Based on a review of the English NHS experience of Payment by Results (PbR) and international experience of similar, activity-based payment systems, this report identifies five general lessons about payment systems, draws some conclusions about whether our current Payment by Results system is fit for purpose in view of current ...
This paper explores factors that might be driving the significant variation in use of hospital beds by patients over 65 admitted as an emergency. It considers the contribution made by patient-based (demand-side) factors, hospital (supply-side) factors, the availability of community services and resources, and broader system relationships (how care systems ...
'Never Again?' tells the story of how and why the Health and Social Care Act 2012 - by far the most controversial piece of NHS legislation in more than two decades - became law.
People with long-term physical health conditions - the most frequent users of health care services - commonly experience mental health problems such as depression and anxiety, or dementia in the case of older people. As a result of these co-morbid problems, the prognosis for their long-term condition and the quality ...
Two key elements of the quality of health care provided by GPs are the Quality and Outcomes Framework (QOF), which rewards GP practices for achievement against a range of indicators of clinical quality, and the GP Patient Survey, which asks patients about their experience of using GP services. Using data ...
The King’s Fund published its first Quarterly Monitoring Report in April 2011 as part of its work to track, analyse and comment on the changes and challenges the NHS is facing. This is the sixth report and aims to take stock of what is happening on the ground, 18 months ...
This article tells the story of the Hospital Pathways Programme
(HPP), a collaborative programme in which five acute trusts worked with The King’s Fund and the Health Foundation to apply techniques, not widely used in the NHS, to improve both processes of care and interactions between staff and patients.
The creation of health and wellbeing boards is one aspect of the NHS reforms that enjoys overwhelming support. The boards offer new and exciting opportunities to join up local services, create new partnerships with GPs, and deliver greater democratic accountability.
Our view is that the creation of health and wellbeing ...
This report outlines the challenges faced by general practice in London and the improvements needed in order to address them. The report is aimed at those who have a role in leading quality improvement in primary care, namely GPs working in London and leaders of primary care providers, clinical commissioning ...
This data briefing aims to highlight for commissioners the opportunity for improving the quality of care and saving costs that reducing emergency hospital admissions for ambulatory care-sensitive conditions (ACSCs) presents. It uses Hospital Episode Statistics (HES) data to examine the sociodemographic
patterns of emergency admissions for each ACSC and calculates ...