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Independent research and analysis on health and social care

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  • Health and care services
    • (-) Adult social care
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Long read

Shared responsibility for health: the cultural change we need

We believe that the relationship between the public and the NHS, and between patients and the staff who care for them, needs to be transformed. As well as ensuring that the resources (funding and workforce) needed to deliver care are available, national and local leaders must work to fully engage patients and the public in improving health and care.  
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By Professor Sir Chris Ham et al - 23 November 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
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
Report

Transformational change in health and care: reports from the field

We interviewed 42 people who were involved in leading, supporting, delivering, receiving or witnessing transformational change. Our report shares their experiences and reflections.
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By Durka Dougall et al - 10 May 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
Some of the many ways in which volunteers can improve patients' experience in hospital
Commissioned report

The role of volunteers in the NHS: views from the front line

Commissioned by Royal Voluntary Service and Helpforce, this report looks at the perceptions of frontline NHS staff working in acute care about the operational pressures they face, how they understand the roles and value of volunteers and what gaps there are that volunteers could help fill.
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By Shilpa Ross et al - 4 December 2018
Article

Breaking the leadership mould

Suzie Bailey and Saffron Cordery from NHS Providers reflect on the findings of our joint report and the challenge of recruiting and retaining leadership roles.
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By Suzie Bailey et al - 22 August 2018
Article

Leadership vacancies in the NHS

The role of leaders is changing as we move towards integrated care, with significant efforts needed to build a pipeline of leaders, say Saffron Cordery and Suzie Bailey.
By Suzie Bailey et al - 18 July 2018
Report

Leadership in today's NHS: delivering the impossible

Leaders in today’s NHS operate in a climate of extreme pressure. Staffing vacancies are rife, there are widespread challenges in meeting financial and performance targets and demands on services continue to increase. What can be done to support current leaders and encourage future ones?
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By Siva Anandaciva et al - 18 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'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
Article

An international perspective on developing new models of care in the PACS vanguards

In this extract from our NHS England-commissioned report on developing new models of care in the PACS vanguards, Don Berwick offers an international perspective.
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By Don Berwick - 19 April 2018
Commissioned report

Developing new models of care in the PACS vanguards: a new national approach to large-scale change?

For this report we invited those who have led the development of the PACS model, nationally and locally, to reflect on the process of being part of the programme, and of trying to bring about complex change in local systems.
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By Chris Naylor et al - 19 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

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
Article

Getting the most from technology requires pathway redesign

Test bed initiatives show that, beyond technology, pathway transformation is what leads to the real change.
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By Harry Evans - 10 January 2018
Report

Estimate of future social care funding gap following the Spending Review

Note prepared for the Health Select Committee Inquiry into public expenditure, giving an estimate of the future social care funding gap following the Spending Review 2010.
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By Richard Humphries et al - 24 November 2010
Article

How assistive technologies are used by children and adolescents, their parents or carers

We look at three types of technology: telephone, internet and videoconferencing, and consider how they could be used for or by children and adolescents across a variety of conditions.
By Susan Royer - 2 November 2010
Report

The Spending Review and Social Care

For adult social care, the Spending Review settlement is about as good as it could get. It promises allocates £2 billion a year of additional funding by 2014-15 to support social care, £1b of which sits within the NHS.
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By Richard Humphries - 21 October 2010
Report

The 21st-century doctor: Understanding the doctors of tomorrow

This paper, published in partnership with the RCP, General Medical Council, the NHS Institute, the Centre for Excellence in Developing Professionalism, University of Liverpool, and the Student BMJ, reports on the quality and insight of the next generation of young doctors.
By Ros Levenson et al - 6 October 2010
Report

Place-based approaches and the NHS: lessons from Total Place

This report captures the content of a conference held by The King's Fund to assess the involvement of the NHS in the Total Place programme.
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By Richard Humphries et al - 1 October 2010
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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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