The government wants shared decision-making to become the norm in the NHS, but there is confusion about why it is important, what it involves and what the implications might be for patients, clinicians and the wider health service. This report clarifies the concept and outlines the actions needed to make ...
While the principles behind resource allocation in the English NHS have changed little since the mid-1970s, the NHS has changed considerably. This paper argues that the resource allocation system needs to change accordingly.
In this response The King’s Fund highlight two pieces of their recent research: “Making shared decision-making a reality: no decision about me, without me” (Coulter and Collins 2012) produced a clear definition of shared decision-making and outlined what steps need to be taken to implement it; and “Patients’ preferences matter: ...
This response is one of two submitted by The King’s Fund to the government’s consultations: on an information revolution and on greater choice and control. These responses are also available on our website, together with our previous consultation responses on regulation, outcomes, democratic legitimacy and commissioning, and the original response ...
Given the wide and persistent variation in spending on cancer services, this project aimed to identify and quantify sources of variation in primary care trust (PCT) cancer spending and provide PCTs and cancer networks with a systematic way of framing decisions about the appropriate share of their total budgets to ...
The aim of this report is to provoke and encourage thinking about the wide range of ways in which patient-reported outcome measures (PROMs) data can be used to inform decisions. It draws on Bupa’s example to discuss how providers can use PROMs data to improve clinical performance. It also offers ...