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Independent research and analysis on health and social care

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Workforce race inequalities and inclusion in NHS providers
Report

Workforce race inequalities and inclusion in NHS providers

Despite having a diverse workforce, ethnic minority staff in the NHS continue to experience worse levels of bullying and a lack of opportunities for career progression. This report looks at how three NHS providers are working to better support staff and address these inequalities.
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By Shilpa Ross et al - 7 July 2020
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
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
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

Developing a strategy for the health and care workforce in England: Summary of a roundtable discussion

How could workforce planning be improved? This write up provides an overview of a roundtable event convened by The King's Fund, the Health Foundation and the Nuffield Trust, which explored Health Education England's draft workforce strategy.
21 March 2019
Report

Leadership in today's NHS: delivering the impossible

Leaders in today’s NHS operate in a climate of extreme pressure. Staffing vacancies are rife, there are widespread challenges in meeting financial and performance targets and demands on services continue to increase. What can be done to support current leaders and encourage future ones?
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By Siva Anandaciva et al - 18 July 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
Report

Transformational change in health and care: reports from the field

We interviewed 42 people who were involved in leading, supporting, delivering, receiving or witnessing transformational change. Our report shares their experiences and reflections.
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By Durka Dougall et al - 10 May 2018
Report

Funding and staffing of NHS mental health providers: still waiting for parity

Our report finds that the spending gap between NHS acute hospitals and NHS mental health providers is widening.
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By Helen Gilburt - 16 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

Five big issues for health and social care after the Brexit vote

In the aftermath of the Brexit vote, we consider what lies ahead for health and social care, and the five big issues that will need to be considered.
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By Helen McKenna - 30 June 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

Talent management: Developing leadership not just leaders

This paper encourages organisations to adopt a holistic talent management and succession planning strategy and guides NHS boards and leaders through the steps needed for this.
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By Sarah Massie - 3 June 2015
Report

Workforce planning in the NHS

This report look at past experience with NHS workforce planning and the challenges facing workforce planning in the future, in the light of changing health care needs and the need to deliver the future care models outlines in the NHS five year forward view. The report focuses on three areas key to providing integrated care: mental health, primary care and community nursing.
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By Rachael Smithson et al - 29 April 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

Staff engagement: Six building blocks for harnessing the creativity and enthusiasm of NHS staff

This paper encourages NHS boards and other leaders to focus on staff engagement and suggests six building blocks for ensuring a highly engaged workforce.
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By Ben Collins - 19 February 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

Leadership vacancies in the NHS: What can be done about them?

Our research with the HSJ Future of NHS Leadership inquiry highlights the difficulty NHS organisations face in recruiting and retaining people for executive positions.
By Ayesha Janjua - 12 December 2014
Report

Medical engagement: A journey not an event

Our report is based on case studies of four NHS trusts with acknowledged high levels of medical engagement. It aims to help other organisations that are seeking to create cultures in which doctors want to engage more in the management, leadership and improvement of services.
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By John Clark et al - 10 July 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
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Health and care explained: Making sense of the health and care system

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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