News and Comment

News

How CCGs can build leadership capacity

Tuesday November 20 2012

The traditional NHS model of top-down, hierarchical leadership is ill suited to the complex challenges facing new leaders in the reformed health service. Those leading clinical commissioning groups in both clinical and managerial roles increasingly recognise that leadership in today’s NHS is first and foremost about helping others to lead: from GP colleagues and practice… Read More

Cutting the cost of care through connections

Monday November 19 2012

We know we are facing a demographic time bomb. The number of people in the UK aged over 85 has doubled since 1985. By 2021, there will be one million people with dementia, rising to 1.7 million in 2050. The ‘Barnet graph of doom’ makes local authorities across the country tremble. What will happen if… Read More

Local communities can provide councils with a way out of a crisis

Thursday November 8 2012

The question raised by Lord Heseltine’s growth report is how much councils can improve their own performance. One answer is staring them in the face: councils need to rethink their concept of resources to encompass their own communities. That isn’t a euphemism for press-ganging volunteers into doing everything. But when councils redesign services, they should take into… Read More

Comment

Integration and the Big Society

Wednesday September 29 2010

The notion of the Big Society as a channel for community and collective action cannot be seen in isolation of the concept of integration. Different communities need to share common values and goals. While we are beginning to see some of the flesh on the bones of the Big Society, there is yet to be… Read More

Big Society and small business

Friday September 24 2010

Where should the state end and the voluntary sector begin? This is one of the central questions of the Big Society. Supporters argue that the state has smothered grassroots activism in a way that is not only costly, but has actively undermined the ideas and energy of local people to make their lives better. Sceptics,… Read More

Asking the right questions for local government commissioning

Thursday September 23 2010

While much is uncertain about the coalition government’s policies there is undoubtedly a window of opportunity for local government to take the lead relatively unfettered by central and regional government. The coalition government’s spending review framework published in June invites decision makers in local government to ask the following nine questions: Is the activity essential… Read More