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 ...
Over the next few years the NHS faces two unprecedented challenges: coping with the tightest funding settlement for decades and implementing top-to-bottom reforms of the system. The broad goal of both the productivity and reform challenges is to improve NHS performance and hence the quality of patient care. But both ...
Increasing demands on general practice over the past five years - not just a heavier workload but the increasing complexity and intensity of work - have led to a feeling of crisis. The NHS is finding it difficult to recruit and retain sufficient GPs who want to do full-time, patient-facing ... and This report is accompanied by 'A day in the life of a GP'. This typical day in the life of a GP draws on the experiences of several GPs working in different practices who we spoke to as part of the research for this report. It has been reviewed by ...
This paper explores the coalition government’s record on NHS reform by describing the situation it inherited when it came to power in 2010, the policies it has pursued, and (where available) evidence of their impact. It takes the stated aims of the reforms
as the starting point and reviews progress ...
Our first report identified five key themes that the health and social care system must embrace to be sustainable and to ensure quality. This second report is intended to offer a clear strategic direction to achieve the transformational change that is so urgently needed. We have worked with The King’s ... and This article is the collective effort of ten of the leading health and social care organisations in the voluntary sector. The organisations worked with The King’s Fund to establish a common position.
Reforms of the NHS are changing the role of the state in the provision of health care. Competition within the NHS (and with private providers) and the introduction of foundation trusts change the way in which providers should be regulated. This paper explores the impact of market incentives in the ...
This paper reviews the impact of three approaches to NHS reform in England since the late 1990s: targets and performance management, inspection and regulation, and competition and choice. It argues for a fundamental shift in how the NHS is reformed, learning from what has worked (and what has not) in ...
As part of our work tracking, analysing and commentating on the changes and challenges facing the NHS, The King’s Fund published its first Quarterly Monitoring Report in April 2011. Just
over a year on, this fifth report aims to take stock of what has happened over the past year – ...
This new analysis of data for the final quarter of 2012/13 shows that nearly six per cent of patients waited four hours or longer in A&E departments, the highest level since 2004. It shows that 313,000 patients (5.9 per cent) spent four hours or more in A&E in the period ...
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 ...