Many NHS hospitals will struggle to deliver productivity improvements essential to maintaining quality and avoiding significant cuts to services, according to our latest quarterly monitoring report. This is the second quarterly monitoring report produced by the Fund as we aim to provide a regular update on how the NHS is ...
An independent NHS board has been advocated by a number of commentators, who believe it will reduce both micromanagement and day-to-day political interference in the running of the health service. This report argues that an independent board would be limited in its ability to achieve these aims. It suggests a ...
At a time of enormous change in the NHS, leaders and managers have a crucial role to play. But what sort of leaders does the service need? Does the model, prevalent in public service over recent years, of the ‘hero’ chief executive still hold sway? The King’s Fund set up ...
This review of followership in the NHS begins with a brief review of the clamour for leadership in the recent past as a way of transcending the apparent failure of the prior governance and targets approach. It suggests that to focus upon leadership, and a particular form of leadership, is ...
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 King’s Fund’s Time to Think Differently programme of work aims to stimulate debate about the changes needed for health and social care to meet the challenges of the future. It aims to generate new thinking about how to address these challenges and deliver a transformation in services for patients. ...
This paper aims to probe what it sees as a woefully under-explored area: the differences between the United Kingdom's four separate health systems. These systems, it argues, are diverging in terms of structures, management approaches, and the way social care relates to health.
NHS and voluntary sector providers have a key role to play in delivering the priorities set out in the NHS Mandate, alongside commissioners and others in the wider health and care system. This report, commissioned by the Foundation Trust Network (FTN) and the Association of Chief Executives of Voluntary Organisations ...
The NHS workforce is the primary driver of future health costs. Given the substantial changes in population demographics and health care needs, the workforce needs to be fit for purpose. That means responding to immediate needs and financial pressures while adapting to deliver the future care models outlined in the ...
Marcus Powell joined The King’s Fund in 2016 as Director of Leadership and Organisational Development, having spent his whole career outside the NHS in the private sector. This paper contains his initial observations about leadership in the NHS.