Articles

Bringing you the latest independent views on health and social care from The King's Fund, all of our reports and findings from our projects are available to buy or download.

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Data briefing: Waiting times are just so...1950s

John Appleby, Ruth Thorlby
John Appleby and Ruth Thorlby consider the issues surrounding waiting times in the NHS, from the 1950s up to the present day.

If Whitehall is to relinquish its control of primary care trusts, this must leave a democratic vacuum to be filled

Richard Lewis
Richard Lewis looks at the wider political implications of increasing the local accountability of PCTs.

How to score public accountability points

Ruth Thorlby, Richard Lewis
Ruth Thorlby and Richard Lewis discuss the public accountability of primary care trusts.

Are networks the answer to achieving integrated care?

An editorial by Nick Goodwin for the Journal of Health Services Research & Policy.

Patient choice in general practice: the implications of patient satisfaction surveys

Anna Dixon, Julian Le Grand, Ruth Robertson
Ruth Robertson, Anna Dixon and Julian Le Grand consider the factors that explain patient satisfaction with general practice physicians and how this may drive patients' choice of practice.

Identifying the impact of government targets on waiting times in the NHS

John Appleby, Sofia Dimakou, David Parkin, Nancy Devlin
An analysis of waiting times targets using survival analysis by John Appleby and colleagues at City University.

David Woodhead and Valerie James on tackling decommissioning

Valerie James, David Woodhead
This article looks at the challenges surrounding decommissioning. Government is stepping away from setting central targets and relinquishing direct control over delivery. Locally identified needs and priorities will take their place.

Life expectancy targets 'will not be met'

The government will fail in its attempts to cut infant mortality and life expectancy gaps by 10 per cent by 2010, according to Professor John Appleby, chief economist at The King's Fund.

Data briefing: 1948: creation of a new workforce

John Appleby, Ruth Thorlby
John Appleby and Ruth Thorlby explore the issues surrounding staff shortages in the early years of the NHS.

Learn to play the politics game

Simon Bird
Building relationships within your own organisation can be as important as developing partnerships outside it. Simon Bird, special projects programme director at The King's Fund, offers some thoughts on alliances and divisions.

How to spend less while doing more

John Appleby looks at how the NHS improved productivity in 2006-7, with annual spending falling but an overall rise in activity.

Darzi review must avoid national blueprint to enable best local solutions

Niall Dickson
The case for change in the health service is irrefutable, argues Niall Dickson, but strong managerial and clinical leadership, astute financial planning and significant changes in working practices will be needed to ensure Lord Darzi's review is truly a 'once in a generation opportunity'.

Data briefing: why NHS budgets have always been a bugbear

John Appleby, Ruth Thorlby
John Appleby and Ruth Thorlby explain how setting NHS budgets has always been problematic.

The NHS under-invests at its peril

Karen Lynas
The King's Fund Director of Leadership Development, Karen Lynas, warns the health service it must invest in its leaders.

Who owns and operates healthcare providers and does it matter?

Nigel Edwards, Richard Lewis
Nigel Edwards and Richard Lewis review the history of the debate on the ownership and operation of health care providers.

More money does not secure future of NHS

John Appleby looks at spending in the NHS.

Citizen and staff involvement in health service decision-making

Richard Lewis, Lisa Hinton
This article explores the roles adopted by elected and appointed governors of a first wave NHS foundation trust and the extent to which governors shared power with trust directors and influenced the management of the trust.

New Year priorities for NHS under the microscope

John Appleby examines the New Year priorities for the NHS outlined in last week’s Operating Framework for 2008/09.

Is Darling's spending review a good deal for the NHS?

John Appleby examines the 2007 Comprehensive Spending Review to see what it really means for the NHS.

Quality in primary care commissioning

Richard Lewis, Stephen Gillam
This article discusses the policy background and development of primary care commissioning and discusses potential measures for maintaining and improving practice-based commissioning as well as the quality of the commissioning process itself.

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