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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
Mental health and primary care networks briefing teaser image
Report

Mental health and primary care networks: understanding the opportunities

This report, published jointly by The King’s Fund and the Centre for Mental Health, explores the opportunities the emergence of primary care networks creates for improving the support and treatment provided to people with mental health needs.
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By Chris Naylor et al - 23 July 2020
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
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

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
Innovative models of general practice
Report

Innovative models of general practice

We look at innovative models of general practice from the UK and other countries and identify key design features we believe will be important in designing effective GP services in the future.
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By Beccy Baird et al - 7 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
Volunteering in general practice
Report

Volunteering in general practice: opportunities and insights

Interest is growing in the contribution that volunteering can make in health and social care. This paper examines the ways in which volunteers are involved with, and are contributing to, general practice.
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By Helen Gilburt et al - 7 February 2018
Report

Mental health and new models of care: lessons from the vanguards

This report argues that new care models and vanguards need to make more of opportunities to improve care through integrated approaches to mental health.
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By Chris Naylor et al - 18 May 2017
Report

New care models: Emerging innovations in governance and organisational form

This report looks at the different approaches being taken by MCP and PACS vanguards to contracting, governance and other organisational infrastructure.
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By Ben Collins - 11 October 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

Understanding pressures in general practice

Our report uses qualitative and quantitative data to assess the patient factors, system factors and supply-side issues driving the current pressures in general practice.
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By Beccy Baird et al - 5 May 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

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

Future organisational models for the NHS: Perspectives for the Dalton review

Ahead of the Dalton review, which is examining ways to encourage the best providers to support those that are struggling, our paper with the Foundation Trust Network explores some of the organisational models that providers could use to meet their current strategic and financial challenges.
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By Candace Imison et al - 1 July 2014
Report

Commissioning and funding general practice: Making the case for family care networks

Our report argues for a new approach that brings together funding for general practice with funding for many other services. This would entail new forms of commissioning, with GPs innovating in how care is delivered.
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By Rachael Smithson et al - 19 February 2014
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

Improving GP services in England: Exploring the association between quality of care and the experience of patients

Using data for more than 8,000 general practices in England, this paper examines the association between patients’ perceptions about the non-clinical aspects of care and practice performance on measures of clinical quality.
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By Veena Raleigh et al - 7 November 2012
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