Last week I was reading a survey of health leaders and thinking it was not really news to me that 67% of leaders did not feel there were credible plans in place locally to achieve the necessary NHS efficiency savings this year.
Now that we've all got used to the idea that the Labour Party has elected Jeremy Corbyn as its new leader, what do we think it will mean for GPs and general practice?
Effectively involving patients, carers and citizens in the development of services can help ensure solutions are more effective and sustainable, which is why co-production is increasingly being used to support service redesign.
I like the Germans. Really, I do. And it's not just because they are leading the way on handling the refugees from Syria.
Until very recently the NHS Five Year Forward View had appeared just as the title suggests: a view of the future in five years. Over the past month, and increasingly through the winter, some parts of this future view will start to become a reality.
For the first time in England, optical practices are now delivering free health and lifestyle checks in a groundbreaking initiative launched this month.
Few people would contest that the rolling out of personal budgets in the area of mental health is a radical change to the usual funding mechanisms.