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Independent research and analysis on health and social care

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Healthy places podcast
Report

Creating healthy places: perspectives from NHS England’s Healthy New Towns programme

Creating healthy places: perspectives from NHS England’s Healthy New Towns programme provides personal insights from those involved in the programme, illustrating how powerful a coherent local approach to improving population health can be.
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By Chris Naylor - 26 September 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

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
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

'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
Report

Tackling multiple unhealthy risk factors: emerging lessons from practice

Our report shares learning and insight from services that are using innovative ways to address the problem of multiple unhealthy behaviours – around tobacco use, alcohol consumption, diet and physical activity – in the population.
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By Harry Evans et al - 1 March 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
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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

Understanding quality in district nursing services: Learning from patients, carers and staff

This report investigates what good district nursing care looks like and looks at the growing demand capacity gap in district nursing and the worrying impact that this is having on services, the workforce and the quality and safety of patient care.
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By Jo Maybin et al - 1 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

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

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

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

The NHS under the coalition government: Part one: NHS reform

Our new report assesses the coalition government's record on the NHS. It comes in two parts, with this first part focusing on the reforms set out in the Health and Social Care Act.
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By Professor Sir Chris Ham et al - 6 February 2015
Report

Risk or reward? The changing role of CCGs in general practice

A report from the Nuffield Trust and The King’s Fund finds that CCGs risk becoming unsustainable without changes to the way they attract leaders and adequate funding to help them expand their remit.
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By Ruth Robertson et al - 26 January 2015
Report

Managing quality in community health care services

From children's services to care for older people and end-of-life support, the community sector plays a key part in meeting the challenges facing our health and care system. This report presents findings from a small-scale study into how quality is managed in community services.
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By Catherine Foot et al - 4 December 2014
Report

Specialists in out-of-hospital settings: Findings from six case studies

We visited six services where consultants are delivering or facilitating care outside hospital. This report presents the findings from those visits as case studies and identifies some of the key characteristics and challenges to this way of working.
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By Ruth Robertson et al - 22 October 2014
Report

Community services: How they can transform care

Our new paper looks at the changes needed to realise the full potential of community services for transforming care. How should services change in order to fundamentally transform care and move it closer to home?
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By Nigel Edwards - 13 February 2014
Report

Service transformation: Lessons from mental health

This paper examines the transformation of mental health services in England and the relevance to current policy. Drawing on workshops with those involved in the changes and a review of published literature, the paper explores the context and factors that enabled change to happen in mental health.
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By Helen Gilburt et al - 4 February 2014
Report

Health and wellbeing boards: One year on

This report examines how health and wellbeing boards have used their shadow year, what they have achieved, and whether they are providing effective leadership across local systems of care.
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By Richard Humphries et al - 31 October 2013
Report

Clinical commissioning groups: Supporting improvement in general practice?

The King's Fund and the Nuffield Trust are working together to assess the implementation and impact of CCGs. This first report provides an overview of developments through to March 2013.
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By Chris Naylor et al - 22 July 2013
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

Dealing with financially unsustainable providers: how will the failure regime work?

This paper explains why a failure regime is required in the NHS, outlines how the failure regime for NHS trusts (currently being applied in South London) works and how the failure regime for foundation trusts introduced by the Health and Social Care Act 2012 will work in future.
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By Tony Harrison et al - 19 September 2012
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