This paper aims to help those planning and implementing major clinical service reconfigurations ensure that change is as evidence-based as possible. It investigates the five key drivers – quality, workforce, cost, access and technology – across 13 clinical service areas, and summarises the research evidence and professional guidance available in ...
The unprecedented slowdown in the growth of NHS funding in England since 2010 has meant that the NHS has had to pursue the most ambitious programme of productivity improvement since its foundation in order to close the gap between need and available funding.
This report describes how six trusts have been ...
The general election will come at a pivotal time for health and social care. An unprecedented funding squeeze has left the NHS on the brink of financial crisis, while reductions in local government funding have led to significant cuts in social care services.
The King’s Fund visited six services where consultants are delivering or facilitating care outside hospital. This report presents the findings from those visits as case studies. It identifies key characteristics and challenges to this way of working and seeks out evidence of the benefits to patients and the NHS more ...
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 health and social care system
is facing. This is the 10th report and aims to take stock of what has happened over ...
Community health care services provide vital care out of hospital for millions of people. From children’s services to care for older people and end-of-life support, the community sector plays a key part in meeting the challenges facing our health and care system. This report presents findings from a small-scale study ...
The King’s Fund, in collaboration with the HSJ Future of NHS Leadership Inquiry, undertook a freedom of information (FOI) request to obtain an accurate picture of board-level vacancies, supplementing the data gathered with in-depth interviews and a literature review. This report details the level of vacancies and their impact and ...
With a growing number of health care providers in deficit and others placed in special measures because of concerns about the quality of their care, the search is on to find ways in which they could be supported. Sir David Dalton’s forthcoming review provides a timely opportunity to explore the ...
This report describes the current financial state of the NHS and the reasons for the deterioration in financial performance and ultimately financial failure. These include weak leadership, legacy costs, payment by results (PbR), and the impact of the wider health economy.
The commission, chaired by Dame Kate Barker, proposes a new approach that redesigns care around individual needs regardless of diagnosis, with a graduated increase in support as needs rise, particularly towards the end of life. The twelve recommendations set out a vision for a more integrated health and social care ...