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Independent research and analysis on health and social care

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  • Health and care services
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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
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
QMR25
Report

How is the NHS performing? March 2018 quarterly monitoring report

We find that more patients are facing long waits for hospital treatment, with many of those experiencing the longest waits often most in need. And with demand for services continuing to rise it's very unlikely that meeting waiting time targets will become more achievable.
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By Richard Murray et al - 8 March 2018
Test 2
Report

How is the NHS performing? November 2017: Quarterly Monitoring Report

Performance against a number of key indicators is worse than at this time last year, and finances remain precarious despite an emergency funding injection.
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By Siva Anandaciva et al - 3 November 2017
Report

Quarterly monitoring report (QMR) 29: how is the NHS performing?

Covid-19 has dramatically altered how NHS services and finances operate. Our 29th QMR looks at where the NHS expected to be at the end of 2019/20, where it actually finds itself in 2020/21, and what impact Covid-19 might have in the future.
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By Siva Anandaciva - 6 August 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
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
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
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
Report

Making the case for quality improvement: lessons for NHS boards and leaders

At a time of significant financial and operational pressure, local and national NHS leaders need to focus on improving quality and delivering better-value care. We make the case for quality improvement and share lessons for NHS boards and leaders.
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By Hugh Alderwick et al - 11 October 2017
Getting It Right First Time report
Report

Tackling variations in clinical care: assessing the Getting It Right First Time (GIRFT) programme

The Getting It Right First Time (GIRFT) programme aims to bring about higher-quality care in hospitals, at lower cost, by reducing unwanted variations in services and practices.
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By Nicholas Timmins - 28 June 2017
Report

Patients as partners: Building collaborative relationships among professionals, patients, carers and communities

Our guide explores practical ways to develop collaborative relationships among health and care professionals, patients, carers and community partners.
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By Becky Seale - 4 July 2016
Report

Understanding pressures in general practice

Our report uses qualitative and quantitative data to assess the patient factors, system factors and supply-side issues driving the current pressures in general practice.
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By Beccy Baird et al - 5 May 2016
Report

Better value in the NHS: The role of changes in clinical practice

The NHS is being asked to make large productivity savings. This report argues that, rather than looking at efficiency and costs, the NHS should be focusing on getting better value from its budget.
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By Hugh Alderwick et al - 7 July 2015
Report

People in control of their own health and care: The state of involvement

Despite the consensus that patients should be more involved in decisions about their health and care, little progress has been made. This report examines the reasons why and considers how we can put ideas about patient involvement into practice.
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By Catherine Foot et al - 4 November 2014
Report

Financial failure in the NHS: What causes it and how best to manage it

We explore the current financial state of the NHS, the approaches used to avert financial failure and how to deal with it once it occurs.
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By Richard Murray et al - 9 October 2014
Report

Supporting people to manage their health: An introduction to patient activation

It is vital that people engage more with improving their own health. This paper introduces a way of conceptualising and measuring that engagement known as patient activation.
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By Judith Hibbard et al - 16 May 2014
Report

Patient-centred leadership: Rediscovering our purpose

This report summarises the main findings of the Francis Inquiry into the failings of care at Mid Staffordshire in relation to NHS leadership and culture. It sets out what needs to be done to avoid similar failures in future.
23 May 2013
Report

How should we pay for health care in future? Results of deliberative events with the public

In collaboration with Ipsos MORI, we held two deliberative events with members of the general public (one in London and one in Leeds) to find out what they thought about future spending on health and social care, and how that spending might be funded.
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By Amy Galea et al - 15 April 2013
Report

Health policy under the coalition government: A mid-term assessment

Written halfway through the 2010–2015 parliament, this review considers how the NHS is performing under the coalition government, following on from The King’s Fund’s major review of NHS performance from 1997 to 2010.
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By Sarah Gregory et al - 28 November 2012
Report

Transforming the delivery of health and social care: The case for fundamental change

This paper explores how the current health and social care delivery system has failed to keep pace with the population's needs and expectations.
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By Professor Sir Chris Ham et al - 6 September 2012
Report

Patients’ preferences matter: Stop the silent misdiagnosis

Our paper calls for doctors to aspire to the same standards of excellence in diagnosing patients' preferences for their care as they do to diagnosing disease.
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By Al Mulley et al - 29 May 2012
Report

Service-line management: Can it improve quality and efficiency?

How successfully are trusts implementing service-line management? This paper considers what helps and what hinders this way of working and the potential benefits of using this approach.
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By Catherine Foot et al - 26 January 2012
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