Governance and regulation Our work on governance, accountability and regulation across health and social care Content Type Viewing: Our work Our work Publications Projects Blog posts Multimedia Press releases Share this content Share on Twitter Share on Facebook Share on LinkedIn Share on Email Print this page Report Impact of the Care Quality Commission on provider performance: room for improvement? The CQC introduced a new approach to inspecting and rating health and social care providers in 2013. Our report with the Alliance Manchester Business School is the first major evaluation of this approach. 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. Report New care models: Emerging innovations in governance and organisational form This report looks at the different approaches being taken by MCP and PACS vanguards to contracting, governance and other organisational infrastructure. Slideshow How is the NHS structured? A series of diagrams explaining how the NHS is structured, including how providers are regulated and commissioned, and how the money flows. Blog A health service on the brink: a priority in the corridors of power? With the much-anticipated Autumn Statement next week and NHS financial pressures hitting the headlines, Chris Ham considers the political context and what lies ahead for a health service on the brink. Long read Policy changes to implement the NHS five year forward view: a progress report Two years on from the publication of the NHS five year forward view, we assess how much progress has been made and what still needs to be done to align policies with the plan. Evidence and consultation Consultation on changes to the Health and Social Care Information Centre statistics 2016/17 – 2018/19: The King's Fund response The King's Fund response to the consultation on changes to the Health and Social Care Information Centre statistics 2016/17 - 2018/19. Dudley CCG’s MCP project Case study of Dudley CCG&MCP project, one of the innovations at the vanguards studied for our research into governance and organisational form for new care models. Key choices when designing new systems Vanguards are developing a range of new governance and organisational approaches to support their efforts to develop new models of integrated care. This page details the areas covered and approaches taken by the different vanguard sites. Blog NHS planning guidance 2017-19: steps in the right direction? Richard Murray evaluates the latest NHS planning guidance, and considers whether the changes proposed are welcome and realistic in the current financial context. Blog The consequences of living within your means The Department of Health's annual accounts, published last week, were further evidence of the increasingly serious financial crisis facing the NHS. Helen McKenna considers the outlook as measures are put in place to restore financial control. Report Deficits in the NHS 2016 Our briefing explores deficits in the NHS, including a consideration of their underlying drivers and the strategies being employed to tackle them. Report Five big issues for health and social care after the Brexit vote In the aftermath of the Brexit vote, we consider what lies ahead for health and social care, and the five big issues that will need to be considered. Blog Public accountability needs to be at the heart of NHS reform The need has never been greater for transparency and community involvement in decisions about how to manage changes to health and care services, says Alex Baylis. Slideshow Jackie Daniel: Developing organisational forms and governance models Jackie Daniel, Chief Executive, University Hospitals of Morecambe Bay NHS Foundation Trust, shares lessons on creating a population health system. Slideshow Rachael Addicott: Governance for new care models Rachael Addicott discusses The King's Fund's research into governance for new care models. Blog Separating the noise of contract negotiations from the signal of STPs Chris Ham considers the progress made so far on sustainability and transformation plans, and whether they really have the potential to be a game-changer for the NHS. Blog Challenges ahead for the newly established NHS Improvement NHS Improvement aims to deliver better healthcare, transformed care delivery and sustainable finances. With the official launch on 1 April 2016, Richard Murray considers the challenges it faces. Blog Real trust rather than regulated trust should be the foundation on which improvement in the NHS is built A shift in emphasis, away from rules and regulation and towards developing positive organisational cultures that encourage risk taking and avoid blame, will be key as the NHS strives to improve quality Blog The foundation trust model: death by a thousand cuts Ben Collins argues that changes in government policy coupled with worsening NHS finances have now fatally compromised the foundation trust model. Completed project CQC provider ratings and their impact on care quality Research examining how health and social care providers, the public and other key stakeholders have responded to Care Quality Commission performance ratings. Audio Jim Mackey – hear from the new Chief Executive of NHS Improvement Jim Mackey on NHS deficits and how the newly formed NHS Improvement will approach its role. Blog Learning from others: devolved governance in the Australian state of Victoria The health care system in Victoria, Australia, delivers good results compared with other states, but there are still areas where improvements could be made. Commissioned report Managing health services through devolved governance: A perspective from Victoria, Australia In 2014 The King's Fund was approached by the health department in the Australian state of Victoria to undertake an independent review of the model of the state's devolved governance of health services. This report presents the findings of our review.