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Independent research and analysis on health and social care

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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
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
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
Article

An alternative day in the life of a GP

What would a day in the life of a GP working in an innovative model of general practice look like? We pull together a typical day based on the experiences of GPs we met in researching Innovative models of general practice.
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By Beccy Baird et al - 7 June 2018
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

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
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
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
Long read

Unconventional health and care: five organisations delivering care differently

How can we make sure that people always receive the compassionate care they need? Ben Collins looks at five organisations that are thinking differently about how they support patients and service users, and considers what we can learn from their unconventional approaches.
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By Ben Collins - 5 December 2019
Long read

Why can't I get a doctor's appointment? Solving the complex issue of GP access

Public satisfaction with general practice is lower now than it has ever been, while the number of people reporting difficulties in booking appointments continues to grow. We run through the proposed solutions to issues around GP access and consider their potential effectiveness.
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By Beccy Baird et al - 21 November 2019
Long read

What is commissioning and how is it changing?

Commissioning is the process by which health and care services are planned, purchased and monitored. Here we look at the commissioning process in more detail, the organisations involved and how it is changing.
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By Lillie Wenzel et al - 19 September 2019
Commissioned report

Insights from the spread of the primary care home

This report was commissioned by the National Association of Primary Care (NAPC) and explores the factors that contributed to the spread of the primary care home.
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By Durka Dougall et al - 19 June 2019
Commissioned report

Measuring general practice productivity

With a rising workload, general practice in England is under significant pressure. This study developed and tested a measure of effectiveness in general practice known as the general practice effectiveness tool.
By Jeremy Dawson et al - 21 February 2019
Article

Caution needed over ambitions for new primary care networks

It is critical that primary care networks are not set up to fail by taking on too many tasks too quickly.
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By Beccy Baird et al - 18 January 2019
Commissioned report

Shaping the future of general practice: a report for the Royal College of General Practitioners

The report examines trends in health policy in the four nations of the UK, particularly as it might affect general practice. It considers what patients and GPs want from general practice and what general practice might look like in the future, building on the literature review and our interviews with system leaders.
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By Beccy Baird et al - 27 November 2018
Long read

Amending the 2012 Act: can it be done?

The Health and Social Care Act 2012 is widely seen as dysfunctional, getting in the way of the more integrated care it actually seeks to achieve. As the Prime Minister has once again opened the door to changes, this piece identifies some of the current problems and implications of change, and asks how far progress could be made within the existing legislation.
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By Nicholas Timmins - 25 October 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
Article

An international perspective on developing new models of care in the PACS vanguards

In this extract from our NHS England-commissioned report on developing new models of care in the PACS vanguards, Don Berwick offers an international perspective.
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By Don Berwick - 19 April 2018
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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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