Agenda for Change is the most ambitious pay reform introduced into the NHS. In addition to simplifying the system of pay, its objectives were to improve the delivery of patient care as well as staff recruitment, retention and motivation. This paper examines progress in implementation based on interviews with key ...
The Wanless review Securing our Future Health, published by the Treasury in 2002, concluded that the United Kingdom would need to spend substantially more on health care and that fundamental reform would be needed to enable those resources to be used effectively. Five years on, The King's Fund has commissioned ...
Nine NHS walk-in centre pilot sites opened in London during 2000. Six of the nine centres are located in hospital sites. The other three centres are in Soho in central London, the High Street in Croydon, and Parsons Green in Fulham. NHS walk-in centres are nurse-led and offer primary care ...
The primary task of the health service is to improve people's health. A fundamental goal within this is to improve patients' health-related quality of life (HRQoL). But, while measuring and monitoring many aspects of its performance, the NHS does not routinely measure the impact of its care on patients' HRQoL. ...
There are significant recruitment and retention problems in nursing in the NHS. Nurses are leaving the NHS at a faster rate than they are being recruited. A review of the existing literature and research undertaken over the last 15 years has highlighted a number of apparently consistent themes in barriers ...
The Labour Party came to power in 1997 promising to 'save' the NHS. Since then, it has found unprecedented increases in funding for the health service, but Prime Minister Tony Blair has emphasised that the extra money must be linked to a 'step-change' in reform. This reform has taken four ... and This independent audit was commissioned by the Sunday Times and is published with their kind permission.
The National Health Service (NHS) in England is in a state of transition as the government pushes forward a programme of significant reform. If the government achieves its stated objectives, the NHS will be transformed from a state-owned commissioning and provision system to one in which care is delivered by ...
A wide range of public services - including higher education, housing associations and public service broadcasting - are now either funded, delivered, or regulated through agencies working at 'arm's length' from government. Is it time to consider a similar model for the modern NHS? Does the health service need to ...
This briefing provides a review of progress made since the BBC's 2002 'Your NHS' day on the five top priorities voted for by the public as the issues that mattered most in the NHS. These priorities were: free long-term care for older people; better pay for NHS staff; shorter waiting ...
In the wake of the NHS Plan, the King's Fund brought together a group of commentators, academics and practitioners from health and other sectors to consider the best ways forward. This discussion paper presents a broad analysis of current problems and three approaches to change. It identifies three immediate and ...