the Working Together to Meet the Financial and Reform Agenda Challenges event, held on Tuesday 11 January in Edinburgh.

This document, and its Annexes, is the IA of the Health and Social Care Bill.

It assesses the benefits, costs and risks of implementing the policies proposed in the NHS White Paper Equity and Excellence: Liberating the NHS that require primary legislation.

This Research Paper summarises a wide range of social statistics. Subjects covered include crime and justice, defence, education, elections, health and population. This edition includes an article on "The CPI – uprating benefits and pensions". The Topical subject page includes information about fuel poverty and seasonal flu statistics.

This briefing argues that support given as social care can help improve health and reduce health disadvantage. Improving access to social care interventions is therefore important to any strategy for reducing health inequality. The concept of health inequalities refers to the avoidable health disadvantage people experience as a result of adverse social factors, such as lack of economic or social capital, or marginalisation. People with higher socio-economic position in society have better life chances and more opportunities to flourish. They also have better health.