Insights
Insights
Perspectives on adoption, pathway change, and the partnership between pharmaceutical companies and health systems.
Current insights
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Fixing the crisis of trust between the NHS and Big Pharma
The NHS and pharma distrust each other for different reasons, competence versus character. Alignment, not trust, is the fixable variable.
Craig Barratt, 6 August 2014
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The Challenge of Transforming Healthcare: Forget 70% - No Large-scale Cost Reduction Programs in Health Ever Truly Succeed
Why no large-scale healthcare cost programme ever fully succeeds, six structural barriers, and what almost succeeding is worth.
Craig Barratt, 28 May 2024
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Are co-payments a useful funding source for healthcare, or should they mainly be used to shape behavior?
Co-payments raise almost no money in high-income systems; their real job is steering behaviour. Design rules follow.
Craig Barratt, 10 August 2025
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The Tipping Point of Healthcare: AI-Driven Digital Twins and the Path Beyond VBHC
Where value-based healthcare stalls, and what forward-looking personalisation would actually require.
Craig Barratt, 3 May 2023
From the archive
The record runs back more than a decade. These pieces are presented as written, in their historical context, each with a foreword setting it in its time.
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The 7 Deadly Sins of NHS Innovation
Seven ways good ideas die inside the NHS.
Craig Barratt, 30 May 2014
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Embracing 'The Museum of NHS Failure'
Systems that forget their failures repeat them.
Craig Barratt, 4 June 2014
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The Click Moment - Seizing the NHS Leadership Opportunity
Plans flatter us; randomness runs the show. Place small bets and kill the losers.
Craig Barratt, 3 July 2014
External publications
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The Value in Health Landscape: Organizations ↗
A review of 53 organisations shaping the global value-in-health field: their focus, outputs, funding and governance, finding a landscape fragmented by competing definitions of value. Edited by Craig Barratt for the Center for Improving Value in Health, Riyadh.
Center for Improving Value in Health, Riyadh, February 2021
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The Book of Health & Care Cost Management ↗
The 2024 book on why health and care cost programmes underdeliver, and the management disciplines that narrow the gap. Co-authored by Frances Bazire and Craig Barratt. 'The Challenge of Transforming Healthcare', hosted on this site, draws on the same material.
Frances Bazire and Craig Barratt, 2024
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