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Publications

Independent research and analysis on health and social care

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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
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
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

A year of integrated care systems: reviewing the journey so far

Integrated care systems represent a fundamental and far-reaching change in how the NHS works across different services and with external partners. This report is based on interviews with eight of the ‘first wave’ ICSs to understand how they are developing and to identify lessons for local systems and national policy-makers.
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By Anna Charles et al - 20 September 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
Report

Leading across health and social care in Scotland: learning from chief officers' experiences, planning next steps

This report, commissioned by the Scottish Government in collaboration with the chief officers of integration authorities, looks how the chief officers have developed their role in the Scottish health and social care system so far.
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By Alex Baylis et al - 21 June 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

Reimagining community services: making the most of our assets

This report looks at the current organisation of community health services and considers how the health and care system needs to change to meet the needs of populations now and in the future.
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By Anna Charles et al - 23 January 2018
Report

Enhanced health in care homes: learning from experiences so far

This report looks at experiences so far in the areas of England working on delivering enhanced health in care homes.
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By Alex Baylis et al - 5 December 2017
Report

Sustainability and transformation plans in London: an independent analysis of the October 2016 STPs (completed in March 2017)

Sustainability and transformation plans (STPs) are key to the future of health and care services. This report, commissioned by the Mayor of London and based on work completed in March 2017, looks at the five STPs in London, their contents and common themes.
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By Professor Sir Chris Ham et al - 12 September 2017
Report

Developing accountable care systems: lessons from Canterbury, New Zealand

The health system in Canterbury, New Zealand, has undertaken a significant programme of transformation over the past decade. Our report considers lessons that the NHS can learn as it embarks on its own journey of transformation.
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By Anna Charles - 24 August 2017
Report

Mental health and new models of care: lessons from the vanguards

This report argues that new care models and vanguards need to make more of opportunities to improve care through integrated approaches to mental health.
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By Chris Naylor et al - 18 May 2017
Report

Delivering sustainability and transformation plans: from ambitious proposals to credible plans

STPs offer the best hope for the NHS and its partners to sustain services and transform the delivery of health and care, but how will STP footprints transform their plans into reality? Our report identifies the challenges that lie ahead.
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By Professor Sir Chris Ham et al - 21 February 2017
Report

Sustainability and transformation plans in the NHS: how are they being developed in practice?

Little is known about the process of developing sustainability and transformation plans. This report looks at how STPs have been developed in four parts of the country.
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By Hugh Alderwick et al - 14 November 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

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
Integrating mental and physical health
Report

Bringing together physical and mental health: A new frontier for integrated care

Our report looks at the integration of physical and mental health. The authors discuss 10 areas that offer some of the biggest opportunities for improving quality and controlling costs.
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By Chris Naylor et al - 8 March 2016
Report

Intentional whole health system redesign: Southcentral Foundation's 'Nuka' system of care

Southcentral Foundation's redesign of the health care system in Alaska is widely regarded as one of the most successful examples of its kind in the United States and internationally. What can the English NHS learn from Southcentral's experiences?
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By Ben Collins et al - 19 November 2015
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

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

The NHS under the coalition government: Part two: NHS performance

This report looks at how well the NHS has performed under the coalition government. Using routinely available data, the report creates a conventional 'production path' – describing the financial inputs to the NHS before detailing its outputs, such as hospital admissions and A&E attendances.
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By John Appleby et al - 26 March 2015
Report

Acute hospitals and integrated care: From hospitals to health systems

This report looks at lessons from case studies where acute hospitals are working collaboratively with local partners to build integrated models of care.
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By Chris Naylor et al - 19 March 2015
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This selection of content aims to make sense of the health and care system – including videos, articles, illustrated summaries and more.

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