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Publications

Independent research and analysis on health and social care

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Thinking differently about commissioning report
Report

Thinking differently about commissioning: learning from new approaches to local planning

Our report examines the approach being taken by some clinical commissioning groups (CCGs) and local systems where traditional notions of commissioning are no longer guiding their way of working.
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By Ruth Robertson et al - 6 February 2020
Closing the gap: Key areas for action on the health and care workforce
Report

Closing the gap: key areas for action on the health and care workforce

Staffing is the make-or-break issue for the NHS in England. In this joint report with the Nuffield Trust and the Health Foundation, we set out the policy actions that need to be at the heart of the workforce implementation plan due to be published later this year.
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By Jake Beech et al - 21 March 2019
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

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

Payments and contracting for integrated care: The false promise of the self-improving health system

Why should the new payment systems being developed to support integrated care be any more successful than previous ones? This new report calls for urgent reform of the system for paying and contracting services in the NHS.
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By Ben Collins - 14 March 2019
HIV services in England
Report

The future of HIV services in England: shaping the response to changing needs

This report explores the challenges and opportunities facing HIV services in four areas in England, and makes recommendations on future development to those in national and local leadership roles.
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By Alex Baylis et al - 25 April 2017
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

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

Devolution: What it means for health and social care in England

This briefing describes the origins of devolution and explores key policy and implementation questions in relation to health and social care.
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By Helen McKenna et al - 11 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

Options for integrated commissioning Beyond Barker

With support for health and social care to have a single ring-fenced budget and a single local commissioner growing, this report looks at the options available for integrated commissioning.
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By Richard Humphries et al - 9 June 2015
Report

Procurement and competition rules: Can the NHS be exempted?

In this briefing, The King’s Fund seeks to clarify whether a new government could extract the NHS from European Union procurement and competition rules.
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By Ben Collins - 18 March 2015
Report

Implementing the NHS five year forward view: Aligning policies with the plan

Our report calls for fundamental changes to how health services are commissioned, paid for and regulated to deliver the vision of the NHS five year forward view.
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By Professor Sir Chris Ham et al - 18 February 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

Commissioning and contracting for integrated care

This report describes how CCGs in England are innovating with alternative approaches to commissioning and contracting as a way of driving integrated care.
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By Rachael Smithson - 11 November 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

The four UK health systems: Learning from each other

This paper aims to probe what it sees as a woefully under-explored area: the differences between the United Kingdom's four separate health systems.
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By Nicholas Timmins - 13 June 2013
Report

Improving the allocation of health resources in England How to decide who gets what

While the principles behind resource allocation in the English NHS have changed little since the mid-1970s, the NHS has changed considerably. This paper argues that the resource allocation system needs to change accordingly.
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By David Buck et al - 11 April 2013
Report

Case management: What it is and how it can best be implemented

This paper looks at the core components of a successful case management programme and considers how it can be used to deliver high-quality integrated care.
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By Nick Goodwin et al - 17 November 2011
Report

Issues facing commissioners of end-of-life care

This paper, authored by Rachael Addicott and Jenny Hiley, highlights the current barriers to commissioning personalised, integrated services for end of life.
By Rachael Addicott et al - 29 September 2011
Report

Social care and clinical commissioning for people with long-term conditions

Written by the Social Care Institute for Excellence (SCIE) in conjunction with The King's Fund, this short briefing asks how can clinical commissioners secure best use of social care to maximise outcomes and improve patient experience, while ensuring efficient, affordable care into the future?
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By Richard Humphries et al - 22 September 2011
Report

Social enterprise in health care: Promoting organisational autonomy and staff engagement

The government is committed to the development of social enterprises to deliver health and social care. But will these new organisations and their leaders have the necessary skills to manage the risks and establish themselves as viable organisations in an increasingly competitive market?
By Rachael Addicott - 4 August 2011
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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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