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Publications

Independent research and analysis on health and social care

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  • Health and care services
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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

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
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
QMR27
Report

How is the NHS performing? December 2018 quarterly monitoring report

Eight out of ten NHS trust finance directors say that funding pressures have led to longer waiting times for people who need mental health treatment, finds our latest quarterly monitoring report.
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By Siva Anandaciva et al - 21 December 2018
Report

Key challenges facing the adult social care sector in England

The scale of the difficulties facing adult social care in England means that doing nothing is no longer an option. Policy-makers need to identify which of the problems facing social care they most want to tackle, and this briefing paper is intended to aid the process by identifying and exploring those key challenges.
12 December 2018
Report

Home care in England: views from commissioners and providers

This report sets out the key issues facing the home care sector based on discussions with commissioners, providers and national social care organisations.
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By Simon Bottery - 11 December 2018
Report

New models of home care

Policy-makers have outlined their ambitions to provide joined-up care closer to home and enable people to remain independent and in their own homes. Home care will be a central component of realising these ambitions. However, there are serious concerns about the state of the home care market and the quality of care service users receive.
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By Laura Bennett et al - 11 December 2018
Some of the many ways in which volunteers can improve patients' experience in hospital
Commissioned report

The role of volunteers in the NHS: views from the front line

Commissioned by Royal Voluntary Service and Helpforce, this report looks at the perceptions of frontline NHS staff working in acute care about the operational pressures they face, how they understand the roles and value of volunteers and what gaps there are that volunteers could help fill.
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By Shilpa Ross et al - 4 December 2018
Article

Breaking the leadership mould

Suzie Bailey and Saffron Cordery from NHS Providers reflect on the findings of our joint report and the challenge of recruiting and retaining leadership roles.
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By Suzie Bailey et al - 22 August 2018
Article

Leadership vacancies in the NHS

The role of leaders is changing as we move towards integrated care, with significant efforts needed to build a pipeline of leaders, say Saffron Cordery and Suzie Bailey.
By Suzie Bailey et al - 18 July 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
How is the NHS performing? June 2018
Report

How is the NHS performing? June 2018 quarterly monitoring report

Although we have technically moved out of winter, the latest performance data paints a picture of continuing pressure on NHS staff and services. While A&E departments understandably received much of the focus over the winter months, a quieter decline continues in waiting times for planned (elective) care.
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By Siva Anandaciva et al - 10 July 2018
Article

It’s time for a new deal between the public and the NHS

The 70th anniversary of the NHS is an opportunity to reflect on its enduring popularity and to ask what people can expect from the service and what their obligations are in return, says Chris Ham.
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By Professor Sir Chris Ham - 5 July 2018
Report

The NHS at 70: What's the problem with social care, and why do we need to do better?

Social care is complex, poorly understood and widely perceived as unfair – while facing unprecedented pressures. This paper explains the current pressures on social care, the impact this is having in England, and sets out the barriers and potential solutions to funding reform.
By Ruth Thorlby et al - 26 June 2018
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Report

A fork in the road: next steps for social care funding reform

This report published jointly with the Health Foundation pulls together new financial modelling, public perceptions work and policy analysis to identify the problems with adult social care in England and outline options for its reform.
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By Simon Bottery et al - 16 May 2018
Rising cost of medicines teaser image
Report

The rising cost of medicines to the NHS: what’s the story?

In the face of rising costs, the NHS is grappling with how to provide access to medicines in an affordable way. Our new briefing explores the NHS’s approach to managing its spending on medicines and choices that policy-makers are likely to face in future.
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By Leo Ewbank et al - 26 April 2018
QMR25
Report

How is the NHS performing? March 2018 quarterly monitoring report

We find that more patients are facing long waits for hospital treatment, with many of those experiencing the longest waits often most in need. And with demand for services continuing to rise it's very unlikely that meeting waiting time targets will become more achievable.
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By Richard Murray et al - 8 March 2018
Health care funding models
Report

Approaches to social care funding

It is widely accepted that the system for funding social care is in urgent need of reform, but there is little sign of a long-term solution on the horizon. In this report we consider five different approaches, setting out the implications of each.
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By Lillie Wenzel et al - 15 February 2018
Long read

Adoption and spread of innovation in the NHS

Ben Collins reflects on opportunities to accelerate the adoption of service innovation in the NHS, drawing on findings from eight case studies of successful spread of innovation in the NHS.
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By Ben Collins - 16 January 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
Demand and activity
Long read

How hospital activity in the NHS in England has changed over time

Why is the NHS struggling to maintain standards of care despite increased funding? Demand for services is rising.
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By David Maguire et al - 20 December 2016
Article

The link between pensions and social care: Letter to the Editor

Letter from Kate Barker to the Editor of The Times regarding the link between pensions and social care.
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By Kate Barker - 15 December 2016
Evidence and consultation

Debate in the House of Lords - Social care: Briefing

This debate provided an important opportunity to discuss the pressures facing social care following the Autumn Statement.
29 November 2016
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