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Illustrative image of the Care Quality Commission office building, with staff and visitors entering and leaving, highlighting the role of England's health and social care regulator. CQC State of Care report

Need them

The CQC reports familiar NHS failures while its own inspection activity has collapsed. Roy Lilley questions whether a regulator struggling...
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Empty NHS hospital bed in a dark black-and-white ward, with dramatic shadows highlighting concerns over hospital bed reductions and patient capacity. NHS hospital bed reductions

Reading

West and North London plans fewer hospital beds despite rising demand. Roy Lilley questions whether virtual wards, community services and...
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An empty NHS hospital changing room with neatly folded navy-blue nursing scrubs on a wooden bench beneath grey metal lockers. One locker stands open as natural daylight enters through a window. NMC fitness to practise delay

Regulate

Roy Lilley challenges the NMC over extraordinary hearing delays, mounting costs, failed regulatory standards and safeguarding concerns, calling for Council...
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Early-morning scene outside a busy NHS GP surgery, with staff and patients arriving, bicycles parked by the entrance and warm light from a consulting-room window. NHS performance improvement

Them

The NHS has mountains of performance data, but improvement means more than finding failure. Find the organisations succeeding against the...
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NHS mobile CT scanning unit in a supermarket car park, with shoppers and trolleys in the foreground as patients enter the unit. NHS prevention success

Works

From lung scans in supermarket car parks to vaccination and diabetes prevention, the NHS shows how science becomes valuable when...
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Four classical musicians performing a string quartet in a nineteenth-century rehearsal room, illustrating Baumol’s cost disease and the limits of NHS productivity. NHS productivity and patient pathways

Anita

NHS productivity isn't simply about working harder or treating more patients. Roy Lilley explores how shorter patient journeys, fewer interfaces...
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Unfinished concrete bridge ending abruptly above a valley while a high-speed train races along a separate track towards the distant horizon. AI transformation in the NHS

Horizon

AI has arrived before the NHS is ready. Regulation, infrastructure, accountability and digital foundations remain unfinished, leaving healthcare racing to...
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Overhead view of a senior management meeting room after a meeting, with a long table covered in briefing papers, notebooks, laptops, water glasses and coffee cups. Empty chairs surround the table while two officials leave the room in the background. NHS England abolition feasibility

Responsibilities

Abolishing NHS England was supposed to simplify management and save billions. Instead, workforce, legal and financial complications raise an awkward...
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NHS finance staff working on spreadsheets in a hospital office beside a busy clinical ward. NHS pension contribution £5.4bn saving

Spreadsheet

Britain may be run less by ministers than Treasury spreadsheets. NHS pension assumptions could release £5.4bn, raising a bigger question:...
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Staff outside Quarry House in Leeds, the NHS’s northern headquarters. NHS devolution and regional power

Power

Moving NHS managers and ministers from London to Leeds is not devolution. Real reform means transferring power, budgets and authority...
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Busy NHS community health centre waiting area with patients seated while nurses and clinical staff move between reception and consulting rooms. NHS Neighbourhood Health

Plug

Neighbourhood Health is the NHS’s eighth attempt to shift care from hospitals into communities. Without proven targets, extra capacity, workforce...
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Female GP prepares for the working day in a GP consultation room, with a computer, examination couch and blood sample tubes visible. NHS prostate cancer PSA testing policy

Newspaper

A quiet change to NHS prostate cancer testing shifts power from informed patients towards GP judgement, raising serious questions about...
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A working mother sits in her parked car outside a UK care home, overcome with emotion after visiting her mother with dementia while balancing work and family responsibilities. Andy Burnham social care reform

Answers

Andy Burnham’s social care reforms promise fairness for families, but funding alone cannot solve workforce shortages, capacity constraints or NHS...
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Modern NHS regional health authority headquarters with staff entering the main reception, illustrating regional NHS leadership and healthcare system management. NHS missing middle

The Missing Middle

Roy Lilley argues the NHS needs to restore a powerful regional tier, creating a functional middle between Whitehall and local...
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Care worker assisting an elderly resident using a walking frame in a residential care home corridor in England. social care funding reform

Paid for

Louise Casey's call for another national conversation on social care echoes Andy Burnham's 2009 consultation. The evidence already exists; what...
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Patients, visitors and NHS staff entering the main entrance of a large NHS general hospital during a routine weekday. NHS waiting list management

The truth

Political promises alone cannot reduce NHS waiting lists. Sustainable improvement depends on matching ambition with workforce, capacity, operational planning, transparent...
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House of Commons during a parliamentary debate, viewed from the back of the chamber with ministers facing rows of MPs. Andy Burnham Labour MPs letter

Their way

Andy Burnham’s letter to Labour MPs signals a different philosophy of government, but unless power genuinely shifts from Whitehall, it...
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Senior NHS leader speaking at a podium as overcrowded GP consulting rooms contrast with empty office space, illustrating conflicting messages about NHS estate capacity. Penny Dash primary care estate

New ones

Penny Dash’s latest comments on primary care estate capacity expose a fundamental contradiction at the heart of NHS policy, raising...
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