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Publications

Independent research and analysis on health and social care

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  • Health and care services
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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
Long read

The NHS 10-year plan: how should the extra funding be spent?

The government has announced increases in NHS funding and has asked the NHS to come up with a 10-year plan for how this funding will be used. After eight years of austerity, there is now an opportunity to tackle the issues that matter most to patients and communities and to improve health and care.
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By Professor Sir Chris Ham et al - 12 July 2018
Article

A funding boost for the NHS in England

Now the government must decide how to fund social care, says Chris Ham.
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By Professor Sir Chris Ham - 21 June 2018
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
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

Budget 2018: what it means for health and social care

In this joint piece with the Health Foundation and Nuffield Trust, we analyse what was announced in the 2018 Budget and what it means for health and social care.
9 November 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
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
Long read

The NHS 10-year plan: how should the extra funding be spent?

The government has announced increases in NHS funding and has asked the NHS to come up with a 10-year plan for how this funding will be used. After eight years of austerity, there is now an opportunity to tackle the issues that matter most to patients and communities and to improve health and care.
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By Professor Sir Chris Ham et al - 12 July 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: 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
Article

Digital change is priceless

In light of recent announcements, Harry Evans argues it is now time for the NHS to step out of the shadow of past implementation failures.
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By Harry Evans - 28 June 2018
Report

The NHS at 70: Does the NHS need more money and how could we pay for it?

The UK government spends £150 billion every year on health – more than twice what we spent less than 20 years ago at the start of the 2000s. But might the NHS still require more funding, and if it does how could we find more money?
By George Stoye - 26 June 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
Article

A funding boost for the NHS in England

Now the government must decide how to fund social care, says Chris Ham.
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By Professor Sir Chris Ham - 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
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

Hypothecated funding for health and social care: how might it work?

Hypothecated funding for health and social care is back on the political agenda. This paper sets out the problems hypothecation is meant to solve – and the conditions under which it might do so – and provides a brief history of hypothecation in the UK.
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By Richard Murray - 29 May 2018
Data in the NHS
Long read

Using data in the NHS: the implications of the opt-out and GDPR

Harry Evans explores the use of data in the NHS, the systems in place for protecting it and what GDPR and the opt-out might mean for the future.
By Harry Evans - 25 May 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
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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
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Health and care explained: Making sense of the health and care system

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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