The future is now

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Part of Time to Think Differently

Today’s debates over health service pressures must not prevent us from addressing tomorrow’s need for radical change in our care systems. In this new digital report, The King’s Fund embarks on a journey across England and overseas into future ways of changing health and health care for the better.

Launch the report

With concern mounting over the current pressures in our health care system it is vital that we don’t lose sight of how health and social care needs to change in the longer term. There is already broad agreement on some of the radical changes required. The NHS five year forward view has spelt out the need for new models of care.

Positive change can seem a difficult and distant prospect, especially when systems are under stress. But change for the better is happening in pockets across England and internationally.

This report brings together examples of such change, offering a glimpse of a future that already exists, albeit unevenly distributed. From Yorkshire and London, to Sweden and the Netherlands – this is a journey through a landscape of change that is unfolding among patients and the public; among NHS staff and leaders; and across systems.

More about our Time to Think Differently work

With testimony from patients, volunteers, clinicians and managers, the report draws to a close two years of work under our Time to Think Differently programme, generating ideas, debate and hope about the future of health and social care.


Aidan Ward

Organisational consultant,
Comment date
13 March 2015
Beautiful report, dodges the issue like everyone does. I cannot get any public discussion of the economic fundamentals. Perhaps you can help.
Future costs of healthcare depend on today's interventions. The Buurtzorg example shows that costs fall consistently when you do the job. I have studied other examples. The current crisis is the inevitable result of refusing to track the outcome costs of interventions. It is a direct result of policy and no-one of course will admit it.

graham white

commercial manager,
autism plus
Comment date
17 February 2015
Im interested into the comparative costs of residential care vs day care vs independent living for people with autism

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