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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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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
QMR25
Report

How is the NHS performing? March 2018 quarterly monitoring report

We find that more patients are facing long waits for hospital treatment, with many of those experiencing the longest waits often most in need. And with demand for services continuing to rise it's very unlikely that meeting waiting time targets will become more achievable.
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By Richard Murray et al - 8 March 2018
Report

Funding and staffing of NHS mental health providers: still waiting for parity

Our report finds that the spending gap between NHS acute hospitals and NHS mental health providers is widening.
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By Helen Gilburt - 16 January 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

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

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
Commissioned report

Sustainability and transformation partnerships in London: An independent review

Our report, commissioned by the Mayor of London, reviews the progress made over the past year by London's five sustainability and transformation partnerships (STPs).
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By Matthew Kershaw et al - 16 October 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
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
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
Article

A funding boost for the NHS in England

Now the government must decide how to fund social care, says Chris Ham.
Thumbnail
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.
Thumbnail
By David Maguire et al - 21 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
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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
Long read

Spending on and availability of health care resources: how does the UK compare to other countries?

The recent announcement by the Prime Minister to bring forward a new long-term funding settlement for the NHS means it is timely to look at how health spending in the UK compares to other countries and how the NHS measures up on some of the key resources this spending pays for.
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By Deborah Ward et al - 5 May 2018
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