Spotlight: Lesbian, gay and bisexual men and women in England report poorer health and worse experiences of healthcare in the NHS

Our analysis of 27,000 responses to the national GP Patient Survey finds gay, lesbian and bisexual people are more likely to report communication problems and have less trust in their GP…

How can we use patient experience surveys to improve care?

One new answer, for cancer patients, comes from our analysis of the National Cancer Patient Experience Survey, published this week in the European Journal of Cancer Care We found strong inequalities in experience between patients with different cancer diagnoses, and these were pretty consistent across the whole patient journey, from pre-diagnosis care to post hospital …read more

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How do people with diabetes describe their experiences in primary care?

Well, actually quite good news here. People with diabetes in England report primary care experiences that are at least as good as those without diabetes for most domains of care. This is one of our conclusions from our analysis of responses to the English national GP Patient Survey from 85,760 patients with self-reported diabetes. However, …read more

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Cambs CCG gives £800m contract to NHS bidder. Should we all be cheering?

There seems to be general relief that the huge £800m contract which Cambridgeshire and Peterborough CCG have given for integrated care of the elderly hasn’t gone to the private sector. Two of the three final bidders were commercial organisations, but the contract has gone to an alliance between the local teaching hospital, Addenbrooke’s, and the …read more

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Seven day access – policy goes in the wrong direction – again!

Politicians just don’t get it. They are (and have been for years) obsessed with increasing access to GPs. And of course it sounds good for elections. But it’s not what the population needs. Increasing access comes at the expense of continuity of care. You can’t see your own doctor and expect him or her to …read more

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Why has the Welsh government approved Sativa for multiple sclerosis and not NICE in England?

Sativa is a nasal spray based on a cannabis extract which is used for painful muscle cramps in multiple sclerosis. There doesn’t seem much doubt that it works, and in its most recent draft guidance on MS, NICE has based it’s decision on cost effectiveness grounds – the benefit came out at £49,300 per QALY …read more

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Medication errors in primary care in the developing world

worldmap pills

Global spending on pharmaceuticals is roughly a $1 trillion, dominated by the US, Japan and major EU economies. Yet emerging markets and the developing world still account for around a third of expenditure. That’s a lot of medicines and it’s growing. With this substantial use of medications comes a significant risk of harm, compounded by …read more

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Asking the right questions

One of the great things about Twitter is that you get to read other peoples’ takes on things. Matthew Hankins, for example, posts people’s interpretations of p-values (under the hashtag #stillnotsignificant), which are more entertaining than you might think. A few weeks ago he posted the conclusion from a paper which read: “we were quite …read more

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mH2 – the future of mental healthcare

Mental healthcare is often described as the Cinderella of medicine – overlooked, disparaged, and generally neglected. In the UK, mental healthcare is the single biggest item on the NHS budget (£12.16bn in 2010/11), but in practice this means that only about 11% of the overall spend is allocated to deal with 23% of the disease …read more

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Care plans and care planning: a rare event?

Have you seen a care plan recently? Despite a massive effort, we didn’t see many in our national evaluation of care plans and care planning. Our new paper reports the findings of this work, summarised here.

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  • The Cambridge Centre for Health Services Research (CCHSR) is a collaboration between the University of Cambridge Health Services Research Group at the Institute of Public Health and the Health and Healthcare Group at RAND Europe. We aim to inform policy through evidence-based research on health services in the UK and internationally.