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Independent research and analysis on health and social care

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  • Health and care services
    • Adult social care
    • Community services
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    • (-) General practice
    • (-) Hospital care
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Critical care teaser
Long read

Critical care services in the English NHS

Critical care capacity has been described as ‘the number to watch’ during the Covid-19 (coronavirus) outbreak. This updated explainer looks at the number of critical care beds, how critical care units work and how they are staffed.
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By Siva Anandaciva - 25 November 2020
Nurse and midwife
Commissioned report

The courage of compassion: Supporting nurses and midwives to deliver high-quality care

This report, commissioned by the RCN Foundation, explores the causes and consequences of poor mental health and wellbeing among nurses and midwives, and seeks to identify solutions to these issues and examples of good practice.
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By Michael West et al - 23 September 2020
Long read

How Covid-19 has magnified some of social care’s key problems

The Covid-19 pandemic has not changed the fundamental problems facing social care, but it has exacerbated some of them, says Simon Bottery.
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By Simon Bottery - 25 August 2020 22-minute read
Mental health and primary care networks briefing teaser image
Report

Mental health and primary care networks: understanding the opportunities

This report, published jointly by The King’s Fund and the Centre for Mental Health, explores the opportunities the emergence of primary care networks creates for improving the support and treatment provided to people with mental health needs.
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By Chris Naylor et al - 23 July 2020
Long read

Community pharmacy explained

Community pharmacy is a critical part of primary care in England, but its role and relationship to the wider NHS is often poorly understood. This explainer looks at the community pharmacy sector in England, explaining how pharmacies are contracted and funded, the types of services they provide and future trends in the sector.
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By Beccy Baird et al - 16 December 2020
Long read

Primary care networks explained

A key part of the NHS long-term plan, primary care networks (PCNs) will bring general practices together to work at scale. But what are they? How are they funded and held accountable? And what difference will they make? Beccy Baird explains the latest form of GP collaboration.
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By Beccy Baird et al - 20 November 2020
Red stethascope teaser
Long read

The 2020/21 update to the GP contract explained

NHS England and the British Medical Association’s general practice committee have negotiated an update to the five-year GP contract framework published in January 2019. This explainer outlines the changes and explains what they mean for the future of general practice.
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By Beccy Baird et al - 19 November 2020
Digital long read teaser
Long read

The digital revolution: eight technologies that will change health and care

The Covid-19 pandemic has seen many health and care services turn to digital technology to continue meeting patients’ needs. But beyond remote consultations, what are the key technologies to look out for in the future?
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By Pritesh Mistry - 13 November 2020
Long read

What is social prescribing?

Social prescribing enables GPs, nurses and other primary care professionals to refer people to a range of local, non-clinical services to support their health and wellbeing. But does it work? And how does it fit in with wider health and care policy?
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By David Buck et al - 4 November 2020
Evidence and consultation

Response to the Health and Social Care Select Committee inquiry into workforce burnout and resilience in the NHS and social care

In this written submission to the House of Commons Health and Social Care Select Committee, we provide an overview of the resilience of the NHS and social care workforce, including the impact of Covid-19.
16 October 2020
Commissioned report

Technology and innovation for long-term health conditions

It has become received wisdom that the NHS struggles to adopt digital innovation, but during the Covid-19 pandemic, many NHS providers have moved services online at astonishing pace. Ben Collins looks at four digital innovations in health services from the UK and the Nordic countries.
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By Ben Collins - 3 August 2020
GP contracts explainer figure 1
Long read

GP funding and contracts explained

This explainer sets out how general practices are contracted and paid in England, looking at the services they are contracted to deliver, and the different streams of funding they receive.
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By Jake Beech et al - 11 June 2020 9-minute read
Two people standing outside a nursing home
Long read

Social care 360

Updated with 2018/19 data, our 360 review outlines and analyses 20 key trends in adult social care in England over recent years. Using a variety of publicly-available data, it provides a uniquely rounded – ‘360 degree’ – view of the sector.
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By Simon Bottery et al - 6 May 2020
First 100 days of new government
Long read

Health and care: the first 100 days of the new government

We provide a record of the progress made towards meeting the government’s manifesto pledges and campaign commitments during its first 100 days in office.
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By Jonathon Holmes - 27 March 2020
Patient in hospital bed
Report

NHS hospital bed numbers: past, present, future

The number of NHS hospital beds in England has more than halved over the past 30 years. This briefing examines the data on hospital beds, explores the drivers underpinning the changes observed and considers whether STPs’ proposed bed reductions are realistic.
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By Leo Ewbank et al - 26 March 2020
Article

GPs condemn new specifications for primary care networks

This article was first published on the BMJ website. General practices have been working together in primary care networks (PCNs) for more than a year, but now growing numbers of GPs are threatening to pull out of PCNs and the associated contract. Richard Murray explains how this situation has unfolded and suggests some potential solutions.
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By Richard Murray - 27 January 2020
Evidence and consultation

Network contract directed enhanced service: draft outline service specifications

The urgent action needed to stabilise general practice, by addressing workload and workforce issues, raises important questions around the timing, implementation and pace of these new service specifications even though the overall direction they set out is the right one.
17 January 2020
How to build effective teams in general practice
Long read

How to build effective teams in general practice

This guide draws on insights from our research, policy analysis and leadership practice to outline ways in which practices can create and sustain effective teams, as they come together to form primary care networks.
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By Beccy Baird et al - 9 January 2020
Report

Leading for integrated care: 'If you think competition is hard, you should try collaboration'

This report explores the progress, challenges and opportunities the move towards greater integration presents, through interviews with 16 people leading or chairing an integrated care system or sustainability and transformation partnership.
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By Nicholas Timmins - 27 November 2019
Long read

Why can't I get a doctor's appointment? Solving the complex issue of GP access

Public satisfaction with general practice is lower now than it has ever been, while the number of people reporting difficulties in booking appointments continues to grow. We run through the proposed solutions to issues around GP access and consider their potential effectiveness.
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By Beccy Baird et al - 21 November 2019
What's your problem, social care? The eight key areas for reform
Long read

What’s your problem, social care? The eight key areas for reform

Different people have different ideas about what’s ‘wrong’ with social care. This long read outlines the eight key issues and the options cited to tackle them.
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By Simon Bottery - 5 November 2019
Article

Talking leadership: breakthrough conversations

We talk to Patricia Boyle, a senior consultant here at The King’s Fund, about why important conversations sometimes become stuck and what helps and about our new programme on this topic, Leading breakthrough conversations. 
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By Tricia Boyle - 6 August 2019
Wigan Deal report
Report

A citizen-led approach to health and care: Lessons from the Wigan Deal

In 2011, Wigan Council had to make unprecedented savings after significant cuts in funding from central government. Drastic measures were needed, including a radical reshaping of the relationship between the council and residents. This became known as the Wigan Deal.
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By Chris Naylor et al - 26 June 2019
Commissioned report

Insights from the spread of the primary care home

This report was commissioned by the National Association of Primary Care (NAPC) and explores the factors that contributed to the spread of the primary care home.
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By Durka Dougall et al - 19 June 2019
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