Sally Gainsbury responds to the Public Accounts Committee report on NHS financial sustainability. The Nuffield Trust is an ...

One important part of the recent plan to reform elective care is the role of patient-initiated follow-up (PIFU), which is a ...

This article describes four international examples of how contract and payment innovation and the use of incentives have been used to change and improve general practice services. The examples are ...

In England, NHS general practice contracts (‘GP contracts’) are held between NHS England and individual general practices, and are managed by the primary care commissioning team in each integrated ...

Responding to plans to reform elective care for patients in England, Nuffield Trust Chief Executive Thea Stein said: “Today’s plan to tackle the NHS waiting list shows the government is serious about ...

The need to revisit and agree the purpose and functions of general practice within the NHS is no less urgent than it was when highlighted in the 1950 Collings report into general practice! Recent ...

The recent dramatic expansion of new healthcare roles in the English NHS, including physician associates, has failed to take account of lessons from history about how to embed and integrate them ...

The first contract in 1948 – the General Medical Services (GMS) contract – was held between individual GPs and the Secretary of State for Health and drew GPs into the NHS. This built on the terms of ...

The NHS workforce has gone through shifts and rebalances of roles since the service began, driven by changing needs as much as financial constraints and staff shortages. In recent years there has been ...

The government has set out a new plan to reform elective (planned) hospital care with the aim of meeting its target of 92% of patients receiving treatment within 18 weeks by 2029. This collection ...

The elective recovery plan landed on a busy day in general practice. First Mondays of the new year are always hectic, and the NHS is again facing significant winter pressures. But GPs will have taken ...