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Independent research and analysis on health and social care

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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
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
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
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
Article

Is the NHS being privatised?

The involvement of the private sector in the NHS is a hotly contested topic. We consider whether the NHS is being privatised.
1 March 2021
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

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
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
Evidence and consultation

Implementing the NHS long-term plan: written submission to the House of Commons Health and Social Care Select Committee

Successful implementation of the NHS long-term plan depends on adequate funding for social care and public health, NHS education and training, and capital investment.
7 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
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
Evidence and consultation

NHS long-term plan: legislative proposals inquiry: Written submission to the Health and Social Care Committee

Our response to the Health and Social Care Committee's legislative proposals inquiry. We support the spirit of these proposals, which are intended to make it easier for local NHS bodies to work together to improve the health and care of their populations.
24 April 2019
Article

The false promise of the self-improving health system

There is an urgent need to reform the system for paying and contracting for services in the NHS but new complex financial incentive schemes are not the answer, writes Ben Collins for HSJ.
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By Ben Collins - 1 April 2019
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

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
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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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