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Reform will have to do more of the heavy lifting than investment under a future Labour government. BMJ 2024; 384:q232. [PMID: 38278538 DOI: 10.1136/bmj.q232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/28/2024]
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Think tanks and health policy in the United Kingdom: The role of the King's Fund. J Health Serv Res Policy 2024; 29:51-55. [PMID: 37878662 PMCID: PMC10729535 DOI: 10.1177/13558196231207808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2023]
Abstract
The King's Fund is a long-established health policy think tank involved in work on evidence-based policy in the United Kingdom. There have been few accounts of how think tanks operate. This essay seeks to partially fill that gap by reviewing the work of the Fund between 2010 and 2018, when the author was its chief executive. The essay outlines the history and status of the Fund, its funding and staffing, and the range of activities undertaken. Examples of policy areas in which the Fund was active and its impact on both policymakers in central government and leaders working in the National Health Service are discussed.
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Short term imperatives must not crowd out long term ambitions to transform health and care. BMJ 2023; 383:2944. [PMID: 38097260 DOI: 10.1136/bmj.p2944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
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What have we learnt from the covid-19 inquiry so far? BMJ 2023; 383:2654. [PMID: 37957007 DOI: 10.1136/bmj.p2654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/21/2023]
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Implementing Labour's NHS plans requires leaders to think and act creatively. BMJ 2023; 383:2407. [PMID: 37852633 DOI: 10.1136/bmj.p2407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2023]
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The prime minister's emergency NHS summit: more symbolic than meaningful? BMJ 2023; 380:53. [PMID: 36623873 DOI: 10.1136/bmj.p53] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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The government should be honest with the public about its public spending choices. BMJ 2022; 379:o2514. [PMID: 36261152 DOI: 10.1136/bmj.o2514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Integrated care systems must be agile and avoid becoming ensnared in bureaucracy. BMJ 2022; 378:o1626. [PMID: 35777760 DOI: 10.1136/bmj.o1626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Politicians must behave differently and support NHS leaders to change cultures and improve patient care. BMJ 2022; 377:o1437. [PMID: 35688462 DOI: 10.1136/bmj.o1437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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The NHS in England should use horizontal networks rather than vertical structures to improve health and care. BMJ 2022; 377:o1310. [PMID: 35609887 DOI: 10.1136/bmj.o1310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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What needs to be done to make the NHS fit for the future? BMJ : BRITISH MEDICAL JOURNAL 2022. [DOI: 10.1136/bmj.o641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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It's time to trust NHS staff to do the right thing. BMJ 2022; 376:o473. [PMID: 35197263 DOI: 10.1136/bmj.o473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Six million patients wait as politicians argue over the elective recovery plan. BMJ 2022; 376:o337. [PMID: 35131840 DOI: 10.1136/bmj.o337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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A national infrastructure plan for the NHS, social care, and public health is needed to build resilience for the future. BMJ 2021; 375:n3029. [PMID: 34876450 DOI: 10.1136/bmj.n3029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Successive use of shared space by badgers and cattle: implications for
Mycobacterium bovis
transmission. J Zool (1987) 2021. [DOI: 10.1111/jzo.12863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Abstract
This issue of Healthcare Quarterly introduces a three-part series featuring international perspectives on health service delivery models that improve system integration and ensure seamless services and better coordination. The series, developed by Ontario's Change Foundation, will feature Chris Ham, chief executive of the London-based King's Fund think tank; Geoff Huggins, director for health and social care integration in Scotland; and Helen Bevan, chief transformation officer of England's National Health Service.
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Evaluation of a candidate WHO international standard for Zika antibody as a vaccine reference reagent. Int J Infect Dis 2019. [DOI: 10.1016/j.ijid.2018.11.049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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A funding boost for the NHS in England. BMJ 2018; 361:k2741. [PMID: 29930173 DOI: 10.1136/bmj.k2741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Are we nearly there yet? A study of the English National Health Service as professional bureaucracies. J Health Organ Manag 2018; 31:430-444. [PMID: 28877622 DOI: 10.1108/jhom-01-2017-0023] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose The purpose of this paper is to explore issues of medical engagement in the management and leadership of health services in the English National Health Service (NHS). The literature suggests that this is an important component of high performing health systems, although the NHS has traditionally struggled to engage doctors and has been characterised as a professional bureaucracy. This study explored the ways in which health care organisations structure and operate medical leadership processes to assess the degree to which professional bureaucracies still exist in the English NHS. Design/methodology/approach Drawing on the qualitative component of a research into medical leadership in nine case study sites, this paper reports on findings from over 150 interviews with doctors, general managers and nurses. In doing so, the authors focus specifically on the operation of medical leadership in nine different NHS hospitals. Findings Concerted attention has been focussed on medical leadership and this has led to significant changes to organisational structures and the recruitment and training processes of doctors for leadership roles. There is a cadre of doctors that are substantially more engaged in the leadership of their organisations than previous research has found. Yet, this engagement has tended to only involve a small section of the overall medical workforce in practice, raising questions about the nature of medical engagement more broadly. Originality/value There are only a limited number of studies that have sought to explore issues of medical leadership on this scale in the English context. This represents the first significant study of this kind in over a decade.
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Cross party approach to NHS and social care. BMJ 2018; 361:k1888. [PMID: 29720372 DOI: 10.1136/bmj.k1888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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NHS England throws down challenge to government. BMJ 2017; 359:j5684. [PMID: 29229767 DOI: 10.1136/bmj.j5684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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The general election, the NHS, and social care. BMJ 2017; 357:j2840. [PMID: 28607104 DOI: 10.1136/bmj.j2840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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A WAY FORWARD FOR THE NHS. Take a place-based approach to care. THE HEALTH SERVICE JOURNAL 2015; 125:16-17. [PMID: 26882721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Authors' reply to responses. BMJ 2015; 350:h2779. [PMID: 26012349 DOI: 10.1136/bmj.h2779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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ON ELECTION MANIFESTOS. Certainty is lacking in post-election prospects. THE HEALTH SERVICE JOURNAL 2015; 125:16-17. [PMID: 26619564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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INNOVATION. Look further afield to integrate care locally. THE HEALTH SERVICE JOURNAL 2015; 125:19-21. [PMID: 26619562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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The NHS in England and the 2015 general election. BMJ 2014; 349:g6129. [PMID: 25304254 DOI: 10.1136/bmj.g6129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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