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Publications

Independent research and analysis on health and social care

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Report

Stories from social care leadership: Progress amid pestilence and penury

Richard Humphries and Nicholas Timmins interview voices from across the social care sector to explore where leadership lies and what might be done to improve it.
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By Richard Humphries et al - 11 February 2021
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
Wigan Deal report
Report

A citizen-led approach to health and care: Lessons from the Wigan Deal

In 2011, Wigan Council had to make unprecedented savings after significant cuts in funding from central government. Drastic measures were needed, including a radical reshaping of the relationship between the council and residents. This became known as the Wigan Deal.
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By Chris Naylor et al - 26 June 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

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 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

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

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
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

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

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

The practice of system leadership: Being comfortable with chaos

This report draws on the experiences of 10 senior leaders to look in depth at the skills needed to be a system leader. The 10 individuals are from different backgrounds and work in different contexts, and give some very candid reflections on their successes and failures.
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By Nicholas Timmins - 20 May 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

System leadership: Lessons and learning from AQuA's Integrated Care Discovery Communities

This paper seeks to identify the skills, knowledge and behaviours required of new system leaders and to learn from AQuA's Integrated Care Discovery Communities, which are attempting to combine strong organisational leadership with collaborative system-level leadership approaches.
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By David Fillingham CBE et al - 14 October 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
Report

Never Again? The story of the Health and Social Care Act 2012

Written by Nicholas Timmins, this book explains why and how the Health and Social Care Act became law.
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By Nicholas Timmins - 12 July 2012
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