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Independent research and analysis on health and social care

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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
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
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
Volunteering in general practice
Report

Volunteering in general practice: opportunities and insights

Interest is growing in the contribution that volunteering can make in health and social care. This paper examines the ways in which volunteers are involved with, and are contributing to, general practice.
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By Helen Gilburt et al - 7 February 2018
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
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
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

Embedding a culture of quality improvement

Our report explores the factors that have helped NHS organisations launch and sustain a quality improvement strategy.
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By Joni Jabbal - 9 November 2017
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
Report

Quality improvement in mental health

Quality improvement has a role to play in improving the quality of care in mental health services. Our report looks at what organisations need to do to implement a quality improvement approach effectively and the benefits this can bring.
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By Shilpa Ross et al - 20 July 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
HIV services in England
Report

The future of HIV services in England: shaping the response to changing needs

This report explores the challenges and opportunities facing HIV services in four areas in England, and makes recommendations on future development to those in national and local leadership roles.
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By Alex Baylis et al - 25 April 2017
Report

A digital NHS? An introduction to the digital agenda and plans for implementation

In recent years, the digital agenda in health care has been the subject of an array of promises and plans. Following on from the Wachter review of health technology, our new briefing assesses the progress made and what needs to happen next.
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By Matthew Honeyman et al - 22 September 2016
Report

Clinical commissioning: GPs in charge?

What progress has been made around effective GP involvement in commissioning? This report from The King's Fund and the Nuffield Trust assesses what has been learnt so far and makes recommendations for the future.
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By Ruth Robertson et al - 12 July 2016
Report

Improving quality in the English NHS: A strategy for action

Our report, which calls for a single quality improvement strategy for the NHS in England, offers 10 design principles to guide the development of the strategy. However, the authors warn, it will take time for such a strategy to deliver results.
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By Professor Sir Chris Ham et al - 23 February 2016
Report

Place-based systems of care: A way forward for the NHS in England

Our report looks at how NHS organisations can move towards place-based systems of care, in which NHS organisations and services work together to address the challenges they collectively face. The report suggests 10 principles to guide the development of such systems.
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By Professor Sir Chris Ham et al - 12 November 2015
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

Transforming our health care system: Ten priorities for commissioners

Health care commissioners will need to deliver a sustainable system in the face of the most challenging financial and organisational environment seen in decades. Here, we set out ten priorities for commissioners to help them drive forward the changes needed.
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By Chris Naylor et al - 19 June 2015
Report

Options for integrated commissioning Beyond Barker

With support for health and social care to have a single ring-fenced budget and a single local commissioner growing, this report looks at the options available for integrated commissioning.
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By Richard Humphries et al - 9 June 2015
Report

Procurement and competition rules: Can the NHS be exempted?

In this briefing, The King’s Fund seeks to clarify whether a new government could extract the NHS from European Union procurement and competition rules.
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By Ben Collins - 18 March 2015
Report

Implementing the NHS five year forward view: Aligning policies with the plan

Our report calls for fundamental changes to how health services are commissioned, paid for and regulated to deliver the vision of the NHS five year forward view.
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By Professor Sir Chris Ham et al - 18 February 2015
Report

Commissioning and contracting for integrated care

This report describes how CCGs in England are innovating with alternative approaches to commissioning and contracting as a way of driving integrated care.
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By Rachael Smithson - 11 November 2014
Report

Commissioning and funding general practice: Making the case for family care networks

Our report argues for a new approach that brings together funding for general practice with funding for many other services. This would entail new forms of commissioning, with GPs innovating in how care is delivered.
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By Rachael Smithson et al - 19 February 2014
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