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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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Long read

What does the NHS England review of waiting times mean for accident and emergency departments?

As NHS England proposes new waiting times targets, Siva Anandaciva weighs up the impact of the four-hour target and outlines seven key issues for the new standards that have been proposed for emergency departments.
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By Siva Anandaciva - 18 April 2019
Public satisfaction with the NHS and social care in 2018
Report

Public satisfaction with the NHS and social care in 2018: Results from the British Social Attitudes survey

Public satisfaction with the NHS overall continued to fall in 2018. Overall satisfaction was 53 per cent – a 3 percentage point drop from the previous year and the lowest level since 2007.
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By Ruth Robertson et al - 7 March 2019
Test 2
Report

How is the NHS performing? November 2017: Quarterly Monitoring Report

Performance against a number of key indicators is worse than at this time last year, and finances remain precarious despite an emergency funding injection.
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By Siva Anandaciva et al - 3 November 2017
Long read

The capped expenditure process explained

In response to significant financial pressures in the NHS, a capped expenditure process has been introduced to provide tighter controls on spending. We explain how the process works and what it involves.
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By Siva Anandaciva - 29 June 2017
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
Report

How is the NHS performing? July 2019 quarterly monitoring report

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.
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By Siva Anandaciva et al - 9 July 2019
Commissioned report

Insights from the spread of the primary care home

This report was commissioned by the National Association of Primary Care (NAPC) and explores the factors that contributed to the spread of the primary care home.
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By Durka Dougall et al - 19 June 2019
Commissioned report

Measuring general practice productivity

With a rising workload, general practice in England is under significant pressure. This study developed and tested a measure of effectiveness in general practice known as the general practice effectiveness tool.
By Jeremy Dawson et al - 21 February 2019
Article

Caution needed over ambitions for new primary care networks

It is critical that primary care networks are not set up to fail by taking on too many tasks too quickly.
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By Beccy Baird et al - 18 January 2019
Article

What is happening to waiting times in the NHS?

We examine the big issues and recent NHS performance on waiting times.
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By Siva Anandaciva et al - 8 November 2017
Article

State of health and care in England

Services are at full stretch and struggling to maintain standards, says Chris Ham.
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By Professor Sir Chris Ham - 17 October 2017
Article

Yet more performance ratings for the NHS: new STP ratings are narrowly focused and centrally driven

In July NHS England published its first 'progress dashboard' for the 44 new sustainability and transformation partnerships, but these new ratings are narrowly focused and centrally driven, say Hugh Alderwick and Veena Raleigh.
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By Hugh Alderwick et al - 10 August 2017
Getting It Right First Time report
Report

Tackling variations in clinical care: assessing the Getting It Right First Time (GIRFT) programme

The Getting It Right First Time (GIRFT) programme aims to bring about higher-quality care in hospitals, at lower cost, by reducing unwanted variations in services and practices.
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By Nicholas Timmins - 28 June 2017
Article

Did the government meet its pledge to deliver seven-day services?

Ahead of the general election, we explore whether the government met its pledge on seven-day services.
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By Helen McKenna - 6 June 2017
Article

How does the NHS compare internationally? big election questions

Ahead of the general election, we look at how the NHS compares with international health systems.
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By Ruth Robertson - 2 June 2017
Report

How is the NHS performing? June 2017: Quarterly Monitoring Report

Our quarterly monitoring report combines analysis of the latest NHS performance data with unique insight from NHS trust and CCG finance directors, and from general practitioners – providing a comprehensive overview of how the NHS is faring.
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By Richard Murray et al - 1 June 2017
Article

Is general practice in crisis? big election questions

Ahead of the general election, we consider whether general practice is in crisis.
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By Beccy Baird - 1 June 2017
Report

Public satisfaction with the NHS in 2016

In 2016 the NHS remained popular with the public. In particular, the public values a system that provides high-quality, comprehensive services that are free at the point of use.
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By Ruth Robertson - 30 March 2017
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

How is the NHS performing? March 2017: Quarterly Monitoring Report

More patients with complex conditions is the main reason for worsening performance in A&E departments, according to the 22nd quarterly monitoring report from The King's Fund.
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By Richard Murray et al - 2 March 2017
Article

Political crisis in the NHS

The government should heed the warning signs and embark on fundamental reform.
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By Professor Sir Chris Ham - 17 January 2017
Report

The NHS in England: The operating framework for 2006/7

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.
11 May 2006
Report

Assessing the New NHS Consultant Contract: A something for something deal?

Drawing on evidence from five acute NHS trusts, this paper assesses the impact of the new consultant contract in England and asks whether reforms will translate into benefits for patients.
By Sally Williams et al - 10 May 2006
Report

Where's the money going?

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.
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By John Appleby - 3 February 2006
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