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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Competition isn’t always the best option

Competition in the NHS has to be carefully managed if we are to get the cost-effective, high-quality health care from the service we want, says John Appleby.

Regulating the NHS market in England

The government’s draft regulations on procurement, patient choice and competition, published in February, have opened up old wounds in the debate about NHS reform, says Chris Ham.

The management of the NHS in England

Impassioned discussion about competition and new providers of care may make debate about managers unfashionable, but they are essential in a well run health service.

NHS overhaul would face slow burn

Nicholas Timmins suggests that the evidence to date is that if there is going to be a revolution in the private provision of NHS care, it is going to be a slow one.

What other regulators can teach Monitor

Anna Dixon discusses what Monitor can learn from other regulators in an article for New Statesman.

Competition in the NHS: a provider perspective

Anna Dixon, Francesca Frosini, Ruth Robertson
How is competition experienced and characterised by NHS and independent sector acute care providers?

Social enterprise in health care: The rhetoric and reality

Rachael Addicott
The coalition has pledged to create 'the largest social enterprise sector in the world'. However, is the reality living up to this vision?

Competition in the NHS in England

At the heart of the Health and Social Care Bill are provisions to establish a comprehensive system for economic regulation of health and adult social care services. These provisions are the most ambitious attempt yet to apply market regulation to the NHS.

The experience of implementing choice at point of referral: a comparison of the Netherlands and England

Anna Dixon, Ruth Robertson, Roland Bal
This paper compares the implementation of electronic referral systems in England ('Choose and Book') and in a region of the Netherlands ('ZorgDomein').

Helping patients choose: how to improve the design of comparative scorecards of hospital quality

Anna Dixon, Tammy Boyce, Barbara Fasolo, Elena Reutskaja
In this article, we investigate how the public understand comparative quality information as presented on NHS Choices.

Super patients should use their powers wisely

The government is set to empower patients with personal budgets for care, but clear rules must guarantee choices are well informed and cost-effective, say Anna Dixon and Rebecca Ashton

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.

Patient choice in psychiatry

Simon Lawton-Smith
Simon Lawton-Smith et al discuss the issue of choice of care in this editorial for the British Journal of Psychiatry.

Choice a right in England - but what about Scotland's patients?

John Appleby asks whether Scotland will be allowing patients to choose where to have their first outpatient appointment and subsequent treatment.

Spoilt for choice

Patient choice sounds great in theory, but we have to take care to avoid rushing into an untried and uncertain solution to the problems of the NHS, warns John Appleby.

Does more choice equal more risk?

Jennifer Dixon
Jennifer Dixon discusses issues of risk and responsibility in relation to choice in health and social care. What kinds of risks apply, and whose responsibility are they?

Shop 'til you drop

Rebecca Rosen
It is the lynchpin of health policy for third-term Labour, but how much does the public understand about what choice offers? Rebecca Rosen reports on new research.

Impact of choice on hospital viability

John Appleby looks at the impact of patient choice on the future viability of some hospitals.

Mapping choice in the NHS: cross sectional study of routinely collected data

Mike Damiani, Carol Propper, Jennifer Dixon
Mike Damiani and colleagues test out existing levels of patient choice in England to find out more about how the government's objective to increase elective care will work in practice.