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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
Brexit
Long read

Brexit and the end of the transition period: what does it mean for the health and care system?

On Christmas Eve 2020 a new EU-UK trade and co-operation deal was agreed. Jonathon Holmes looks at what the new deal means for the health and care system.
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By Jonathon Holmes - 11 January 2021
Long read

The next steps towards integrated care

This explainer considers NHS England and NHS Improvement’s proposals to further integrate health and care services and describes the associated proposals for legislative change.
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By Richard Murray et al - 9 December 2020 11-minute read
Rising cost of medicines teaser image
Long read

Access to new medicines in the English NHS

Have you ever wondered how new medicines are developed, approved and priced? This explainer outlines the long journey from the discovery of a new drug to when it becomes available on the NHS.
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By Ben Collins - 28 October 2020 30-minute read
Commissioned report

Understanding factors that enabled digital service change in general practice during the Covid-19 pandemic

The Covid-19 pandemic prompted rapid uptake of existing digital technologies to deliver patient care differently in general practice. This report looks at how services changed and the digital tools and services that were used to facilitate that change
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By Beccy Baird et al - 10 February 2021
Long read

Community pharmacy explained

Community pharmacy is a critical part of primary care in England, but its role and relationship to the wider NHS is often poorly understood. This explainer looks at the community pharmacy sector in England, explaining how pharmacies are contracted and funded, the types of services they provide and future trends in the sector.
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By Beccy Baird et al - 16 December 2020
Long read

Reforming the finances of the NHS

A new financial architecture for the NHS requires coherence and balance, and a recognition that that any national financial strategy will be heavily mediated by the quality of local relationships. Richard Murray and Siva Anandaciva discuss how lessons from the recent history of NHS finances can help the system plan for the future.
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By Siva Anandaciva et al - 15 December 2020 30-minute read
Article

An open letter to the Chancellor

Chief Executive of The King’s Fund, Richard Murray, has written an open letter to the Chancellor, the Right Honourable Rishi Sunak, to outline why health and care services need the stability of a multi-year funding deal.
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By Richard Murray - 23 November 2020
Long read

Primary care networks explained

A key part of the NHS long-term plan, primary care networks (PCNs) will bring general practices together to work at scale. But what are they? How are they funded and held accountable? And what difference will they make? Beccy Baird explains the latest form of GP collaboration.
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By Beccy Baird et al - 20 November 2020
Red stethascope teaser
Long read

The 2020/21 update to the GP contract explained

NHS England and the British Medical Association’s general practice committee have negotiated an update to the five-year GP contract framework published in January 2019. This explainer outlines the changes and explains what they mean for the future of general practice.
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By Beccy Baird et al - 19 November 2020
Long read

What is social prescribing?

Social prescribing enables GPs, nurses and other primary care professionals to refer people to a range of local, non-clinical services to support their health and wellbeing. But does it work? And how does it fit in with wider health and care policy?
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By David Buck et al - 4 November 2020
Evidence and consultation

Response to the Health and Social Care Select Committee inquiry into workforce burnout and resilience in the NHS and social care

In this written submission to the House of Commons Health and Social Care Select Committee, we provide an overview of the resilience of the NHS and social care workforce, including the impact of Covid-19.
16 October 2020
Nurse and midwife
Commissioned report

The courage of compassion: Supporting nurses and midwives to deliver high-quality care

This report, commissioned by the RCN Foundation, explores the causes and consequences of poor mental health and wellbeing among nurses and midwives, and seeks to identify solutions to these issues and examples of good practice.
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By Michael West et al - 23 September 2020
Report

Quarterly monitoring report (QMR) 29: how is the NHS performing?

Covid-19 has dramatically altered how NHS services and finances operate. Our 29th QMR looks at where the NHS expected to be at the end of 2019/20, where it actually finds itself in 2020/21, and what impact Covid-19 might have in the future.
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By Siva Anandaciva - 6 August 2020
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
Loans explainer
Long read

Financial debts and loans in the NHS

In April 2020, the government announced it would write off more than £13 billion of historical NHS debt. This explainer brings together information on why this debt built up, how the write-off will work, and why this issue is important.
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By Siva Anandaciva - 2 July 2020
GP contracts explainer figure 1
Long read

GP funding and contracts explained

This explainer sets out how general practices are contracted and paid in England, looking at the services they are contracted to deliver, and the different streams of funding they receive.
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By Jake Beech et al - 11 June 2020 9-minute read
First 100 days of new government
Long read

Health and care: the first 100 days of the new government

We provide a record of the progress made towards meeting the government’s manifesto pledges and campaign commitments during its first 100 days in office.
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By Jonathon Holmes - 27 March 2020
Evidence and consultation

NHS Funding Bill House of Commons Second Reading: briefing

The King's Fund produced this briefing ahead of the second reading of the NHS Funding Bill in the House of Commons.
3 February 2020
Article

Public health funding uncertainty is hitting hard

This article was first published on the LGC website. The lack of news from the government about the public health grant contrasts with the long term certainly it has given the NHS, writes Sally Warren.
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By Sally Warren - 31 January 2020
Article

GPs condemn new specifications for primary care networks

This article was first published on the BMJ website. General practices have been working together in primary care networks (PCNs) for more than a year, but now growing numbers of GPs are threatening to pull out of PCNs and the associated contract. Richard Murray explains how this situation has unfolded and suggests some potential solutions.
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By Richard Murray - 27 January 2020
Evidence and consultation

Network contract directed enhanced service: draft outline service specifications

The urgent action needed to stabilise general practice, by addressing workload and workforce issues, raises important questions around the timing, implementation and pace of these new service specifications even though the overall direction they set out is the right one.
17 January 2020
The economic influence of the NHS at the local level
Long read

The economic influence of the NHS at the local level

As the biggest employer in England and a significant economic force in local communities, the NHS has a unique opportunity to influence the wellbeing of the population it serves. David Maguire looks at how the NHS can affect the health of their local population as an economic agent.
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By David Maguire - 16 January 2020
How to build effective teams in general practice
Long read

How to build effective teams in general practice

This guide draws on insights from our research, policy analysis and leadership practice to outline ways in which practices can create and sustain effective teams, as they come together to form primary care networks.
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By Beccy Baird et al - 9 January 2020
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Health and care explained: How does the health and care system work? How is it changing?

This selection of content aims to make sense of the health and care system – including videos, articles, illustrated summaries and more.

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