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Publications

Independent research and analysis on health and social care

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  • Health and care services
    • Adult social care
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    • (-) Emergency care
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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
Five year forward view
Long read

Policy changes to implement the NHS five year forward view: a progress report

Two years on from the publication of the NHS five year forward view, we assess how much progress has been made and what still needs to be done to align policies with the plan.
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By Professor Sir Chris Ham et al - 27 October 2016
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
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
Long read

Health and wellbeing boards (HWBs) explained

What are health and wellbeing boards (HWBs) and what role could they play in developments such as integrated commissioning and place-based systems of care?
22 June 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
Article

A day in the life of a GP

We spoke to a number of GPs as part of the research for our report on understanding pressures in general practice. This feature compiles some of their experiences to reflect a typical day working in primary care.
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By Anna Charles et al - 5 May 2016
Long read

Tackling the growing crisis in the NHS: An agenda for action

Drawing on our previous work and a lecture given by Chris Ham to the Cambridge Whitehall Group, we offer some practical solutions to help the NHS address one of the biggest crises in its history.
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By Professor Sir Chris Ham et al - 7 April 2016
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

Financial failure in the NHS: What causes it and how best to manage it

We explore the current financial state of the NHS, the approaches used to avert financial failure and how to deal with it once it occurs.
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By Richard Murray et al - 9 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
Article

Dalton review: Good leadership will determine the best models for change

There are a range of models being explored by the Dalton review to improve NHS provider models in future. Health care management is complex and mulifaceted, so needs to successfully meet varying local health needs, argue Chris Ham and Chris Hopson.
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By Professor Sir Chris Ham et al - 1 July 2014
Article

Prescription charges: are they worth it?

John Appleby assesses whether the policy of charging for prescriptions in England is helping or harming the NHS.
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By John Appleby - 18 June 2014
Article

NHS England’s chief executive sets out thinking on new models of care

Simon Stevens has the opportunity to make changes that in normal times would be impossible, says Chris Ham.
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By Professor Sir Chris Ham - 12 June 2014
Article

Let the mavericks lead primary care service design

Rachael Addicott considers how forward thinking GPs can be more engaged in leading the radical service redesign that is required in primary care.
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By Rachael Smithson - 22 April 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
Article

GP contracts should enable providing or buying all but the most specialist services

The pressure of a growing and ageing population is made all the more pressing by the financial challenges that the entire health system faces and are keenly felt within general practice.
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By Rachael Smithson - 19 February 2014
Article

We have a radical plan for primary care

The King’s Fund proposes a radically new approach to commissioning and funding general practice to tackle the pressure of rising demands when resources are declining.
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By Professor Sir Chris Ham - 19 February 2014
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Health and care explained: Making sense of the health and care system

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