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Independent research and analysis on health and social care

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Brexit
Long read

Brexit and the end of the transition period: what does it mean for the health and care system?

On Christmas Eve 2020 a new EU-UK trade and co-operation deal was agreed. Jonathon Holmes looks at what the new deal means for the health and care system.
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By Jonathon Holmes - 11 January 2021
Long read

The next steps towards integrated care

This explainer considers NHS England and NHS Improvement’s proposals to further integrate health and care services and describes the associated proposals for legislative change.
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By Richard Murray et al - 9 December 2020 11-minute read
Critical care teaser
Long read

Critical care services in the English NHS

Critical care capacity has been described as ‘the number to watch’ during the Covid-19 (coronavirus) outbreak. This updated explainer looks at the number of critical care beds, how critical care units work and how they are staffed.
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By Siva Anandaciva - 25 November 2020
Rising cost of medicines teaser image
Long read

Access to new medicines in the English NHS

Have you ever wondered how new medicines are developed, approved and priced? This explainer outlines the long journey from the discovery of a new drug to when it becomes available on the NHS.
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By Ben Collins - 28 October 2020 30-minute read
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
Evidence and consultation

Sexual health inquiry: Written submission to the Health and Social Care Committee

Funding cuts to England's sexual health service are having an impact on provision. Against this background, the Health and Social Care select Committee’s inquiry is extremely timely, and we welcome the opportunity to contribute to this.
1 February 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
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
Long read

Community health services explained

Community services play a key role in keeping people well, treating and managing acute illness and long-term conditions, and supporting people to live independently – and yet they are poorly understood compared to other parts of the NHS. In this explainer we set out what community services are, the challenges faced and how they're changing.
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By Anna Charles - 14 January 2019
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
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
Commissioned report

Shaping the future of general practice: a report for the Royal College of General Practitioners

The report examines trends in health policy in the four nations of the UK, particularly as it might affect general practice. It considers what patients and GPs want from general practice and what general practice might look like in the future, building on the literature review and our interviews with system leaders.
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By Beccy Baird et al - 27 November 2018
Article

Talking leadership: learning to lead as an NHS consultant

Dr Kin Yee Shiu, a consultant in nephrology and acute/general medicine at the Royal Free London NHS Foundation Trust, talks about her experience of our Leadership for consultants programme and the challenge of leading change.
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By Dr Kin Yee Shiu - 27 November 2018
A vision for population health: towards a healthier future
Report

A vision for population health: Towards a healthier future

We need to move away from a system just focused on diagnosing and treating illness towards one that is based on promoting wellbeing and preventing ill health. Our report sets out a new vision for population health.
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By David Buck et al - 27 November 2018
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
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
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
Article

Stalling life expectancy in the UK

The stalling of improvements in life expectancy in the UK since 2011, highlighted again in the most recent data, has prompted much comment and speculation. We must look at austerity and beyond for underlying causes, says Veena Raleigh.
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By Veena Raleigh - 28 September 2018
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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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