Publications

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.

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.

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.

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.

What impact have community-based compulsory treatment orders had in the first six months since they were introduced in Scotland, and what lessons can England and Wales learn from this experience?

Discusses the causes of the NHS deficit in 2005/6 and considers three recent policy developments, asking what their impacts might be on NHS organisations and how they could be improved.

Aims to stimulate debate about developing cancer services in England, as demographic trends, new treatments, increasing survival rates and NHS reforms have altered the context in which they operate.

Our briefing on local variations in NHS spending priorities analyses newly-available data, collected by the Department of Health, on the amount spent by primary care trusts on specific disease areas.

Developing a sustainable and flexible workforce, using 'grow-your-own' approaches, could help the NHS face complex challenges as investment slows. This paper explores the conditions required to successfully implement these approaches.

Explores the arguments for and against the proposed ban on indoor smoking in psychiatric units, as well as the impact of smoking and smoking bans in these settings.

This briefing describes the main points contained in the 2006/7 Operating Framework and provides some commentary about what the document implies for the competing strands of NHS reform.

The NHS has rarely managed to balance its books exactly; in many years it has overspent, and in some it has carried a surplus. This briefing analyses what is known about the causes of current deficits.

Explores how social enterprises, particularly those with a 'mutual' structure, could add value to the provision of primary and community care and practice-based commissioning, and suggests how this system could be implemented.

How much should be spent on social care for older people over the next 20 years, and what funding arrangements are needed? Our report sets out the findings of the Wanless Social Care Review.

This government has significantly increased investment in the NHS; if pressure to spend more continues, how can we judge the health benefits of this extra spending?

John Appleby analyses new data to reveal how much extra NHS funding is absorbed by higher pay and other cost pressures, and how much is left over for other developments.