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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
Delivering health and care for people who sleep rough: going above and beyond
Report

Delivering health and care for people who sleep rough: going above and beyond

People who sleep rough have some of the worst health outcomes in England. We explore how four local areas are delivering effective health and care services to people sleeping rough and what other areas might be able to learn from them.
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By Julia Cream et al - 3 March 2020
The economic influence of the NHS at the local level
Long read

The economic influence of the NHS at the local level

As the biggest employer in England and a significant economic force in local communities, the NHS has a unique opportunity to influence the wellbeing of the population it serves. David Maguire looks at how the NHS can affect the health of their local population as an economic agent.
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By David Maguire - 16 January 2020
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
Long read

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
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
Long read

Testing times: the government’s approach to Covid-19 testing

Testing is a central strand of the government’s approach to tackling the Covid-19 outbreak. This explainer looks at how testing works and the thinking behind the current strategy.
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By David Buck - 1 May 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
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
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
Evidence and consultation

NHS long-term plan: legislative proposals inquiry: Written submission to the Health and Social Care Committee

Our response to the Health and Social Care Committee's legislative proposals inquiry. We support the spirit of these proposals, which are intended to make it easier for local NHS bodies to work together to improve the health and care of their populations.
24 April 2019
Improving population health
Long read

What does improving population health really mean?

Everybody in NHS policy seems to be talking about population health. But what does it really mean and how can we improve it?
29 March 2019
Commissioned report

Measuring general practice productivity

With a rising workload, general practice in England is under significant pressure. This study developed and tested a measure of effectiveness in general practice known as the general practice effectiveness tool.
By Jeremy Dawson et al - 21 February 2019
Long read

The NHS long-term plan explained

On 7 January, the NHS long-term plan was published setting out key ambitions for the service over the next 10 years. In this explainer, we set out the main commitments in the plan and provide our view of what they might mean, highlighting the opportunities and challenges for the health and care system as it moves to put the plan into practice.
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By Anna Charles et al - 23 January 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
A vision for population health: towards a healthier future
Report

A vision for population health: Towards a healthier future

We need to move away from a system just focused on diagnosing and treating illness towards one that is based on promoting wellbeing and preventing ill health. Our report sets out a new vision for population health.
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By David Buck et al - 27 November 2018
Long read

Shared responsibility for health: the cultural change we need

We believe that the relationship between the public and the NHS, and between patients and the staff who care for them, needs to be transformed. As well as ensuring that the resources (funding and workforce) needed to deliver care are available, national and local leaders must work to fully engage patients and the public in improving health and care.  
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By Professor Sir Chris Ham et al - 23 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
Long read

Joined-up listening: integrated care and patient insight

In this article, we articulate the opportunity that integrated care presents for using insight from people and populations to design services that meet their needs and reflect their priorities.
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By Dan Wellings et al - 30 August 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
Article

A new deal with the public

It’s time to revisit what people can expect from the NHS and what their obligations are in return, writes Chris Ham.
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By Professor Sir Chris Ham - 25 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
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
Commissioned report

Housing and health: opportunities for sustainability and transformation partnerships

This short report, supported by the National Housing Federation, sets out areas where sustainability and transformation partnerships and emerging integrated care systems can make more of the contribution of the housing sector to improving health.
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By David Buck et al - 22 March 2018
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