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Independent research and analysis on health and social care

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Long read

What is happening to life expectancy in England?

Veena Raleigh examines trends in life expectancy at birth up to 2020 and the impact of Covid-19 in 2020, gender differences, geographical inequalities, causes of the changing trends since 2011, and how the UK’s life expectancy compares with other countries.
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By Veena Raleigh - 15 April 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
Long read

Deaths from Covid-19 (coronavirus): how are they counted and what do they show?

Veena Raleigh examines the methods being used to count deaths from Covid-19 and discusses what the numbers to date show.
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By Veena Raleigh - 19 August 2020 15-minute read
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
BSA 2019
Report

Public satisfaction with the NHS and social care in 2019: Results from the British Social Attitudes survey

After falling for the past two years, public satisfaction with the NHS overall rose significantly in 2019. Overall satisfaction was 60 per cent – a 7 percentage point increase from the previous year.
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By Dan Wellings et al - 3 April 2020
Report

How is the NHS performing? July 2019 quarterly monitoring report

This is the 28th QMR, which takes stock of what has happened over the past few months with NHS financial and operational performance in England.
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By Siva Anandaciva et al - 9 July 2019
Long read

What does the NHS England review of waiting times mean for accident and emergency departments?

As NHS England proposes new waiting times targets, Siva Anandaciva weighs up the impact of the four-hour target and outlines seven key issues for the new standards that have been proposed for emergency departments.
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By Siva Anandaciva - 18 April 2019
Public satisfaction with the NHS and social care in 2018
Report

Public satisfaction with the NHS and social care in 2018: Results from the British Social Attitudes survey

Public satisfaction with the NHS overall continued to fall in 2018. Overall satisfaction was 53 per cent – a 3 percentage point drop from the previous year and the lowest level since 2007.
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By Ruth Robertson et al - 7 March 2019
QMR27
Report

How is the NHS performing? December 2018 quarterly monitoring report

Eight out of ten NHS trust finance directors say that funding pressures have led to longer waiting times for people who need mental health treatment, finds our latest quarterly monitoring report.
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By Siva Anandaciva et al - 21 December 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
CQC impact
Report

Impact of the Care Quality Commission on provider performance: room for improvement?

The CQC introduced a new approach to inspecting and rating health and social care providers in 2013. Our report with the Alliance Manchester Business School is the first major evaluation of this approach.
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By Rachael Smithson et al - 27 September 2018
How is the NHS performing? June 2018
Report

How is the NHS performing? June 2018 quarterly monitoring report

Although we have technically moved out of winter, the latest performance data paints a picture of continuing pressure on NHS staff and services. While A&E departments understandably received much of the focus over the winter months, a quieter decline continues in waiting times for planned (elective) care.
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By Siva Anandaciva et al - 10 July 2018
Report

The NHS at 70: How good is the NHS?

An investigation into three key aspects of a good health care system – comparing access, efficiency and outcomes in the UK to 18 similar countries, including France, Germany, Italy, Japan and the United States.
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By Deborah Ward et al - 25 June 2018
Evidence and consultation

APPG on Mental Health inquiry: into the Five Year Forward View for Mental Health

This consultation response is our contribution to the APPG on Mental Health inquiry into the Five Year Forward View for Mental Health.
19 June 2018
Article

An open letter: a long-term funding settlement for the NHS

An open letter to the Prime Minister from The King's Fund, The Nuffield Trust and The Health Foundation about a long-term funding settlement for the NHS.
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By Professor Sir Chris Ham et al - 6 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
QMR25
Report

How is the NHS performing? March 2018 quarterly monitoring report

We find that more patients are facing long waits for hospital treatment, with many of those experiencing the longest waits often most in need. And with demand for services continuing to rise it's very unlikely that meeting waiting time targets will become more achievable.
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By Richard Murray et al - 8 March 2018
Public satisfaction with the NHS and social care in 2017
Report

Public satisfaction with the NHS and social care in 2017

Public satisfaction with the NHS overall has dropped sharply in the past year and dissatisfaction is at its highest level since 2007.
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By Ruth Robertson et al - 28 February 2018
Article

Delayed transfers of care: a quick guide

Why do delayed transfers of care occur? And what is the impact on the wider health system? We answer some key questions.
4 January 2018
Article

What is happening to waiting times in the NHS?

We examine the big issues and recent NHS performance on waiting times.
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By Siva Anandaciva et al - 8 November 2017
Test 2
Report

How is the NHS performing? November 2017: Quarterly Monitoring Report

Performance against a number of key indicators is worse than at this time last year, and finances remain precarious despite an emergency funding injection.
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By Siva Anandaciva et al - 3 November 2017
Article

State of health and care in England

Services are at full stretch and struggling to maintain standards, says Chris Ham.
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By Professor Sir Chris Ham - 17 October 2017
Article

Yet more performance ratings for the NHS: new STP ratings are narrowly focused and centrally driven

In July NHS England published its first 'progress dashboard' for the 44 new sustainability and transformation partnerships, but these new ratings are narrowly focused and centrally driven, say Hugh Alderwick and Veena Raleigh.
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By Hugh Alderwick et al - 10 August 2017
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