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Independent research and analysis on health and social care

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  • Health and care services
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Brexit
Long read

Brexit: the implications for health and social care

Brexit has major implications for health and social care in England. Here we look at some of the latest developments that could impact the health and care system in England.
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By Jonathon Holmes et al - 31 October 2019
Two people standing outside a nursing home
Long read

Social care 360

This review outlines and analyses 20 key trends in adult social care in England over recent years. Using a variety of publicly-available data, it provides a uniquely rounded – ‘360 degree’ – view of the sector.
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By Simon Bottery et al - 26 April 2019
Long read

The NHS long-term plan explained

On 7 January, the NHS long-term plan was published setting out key ambitions for the service over the next 10 years. In this explainer, we set out the main commitments in the plan and provide our view of what they might mean, highlighting the opportunities and challenges for the health and care system as it moves to put the plan into practice.
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By Anna Charles et al - 23 January 2019
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
Long read

Why can't I get a doctor's appointment? Solving the complex issue of GP access

Public satisfaction with general practice is lower now than it has ever been, while the number of people reporting difficulties in booking appointments continues to grow. We run through the proposed solutions to issues around GP access and consider their potential effectiveness.
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By Beccy Baird et al - 21 November 2019
Evidence and consultation

Implementing the NHS long-term plan: written submission to the House of Commons Health and Social Care Select Committee

Successful implementation of the NHS long-term plan depends on adequate funding for social care and public health, NHS education and training, and capital investment.
7 November 2019
What's your problem, social care? The eight key areas for reform
Long read

What’s your problem, social care? The eight key areas for reform

Different people have different ideas about what’s ‘wrong’ with social care. This long read outlines the eight key issues and the options cited to tackle them.
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By Simon Bottery - 5 November 2019
Article

Is the NHS being privatised?

The involvement of the private sector in the NHS is a hotly contested topic. We consider whether the NHS is being privatised.
17 October 2019
Long read

What is commissioning and how is it changing?

Commissioning is the process by which health and care services are planned, purchased and monitored. Here we look at the commissioning process in more detail, the organisations involved and how it is changing.
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By Lillie Wenzel et al - 19 September 2019
Long read

Five numbers to sum up the Spending Round for health and social care

Siva Anandaciva takes a look at the key numbers mentioned in the Spending Round (and those that weren’t) add up, and the implications they have for health and social care.
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By Siva Anandaciva - 6 September 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
Article

The false promise of the self-improving health system

There is an urgent need to reform the system for paying and contracting for services in the NHS but new complex financial incentive schemes are not the answer, writes Ben Collins for HSJ.
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By Ben Collins - 1 April 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
Article

It’s time for a new deal between the public and the NHS

The 70th anniversary of the NHS is an opportunity to reflect on its enduring popularity and to ask what people can expect from the service and what their obligations are in return, says Chris Ham.
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By Professor Sir Chris Ham - 5 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: 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
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.
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By Harry Evans - 25 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
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
Commissioned report

Commissioner perspectives on working with the voluntary, community and social enterprise sector

This report explores how and why clinical commissioning groups and local authorities are engaging with the voluntary, community and social enterprise sector.
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By Beccy Baird et al - 22 February 2018
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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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