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Publications

Independent research and analysis on health and social care

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Report

Stories from social care leadership: Progress amid pestilence and penury

Richard Humphries and Nicholas Timmins interview voices from across the social care sector to explore where leadership lies and what might be done to improve it.
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By Richard Humphries et al - 11 February 2021
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
Workforce race inequalities and inclusion in NHS providers
Report

Workforce race inequalities and inclusion in NHS providers

Despite having a diverse workforce, ethnic minority staff in the NHS continue to experience worse levels of bullying and a lack of opportunities for career progression. This report looks at how three NHS providers are working to better support staff and address these inequalities.
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By Shilpa Ross et al - 7 July 2020
Delivering health and care for people who sleep rough: going above and beyond
Report

Delivering health and care for people who sleep rough: going above and beyond

People who sleep rough have some of the worst health outcomes in England. We explore how four local areas are delivering effective health and care services to people sleeping rough and what other areas might be able to learn from them.
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By Julia Cream et al - 3 March 2020
Report

Leading for integrated care: 'If you think competition is hard, you should try collaboration'

This report explores the progress, challenges and opportunities the move towards greater integration presents, through interviews with 16 people leading or chairing an integrated care system or sustainability and transformation partnership.
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By Nicholas Timmins - 27 November 2019
Healthy places podcast
Report

Creating healthy places: perspectives from NHS England’s Healthy New Towns programme

Creating healthy places: perspectives from NHS England’s Healthy New Towns programme provides personal insights from those involved in the programme, illustrating how powerful a coherent local approach to improving population health can be.
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By Chris Naylor - 26 September 2019
Wigan Deal report
Report

A citizen-led approach to health and care: Lessons from the Wigan Deal

In 2011, Wigan Council had to make unprecedented savings after significant cuts in funding from central government. Drastic measures were needed, including a radical reshaping of the relationship between the council and residents. This became known as the Wigan Deal.
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By Chris Naylor et al - 26 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
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

Developing a strategy for the health and care workforce in England: Summary of a roundtable discussion

How could workforce planning be improved? This write up provides an overview of a roundtable event convened by The King's Fund, the Health Foundation and the Nuffield Trust, which explored Health Education England's draft workforce strategy.
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
Report

Key challenges facing the adult social care sector in England

The scale of the difficulties facing adult social care in England means that doing nothing is no longer an option. Policy-makers need to identify which of the problems facing social care they most want to tackle, and this briefing paper is intended to aid the process by identifying and exploring those key challenges.
12 December 2018
Report

Home care in England: views from commissioners and providers

This report sets out the key issues facing the home care sector based on discussions with commissioners, providers and national social care organisations.
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By Simon Bottery - 11 December 2018
Report

New models of home care

Policy-makers have outlined their ambitions to provide joined-up care closer to home and enable people to remain independent and in their own homes. Home care will be a central component of realising these ambitions. However, there are serious concerns about the state of the home care market and the quality of care service users receive.
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By Laura Bennett et al - 11 December 2018
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

Approaches to better value: improving quality and cost

The NHS is increasingly focusing on how it can improve the value of its services, to deliver the highest quality health outcomes for patients at the lowest possible cost. This report shares learning and insight from three NHS hospital trusts that have developed organisation-wide strategies for value improvement.
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By Joni Jabbal et al - 4 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
Report

A year of integrated care systems: reviewing the journey so far

Integrated care systems represent a fundamental and far-reaching change in how the NHS works across different services and with external partners. This report is based on interviews with eight of the ‘first wave’ ICSs to understand how they are developing and to identify lessons for local systems and national policy-makers.
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By Anna Charles et al - 20 September 2018
Report

Leadership in today's NHS: delivering the impossible

Leaders in today’s NHS operate in a climate of extreme pressure. Staffing vacancies are rife, there are widespread challenges in meeting financial and performance targets and demands on services continue to increase. What can be done to support current leaders and encourage future ones?
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By Siva Anandaciva et al - 18 July 2018
Report

The NHS at 70: What will new technology mean for the NHS and its patients?

Technology is rarely the saviour of health services in the way that politicians hope – at least in the short term. It takes time to implement, requires shifts in workforce, and investment – posing real dilemmas for a cash-strapped NHS.
By Sophie Castle-Clarke - 28 June 2018
Report

The NHS at 70: What's the problem with social care, and why do we need to do better?

Social care is complex, poorly understood and widely perceived as unfair – while facing unprecedented pressures. This paper explains the current pressures on social care, the impact this is having in England, and sets out the barriers and potential solutions to funding reform.
By Ruth Thorlby et al - 26 June 2018
Report

Leading across health and social care in Scotland: learning from chief officers' experiences, planning next steps

This report, commissioned by the Scottish Government in collaboration with the chief officers of integration authorities, looks how the chief officers have developed their role in the Scottish health and social care system so far.
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By Alex Baylis et al - 21 June 2018
Digital change
Report

Digital change in health and social care

The use of digital technology in health and social care can improve quality, efficiency and patient experience as well as supporting more integrated care and improving the health of a population. This report shares practical learning from a series of case studies where significant large-scale digital change is happening.
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By David Maguire et al - 21 June 2018
Report

The role of cities in improving population health: international insights

Drawing on international case studies, this report explores the role of cities in improving population health and the conditions needed for success.
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By Chris Naylor et al - 15 June 2018
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