As England’s population both expands and ages, so the demands on primary care will grow. Within the current commissioning and funding system innovative models of primary care provision are already being used. This report describes examples of these through four case studies in different areas of England. It also highlights ...
This paper summarises presentations made at a seminar held at The King’s Fund earlier this year. The seminar brought together commissioners, policymakers, providers and others to summarise some of the available evidence about demand management. It aimed to provide practical, evidence-based
advice to help commissioners and providers develop effective demand ...
Health care commissioners will need to deliver a sustainable system in the face of the most challenging financial and organisational environment seen in decades. They must shift the current emphasis on acute and episodic care towards prevention, self-care and integrated and well co-ordinated care to cope with an aging population ...
This paper was commissioned by The King’s Fund to inform the Inquiry panel. The views expressed are those of the authors and not of the panel. and This paper assesses the challenges commissioners face, identifies the factors and tools that are particularly relevant to commissioning effective general practice, and suggests what can be done to address weaknesses in general practice commissioning.
The reforms set out in the coalition government’s White Paper have wide ramifications, particularly for GPs. NHS Lincolnshire decided to help GPs to understand the issues and behaviours that might emerge as a result of the reforms by running a simulation exercise with This report offers observations about individual and ...
The health care system needs to respond to the growing burden of chronic illness. Many NHS researchers, managers and clinical leaders believe that increased integration within the health service will help to achieve this, and the government has made clear its ambitions that the health reforms should encourage integrated care. ...
This report finds that the market for home care providers is extremely fragile, with squeezed margins and low fees forcing providers to leave. In 2017 providers handed back home care contracts in more than one in three local authorities, and some of the largest providers have withdrawn from the publicly ...
The King’s Fund was commissioned by the Department of Health to conduct research that would explore how and why clinical commissioning groups (CCGs) and local authorities chose to engage with the voluntary, community and social enterprise (VCSE) sector. This report first sets out the methodology we used and then presents ...
World Class Commissioning is a policy that seeks to bring a "step change" in the capacity and capability of primary care trusts to act as effective commissioners. However, the enduring weakness of commissioning is unlikely to be addressed by WCC alone. It is not just a matter of aligning incentives; ...