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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
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

Talking leadership: learning to lead as an NHS consultant

Dr Kin Yee Shiu, a consultant in nephrology and acute/general medicine at the Royal Free London NHS Foundation Trust, talks about her experience of our Leadership for consultants programme and the challenge of leading change.
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By Dr Kin Yee Shiu - 27 November 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
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
Article

Talking leadership: clinicians leading transformational change

Taj Hassan answers questions about how clinicians are contributing to transformational change in the NHS.
By Taj Hassan - 28 March 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
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

Talking Leadership: Matthew Rice on clinicians leading change

Matthew Rice discusses the pressures that clinical leaders are facing now, and what is needed to unlock their potential.
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By Matthew Rice - 7 December 2016
Evidence and consultation

House of Lords Select Committee: long-term sustainability of the NHS: Evidence submission

Evidence submission from The King's Fund to the House of Lords Select Committee on the long-term sustainability of the NHS.
18 October 2016
Article

Supporting integration: workforce considerations roundtable discussion

Summary of a roundtable event to review the findings of the report: Supporting integration through new roles and working across boundaries.
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By Alex Baylis - 30 September 2016
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
Article

Talking leadership: Sally Hulks on nurturing future leaders

Sally Hulks, Assistant Director of Leadership and Organisational Development, discusses how organisations can nurture future health care leaders.
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By Sally Hulks - 31 August 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
Commissioned report

Supporting integration through new roles and working across boundaries

Our report, commissioned by NHS Employers and the Local Government Association, looks at the evidence on new roles and ways of spanning organisational workforce boundaries to improve the delivery of integrated health and social care.
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By Helen Gilburt - 30 June 2016
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