Health Policy Insight
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Editorial Friday 18 November 2011: Health Policy Intelligence 32 'ACO = RIP AQP & PbR; liberated NHS goes meta- with stasis' out

Publish Date/Time: 
11/18/2011 - 16:58

Would you like to know what has 50 branches and no roots?

Which canon law of NHS policy was broken this week?

The relationship between Andrew Lansley and Gok Wan?

The relationship between Andrew Lansley and Edward Woodward?


Why Ian Dury's band are writing the NHS Operating Framework 2012-13?

Health Policy Intellgence subscribers know all this, and more.

Health Policy Intelligence is our weekly subscription-based analysis service.

The new issue, 'ACO = RIP AQP & PbR - liberated NHS fails to metastasise; goes meta- with stasis', is now out.

Health Policy Intelligence is not available as free content. Subscription costs £8 a month / £69 a year for an individual. Increasing discounts are available to organisations wanting to subscribe for groups of more than 5 and 10 individuals.

A sample back issue is available by request - to receive one, email with your name and job title to editorial AT

Why are you charging for content?
Since its launch in June 2008, Health Policy Insight has existed on 100% subsidy from my other work as a self-employed journalist and editor. It's been (readers tell me) an independent, outspoken and useful addition to what is available in this area.

It has also demanded a huge amount more of my time.

My aim now is to do two things: to keep Health Policy Insight mostly free; and to maintain its editorial quality - which is ultimately why you come here.

Doing these two things won't be viable without my being able to earn some income from it.

This is why launched Health Policy Intelligence as a new weekly summary and commentary on key policy issues. It's not a repeat of what I've written in the week (although it clearly will draw from it and link to it).

It is something extra and new.

If you value what we do, I hope you'll be willing to show that support by paying for a new, additional service that will help to fund what I make available here for free.

Why liberating the content doesn't work
There is a school of thought which suggests that all information-type content 'wants to be free'. I have some degree of sympathy with the philosophy, in the abstract. (although it's a bit Freddie Mercury).

However, the unintended consequences hitting someone who creates content are that it's either necessary to subsidise your content-creating by other paid work (leaving too little time for actually creating the content to a very high standard, without gouging your personal free time to near-death); or it's necessary to seek revenue from sources like advertising or advertorial (which likewise saps the time and incentivises self-censorship).

Neither approach, ultimately, will lead to really good journalism or analysis unless the authors have a sufficient and reliable revenue stream from elsewhere. That isn't the case for me.

My case is that Health Policy Insight offers you something you do not get elsewhere in terms of editorial approach, independence, jokes and quality. The economics of producing it on 100% personal subsidy by me are unsustainable.

I'd like to be able to keep much of what I do in the common realm; to be able to afford to do that, I need revenue from this.

Over to you.

To subscribe or see a free copy, email editorial AT