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Independent research and analysis on health and social care

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Long read

The NHS long-term plan explained

On 7 January, the NHS long-term plan was published setting out key ambitions for the service over the next 10 years. In this explainer, we set out the main commitments in the plan and provide our view of what they might mean, highlighting the opportunities and challenges for the health and care system as it moves to put the plan into practice.
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By Anna Charles et al - 23 January 2019
Long read

Shared responsibility for health: the cultural change we need

We believe that the relationship between the public and the NHS, and between patients and the staff who care for them, needs to be transformed. As well as ensuring that the resources (funding and workforce) needed to deliver care are available, national and local leaders must work to fully engage patients and the public in improving health and care.  
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By Professor Sir Chris Ham et al - 23 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
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

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
Long read

Joined-up listening: integrated care and patient insight

In this article, we articulate the opportunity that integrated care presents for using insight from people and populations to design services that meet their needs and reflect their priorities.
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By Dan Wellings et al - 30 August 2018
Article

A new deal with the public

It’s time to revisit what people can expect from the NHS and what their obligations are in return, writes Chris Ham.
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By Professor Sir Chris Ham - 25 June 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
Article

Talking leadership: insights from our work with Cambridge University Hospitals NHS Foundation Trust

Joan Milne and David Naylor talk about their experience of commissioning and running the Cambridge University Hospitals NHS Foundation Trust (CUH) leadership development programme.  
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By David Naylor et al - 10 January 2018
Article

Patient involvement: Paul’s story

Paul Radin speaks to us about his experience of patient involvement at The King’s Fund.
By Paul Radin - 30 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
Article

Why the NHS needs a quality improvement strategy: Chris Ham in conversation with Don Berwick

In this Q&A feature, Chris Ham speaks to Don Berwick about why he thinks that now is the right time for a quality improvement strategy in the NHS.
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By Don Berwick - 22 August 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
Commissioned report

Strategic quality improvement: An action learning approach

This case study, co-produced with Oxleas NHS Foundation Trust, looks at how to use an action learning approach to assess current and develop future quality improvement strategies.
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By Vijaya Nath - 25 May 2016
Article

The Fourth Whitehall Lecture: What needs to be done to secure the future of the NHS? Lecture given by Chris Ham to the Cambridge Whitehall Group on 9 December 2015

Lecture given by Chris Ham to the Cambridge Whitehall Group on 9 December 2015.
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By Professor Sir Chris Ham - 7 April 2016
Article

Building collaborative partnerships with patients and communities

Mark Doughty discusses progress made by The King's Fund's Leading collaboratively with patients and communities programme.
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By Mark Doughty - 24 February 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

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
Long read

The future is now

Featuring the voices of patients, volunteers, clinicians and managers, our new digital report explores future ways of changing health and health care for the better.
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By Professor Sir Chris Ham et al - 10 February 2015
Article

When delivering treatment is not enough

How can patients be encouraged to participate in their own care? And just what does it mean to be an empowered patient?
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By Helen Gilburt - 9 January 2015
Report

People in control of their own health and care: The state of involvement

Despite the consensus that patients should be more involved in decisions about their health and care, little progress has been made. This report examines the reasons why and considers how we can put ideas about patient involvement into practice.
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By Catherine Foot et al - 4 November 2014
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