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Culture and leadership in the NHS

The King's Fund's second leadership survey revealed a mixed picture of leadership, culture and the working environment across the NHS. In February and March 2014 The King’s Fund conducted a survey of NHS managers and clinicians about leadership, culture and compassionate care in the NHS. We received more than 2,000 responses. This is the second leadership survey of NHS staff we have undertaken and it revealed a mixed picture of leadership, culture and the working environment across the NHS.  
kingsfund.org.uk
over 7 years ago
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Medical engagement

Our report is based on case studies of four NHS trusts with acknowledged high levels of medical engagement. It aims to help other organisations that are seeking to create cultures in which doctors want to engage more in the management, leadership and improvement of services. What is good medical engagement? In those organisations where it exists, how has good medical engagement been created and sustained? These questions are at the heart of this report, which builds on earlier work from The King’s Fund on medical leadership.  
The King's Fund
over 7 years ago
Www.bmj
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NHS is not (yet) in crisis, but what about school rugby?

If a crisis is the point of judgment, the nadir, the turning point, the NHS in England can’t yet be judged to be in crisis, said John Appleby of the health think tank the King’s Fund in a BBC interview this week, because things may well get worse (doi:10.1136/bmj.h50). This is hardly reassuring but probably realistic. Hospitals around the country are declaring “major incidents” because of a lack of beds or staff or both, emergency departments report that they are at breaking point, and general practice is under unprecedented pressure (doi:10.1136/bmj.h66, doi:10.1136/bmj.g7266, doi:10.1136/bmj.g6069, doi:10.1136/bmj.g6040). And there is little sign yet of things improving. Less realistic but more palatable is the belief of NHS England’s chief executive, Simon Stevens, that the £30bn (funding gap expected for 2020-21 can be narrowed to £8bn. This is magical thinking, says Nigel Hawkes (doi:10.1136/bmj.g7842).  
bmj.com
about 7 years ago
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Being overweight raises risk of men developing aggressive prostate cancer

World Cancer Research Fund review of global research finds link between obesity and advanced prostate cancer is strong  
the Guardian
about 7 years ago
Www.bmj
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State governments’ delays in fund transfer are affecting India’s national health mission, report says

Health ministry officials in Delhi are concerned that delays in the release of funds by state governments are hurting India’s National Health Mission and AIDS prevention programmes, Reuters reports.1  
bmj.com
almost 7 years ago
Www.bmj
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Experts question how India will meet promises on public health after cut in budget for 2015-16

A proposed 16% cut in funding for the Indian health ministry for the coming fiscal year has triggered concerns over how the government will keep the pledges it made last year to provide free drugs and diagnostic tests and universal healthcare coverage.  
bmj.com
almost 7 years ago
Www.bmj
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Reforming the Cancer Drug Fund

The Cancer Drug Fund was originally conceived as a temporary measure, until value based pricing for drugs was introduced, to give NHS cancer patients access to drugs not approved by NICE. Spending on these drugs rose from less than the £50m (€63m; $79m) budgeted for the first year in 2010-11 to well over £200m in 2013-14, and the budget for the scheme—now extended for a further two years—will reach £280m by 2016.1 The recent changes to the fund recognise the impossibility, within any sensible budget limit, of providing all the new cancer drugs that offer possible benefit to patients. More radical changes are needed to the working of the fund, given the failure to introduce value based pricing, so that it deals with the underlying problem of inadequate information on the effectiveness and cost effectiveness of new cancer drugs when used in the NHS.  
bmj.com
almost 7 years ago
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Implementing the NHS five year forward view

Our report calls for fundamental changes to how health services are commissioned, paid for and regulated to deliver the vision of the NHS five year forward view. A new paper from The King’s Fund calls for fundamental changes to how health services are commissioned, paid for and regulated to deliver the vision of the NHS five year forward view.  
The King's Fund
almost 7 years ago
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The future is now

Featuring the voices of patients, volunteers, clinicians and managers, our new digital report explores future ways of changing health and health care for the better. Today’s debates over health service pressures must not prevent us from addressing tomorrow’s need for radical change in our care systems. In this new digital report, The King’s Fund embarks on a journey across England and overseas into future ways of changing health and health care for the better.  
The King's Fund
almost 7 years ago
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Risk or reward?

A report from the Nuffield Trust and The King’s Fund finds that CCGs risk becoming unsustainable without changes to the way they attract leaders and adequate funding to help them expand their remit. A report from the Nuffield Trust and The King’s Fund finds that clinical commissioning groups (CCGs) risk becoming unsustainable without changes to the way they attract leaders and adequate funding to help them expand their remit.  
The King's Fund
almost 7 years ago
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British Social Attitudes 2014

The King's Fund report on the British Social Attitudes 2014 survey of the public's satisfaction with the NHS and health care issues. By John Appleby and Ruth Robertson Since 1983, the National Centre for Social Research’s British Social Attitudes survey has asked the public – rather than simply patients – about their views on and feelings towards the NHS and health care issues generally.  
The King's Fund
almost 7 years ago