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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The NHS in England in 2013

Funding and service pressures are likely to have an impact on the quality of care in 2013, says Chris Ham.

Payment by Results: past its sell-by date?

There is a growing consensus that Payment by Results has outlived its usefulness in the NHS. But there is less agreement on what to replace it with.

Rises in health care spending: where will it end?

John Appleby examines why countries spend more and more of their wealth on health care and assesses the long term affordability.

What accountable care organisations will mean for physicians

Rachael Addicott spoke to four commercial accountable care organisations about the performance standards physicians must achieve and the consequences of not meeting them.

The ‘cottage industry’ model worked well, but won’t last

Small was beautiful, writes Chris Ham, but as the NHS changes GPs will need to start working together to make the most of the funding available.

Homing in on improved care in the community

Following research into the use of emergency beds by over-65s, Candace Imison considers what can be done to realise the vision of ‘care closer to home’.

Dealing with financially unsustainable providers: how will the failure regime work?

This paper explains why a failure regime is required in the NHS, outlines how the failure regime for NHS trusts (currently being applied in South London) works and how the failure regime for foundation trusts introduced by the Health and Social Care Act 2012 will work in future.

Fixing the broken system

Chris Ham and Anna Dixon put forward that case that urgent action is needed to change how health and social care are delivered.

Tackling the problems of seriously challenged NHS providers

The experience of South London Healthcare NHS Trust highlights the inadequacies of existing approaches to dealing with failing health care providers.

A productivity challenge too far?

If the government pushes the productivity goal for a further four years beyond 2015, is the NHS setting itself up for failure?

The demands of public service leadership

Richard Humphries looks at the importance of cultivating a culture of strong engagement with staff, patients and partners.

Meeting the productivity challenge

John Appleby and Nicola Hartley discuss how the NHS can respond to the productivity challenge in our exclusive interview from Insight magazine.

Holding health to account

The King’s Fund’s Jo Maybin argues that councils will have a key role to play on issues such as rationing.

Drinking nation: have we had enough?

Is the government’s adoption of the economist’s solution – raising the (minimum) price of alcohol – enough?

The NHS needs more than 'quick wins' to be sustainable

Trusts must do more than adopt energy efficiency measures, argues Chris Naylor: a more fundamental approach to sustainability is needed.

Hospitals: what do they do and how much does it cost?

The question is not (and never has been) whether hospitals are needed but, rather, what types of hospital, how big, where located, doing what to whom, and how often?

Taking up the Dorrell challenge

There remains a worry that the government's efficiency drive is still focused on short-term savings that may not ultimately deliver the benefits to patients it claims.

English NHS hospital activity: doing less (with less or the same)?

John Appleby examines the numbers behind recent claims about activity in English hospitals.

Reducing greenhouse gas emissions: on target?

The NHS has had some success in reducing its emissions, but John Appleby finds there is still a long way to go to meet government targets.

Savings on a daunting scale

Our Chief Economist John Appleby discusses NHS spending in an article for New Statesman.

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