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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
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
Smoker and non-smoker
Report

Understanding NHS financial pressures: how are they affecting patient care?

Severe financial pressures on the NHS show no signs of easing, but how are they affecting patient care?
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By Ruth Robertson et al - 14 March 2017
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
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 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
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Report

A fork in the road: next steps for social care funding reform

This report published jointly with the Health Foundation pulls together new financial modelling, public perceptions work and policy analysis to identify the problems with adult social care in England and outline options for its reform.
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By Simon Bottery et al - 16 May 2018
Rising cost of medicines teaser image
Report

The rising cost of medicines to the NHS: what’s the story?

In the face of rising costs, the NHS is grappling with how to provide access to medicines in an affordable way. Our new briefing explores the NHS’s approach to managing its spending on medicines and choices that policy-makers are likely to face in future.
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By Leo Ewbank et al - 26 April 2018
Health care funding models
Report

Approaches to social care funding

It is widely accepted that the system for funding social care is in urgent need of reform, but there is little sign of a long-term solution on the horizon. In this report we consider five different approaches, setting out the implications of each.
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By Lillie Wenzel et al - 15 February 2018
Report

Enhanced health in care homes: learning from experiences so far

This report looks at experiences so far in the areas of England working on delivering enhanced health in care homes.
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By Alex Baylis et al - 5 December 2017
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

A digital NHS? An introduction to the digital agenda and plans for implementation

In recent years, the digital agenda in health care has been the subject of an array of promises and plans. Following on from the Wachter review of health technology, our new briefing assesses the progress made and what needs to happen next.
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By Matthew Honeyman et al - 22 September 2016
Social care for older people
Report

Social care for older people: Home truths

This report looks at social care services for older people and the impact of cuts in local authority spending on social care providers and on older people, their families and carers.
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By Richard Humphries et al - 15 September 2016
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

Patients as partners: Building collaborative relationships among professionals, patients, carers and communities

Our guide explores practical ways to develop collaborative relationships among health and care professionals, patients, carers and community partners.
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By Becky Seale - 4 July 2016
Report

Five big issues for health and social care after the Brexit vote

In the aftermath of the Brexit vote, we consider what lies ahead for health and social care, and the five big issues that will need to be considered.
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By Helen McKenna - 30 June 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

Statement from the Barker Commission: The future of health and social care

A statement from the Barker Commission to the Chancellor ahead of the Spending Review on the state of social care and its funding.
8 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
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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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