
For the NHS, the autumn Budget and spending review held few surprises, with spending announcements trailed in the days leading up to the speech. But, as ever, the detail is important. As are the omissions.
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Integrated care is not delivered by boards. It happens around the patient and at service level. But governance structures are important in creating the right environment in which integrated care can be provided. And it may be an obvious point, but a new focus on population health will only work if there is enough funding for health and social care.
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A solution is needed to address continuing worries about a broken external audit model in the NHS. But there are steps NHS bodies and auditors can take in the meantime.
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All is not well in the world of local public sector audit. Those NHS organisations that have not tried to appoint new external auditors recently may be blissfully unaware of the issues that are unfolding and which look likely to get worse before they get better.
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The NHS has already made fundamental changes to the way it delivers services in response to the Covid-19 pandemic. These have not only been in frontline care – for example increasing capacity, establishing patient pathways and the rapid introduction of virtual consultations – but in various financing and governance arrangements that underpin the service. There is now a chance to establish a new financial regime that builds on these arrangements and helps the NHS meet its future objectives.
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NHS finance staff have a major role in supporting the frontline clinical response to the coronavirus outbreak
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Finance practitioners call for different approach to pension tax problem
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NHS finance has a diversity problem in higher paid roles, but it is on a journey of improvement
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