News and Comment


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


Whither Social Impact Bonds?

Wednesday October 21 2015

When the Peterborough Social Impact Bond (SIB) was launched in 2010, SIBs were heralded as the future of funding social change. This £5million SIB was designed to reduce reoffending among short-sentence male prisoners through an innovative model of levering private investment in social outcomes. In April 2014, however, the third and final cohort of the… Read More

‘Quality of death’ – national success vs local variation

Wednesday October 7 2015

Most of us are familiar with the concept of ‘quality of life’ when thinking about a neighbourhood, city, or country. ‘Quality of death’, on the other hand, isn’t something we regularly talk about. However, a recent report has been in the news this week for doing just that. The latest Quality of Death Index has… Read More

Can a different kind of council website help build new collaborations with communities?

Monday September 28 2015

For years, most councils have been running consultations with their communities to find out what they think about services, what they want to see done differently, and increasingly what they would prioritise (and depriotise) in order to inform spending plans. This is largely an exercise in research – in understanding what people think about their… Read More