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  • The reconfiguration of clinical services, what is the evidence?

    Publication date:
    Abstract:
    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 ...

  • Making our health and care systems fit for an ageing population.

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    Abstract:
    This paper is designed as a high-level resource and reference guide for local service leaders who want to improve care for older people. Within each component of care we describe the goal that the system should aim for and then present key evidence about what we know can work, selected ...

  • Better value in the NHS, the role of changes in clinical practice.

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    Abstract:
    This report looks back at past trends in NHS productivity to help us to understand how this has been done in the past and also identifies a number of opportunities for the future. The authors consider three areas - generic prescribing, length of stay and day case surgery – in ...

  • Avoiding hospital admissions, lessons from evidence and experience.

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    Abstract:
    This paper summarises presentations made at a seminar held at The King’s Fund in April 2010. The seminar brought together case studies from the NHS in England, Kaiser Permanente in California and the independent sector, as well as research evidence, to explore what has been tried and what has worked ...

  • Managing people with long-term conditions.

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    Abstract:
    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 Better management of people with long-term conditions has been a key priority of the NHS since the early 1990s. At that time it was recognised that if people with long-term conditions were managed effectively in the community, they should remain relatively stable and enjoy a quality of life free from ...

  • Avoiding hospital admissions, what does the research evidence say?

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    Abstract:
    Emergency admissions to hospital are costly to the NHS and also cause disruption to planned health care. Considerable efforts have been made within the health service to reduce emergency admissions, but few primary care trusts have been successful, with some primary care trusts recording an increase. In order to successfully ...

  • a personal view on working in a zone of emergence., The leadership challenge for general practice in England

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    Abstract:
    This paper assesses the barriers to providing high quality clinical leadership in general practice, what general practice can do to develop leadership capacity, and ways to measure the extent and quality of clinical leadership. and This paper was commissioned by The King’s Fund to inform the panel of the Inquiry into the Quality of General Practice in England. The views expressed are those of the authors and not of the panel.