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Independent research and analysis on health and social care

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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
Thinking differently about commissioning report
Report

Thinking differently about commissioning: learning from new approaches to local planning

Our report examines the approach being taken by some clinical commissioning groups (CCGs) and local systems where traditional notions of commissioning are no longer guiding their way of working.
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By Ruth Robertson et al - 6 February 2020
Healthy places podcast
Report

Creating healthy places: perspectives from NHS England’s Healthy New Towns programme

Creating healthy places: perspectives from NHS England’s Healthy New Towns programme provides personal insights from those involved in the programme, illustrating how powerful a coherent local approach to improving population health can be.
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By Chris Naylor - 26 September 2019
Closing the gap: Key areas for action on the health and care workforce
Report

Closing the gap: key areas for action on the health and care workforce

Staffing is the make-or-break issue for the NHS in England. In this joint report with the Nuffield Trust and the Health Foundation, we set out the policy actions that need to be at the heart of the workforce implementation plan due to be published later this year.
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By Jake Beech et al - 21 March 2019
BSA 2019
Report

Public satisfaction with the NHS and social care in 2019: Results from the British Social Attitudes survey

After falling for the past two years, public satisfaction with the NHS overall rose significantly in 2019. Overall satisfaction was 60 per cent – a 7 percentage point increase from the previous year.
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By Dan Wellings et al - 3 April 2020
Report

How is the NHS performing? July 2019 quarterly monitoring report

This is the 28th QMR, which takes stock of what has happened over the past few months with NHS financial and operational performance in England.
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By Siva Anandaciva et al - 9 July 2019
Report

Clicks and mortar: Technology and the NHS estate

Financial pressures and growing demand mean that health and social care services will need to work differently. This report reviews how technology in the NHS estate is currently being used, and imagines how the 'estate of the future' might look.
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By Lillie Wenzel et al - 21 May 2019
Report

Payments and contracting for integrated care: The false promise of the self-improving health system

Why should the new payment systems being developed to support integrated care be any more successful than previous ones? This new report calls for urgent reform of the system for paying and contracting services in the NHS.
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By Ben Collins - 14 March 2019
Public satisfaction with the NHS and social care in 2018
Report

Public satisfaction with the NHS and social care in 2018: Results from the British Social Attitudes survey

Public satisfaction with the NHS overall continued to fall in 2018. Overall satisfaction was 53 per cent – a 3 percentage point drop from the previous year and the lowest level since 2007.
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By Ruth Robertson et al - 7 March 2019
QMR27
Report

How is the NHS performing? December 2018 quarterly monitoring report

Eight out of ten NHS trust finance directors say that funding pressures have led to longer waiting times for people who need mental health treatment, finds our latest quarterly monitoring report.
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By Siva Anandaciva et al - 21 December 2018
Report

The health care workforce in England: make or break?

In advance of the publication of the NHS long-term plan, this briefing highlights the scale of workforce challenges now facing the health service and the threat this poses to the delivery and quality of care over the next 10 years.
15 November 2018
Report

Budget 2018: what it means for health and social care

In this joint piece with the Health Foundation and Nuffield Trust, we analyse what was announced in the 2018 Budget and what it means for health and social care.
9 November 2018
Report

Approaches to better value: improving quality and cost

The NHS is increasingly focusing on how it can improve the value of its services, to deliver the highest quality health outcomes for patients at the lowest possible cost. This report shares learning and insight from three NHS hospital trusts that have developed organisation-wide strategies for value improvement.
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By Joni Jabbal et al - 4 October 2018
CQC impact
Report

Impact of the Care Quality Commission on provider performance: room for improvement?

The CQC introduced a new approach to inspecting and rating health and social care providers in 2013. Our report with the Alliance Manchester Business School is the first major evaluation of this approach.
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By Rachael Smithson et al - 27 September 2018
How is the NHS performing? June 2018
Report

How is the NHS performing? June 2018 quarterly monitoring report

Although we have technically moved out of winter, the latest performance data paints a picture of continuing pressure on NHS staff and services. While A&E departments understandably received much of the focus over the winter months, a quieter decline continues in waiting times for planned (elective) care.
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By Siva Anandaciva et al - 10 July 2018
Report

The NHS at 70: What will new technology mean for the NHS and its patients?

Technology is rarely the saviour of health services in the way that politicians hope – at least in the short term. It takes time to implement, requires shifts in workforce, and investment – posing real dilemmas for a cash-strapped NHS.
By Sophie Castle-Clarke - 28 June 2018
Report

The NHS at 70: Does the NHS need more money and how could we pay for it?

The UK government spends £150 billion every year on health – more than twice what we spent less than 20 years ago at the start of the 2000s. But might the NHS still require more funding, and if it does how could we find more money?
By George Stoye - 26 June 2018
Report

The NHS at 70: How good is the NHS?

An investigation into three key aspects of a good health care system – comparing access, efficiency and outcomes in the UK to 18 similar countries, including France, Germany, Italy, Japan and the United States.
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By Deborah Ward et al - 25 June 2018
Digital change
Report

Digital change in health and social care

The use of digital technology in health and social care can improve quality, efficiency and patient experience as well as supporting more integrated care and improving the health of a population. This report shares practical learning from a series of case studies where significant large-scale digital change is happening.
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By David Maguire et al - 21 June 2018
Report

The role of cities in improving population health: international insights

Drawing on international case studies, this report explores the role of cities in improving population health and the conditions needed for success.
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By Chris Naylor et al - 15 June 2018
Report

Hypothecated funding for health and social care: how might it work?

Hypothecated funding for health and social care is back on the political agenda. This paper sets out the problems hypothecation is meant to solve – and the conditions under which it might do so – and provides a brief history of hypothecation in the UK.
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By Richard Murray - 29 May 2018
Report

'The world's biggest quango' the first five years of NHS England

Nicholas Timmins explores the fate of one of the central provisions of the Health and Social Care Act, NHS England, established as a statutorily independent board with the aim of distancing politicians from the day-to-day running of the NHS.
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By Nicholas Timmins - 24 May 2018
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Report

A fork in the road: next steps for social care funding reform

This report published jointly with the Health Foundation pulls together new financial modelling, public perceptions work and policy analysis to identify the problems with adult social care in England and outline options for its reform.
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By Simon Bottery et al - 16 May 2018
Rising cost of medicines teaser image
Report

The rising cost of medicines to the NHS: what’s the story?

In the face of rising costs, the NHS is grappling with how to provide access to medicines in an affordable way. Our new briefing explores the NHS’s approach to managing its spending on medicines and choices that policy-makers are likely to face in future.
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By Leo Ewbank et al - 26 April 2018
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