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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
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
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
Report

Organising care at the NHS front line: who is responsible?

What are the challenges facing frontline clinicians today and what could they do to improve the quality of care? Our report presents a range of views from clinicians, managers, quality improvement champions and patients.
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By Professor Sir Chris Ham et al - 3 May 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

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

Patients' experience of using hospital services: An analysis of trends in inpatient surveys in NHS acute trusts in England 2005-13

Our report looks at the data from inpatient surveys over a nine-year period and discusses what the data tells us about the national picture of care in the NHS and what it reveals about trends for individual trusts over time.
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By Veena Raleigh et al - 10 December 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

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
Report

Volunteering in health and care: Securing a sustainable future

Our report looks at the important part that volunteers play in improving patient experience, addressing health inequalities, and building a closer relationship between services and communities.
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By Chris Naylor et al - 14 March 2013
Report

Leadership and engagement for improvement in the NHS: Together we can

Leadership and engagement for improvement in the NHS: together we can makes the case for engaging staff, patients and boards, and for building relationships across systems of care.
23 May 2012
Report

Continuity of care for older hospital patients: A call for action

This paper focuses on those aged 70 years and older with multiple health problems and explores how continuity of care affects them and the people closest to them.
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By Jocelyn Cornwell et al - 27 March 2012
Report

Perspectives on telehealth and telecare

This paper, the third in a series of WSDAN briefing papers, examines the experiences of the network's 12 member sites in implementing telehealth and telecare.
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By Nick Goodwin et al - 3 November 2011
Report

Reconfiguring hospital services: Lessons from South East London

Reconfiguring hospital services offers a timely and sobering contribution to the emerging debate on how service and organisational change should be taken forward across the NHS in England.
By Keith Palmer - 3 March 2011
Report

Mental health and the productivity challenge: Improving quality and value for money

The King's Fund worked with Centre for Mental Health, Royal College of Psychiatrists and NHS Confederation's Mental Health Network to explore how mental health services could be delivered in a different and more cost-effective way.
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By Chris Naylor et al - 2 December 2010
Report

Choosing a high-quality hospital: The role of nudges, scorecard design and information

Choosing a high-quality hospital explores how information can help patients to make informed choices. It is based on a research study, which began with a series of focus group discussions, the results of which informed the design of an online experiment.
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By Anna Dixon et al - 18 November 2010
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