Since their formation in 2012, clinical commissioning groups (CCGs) have already faced formidable challenges, tasked with managing substantial commissioning budgets amid increasing financial pressure. In a further development from 1 April 2015, CCGs will now also be given the option to take up more devolved powers to co-commission primary care ...
This slide deck presents the fourth and final year of results from an annual survey of GPs and practice managers in six CCGs across the country. The survey explores how GP attitudes towards clinical commissioning have evolved since their launch in 2013. The results show that over the past three ...
The NHS workforce is the primary driver of future health costs. Given the substantial changes in population demographics and health care needs, the workforce needs to be fit for purpose. That means responding to immediate needs and financial pressures while adapting to deliver the future care models outlined in the ...
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 ...
The King’s Fund visited six services where consultants are delivering or facilitating care outside hospital. This report presents the findings from those visits as case studies. It identifies key characteristics and challenges to this way of working and seeks out evidence of the benefits to patients and the NHS more ...
Two key elements of the quality of health care provided by GPs are the Quality and Outcomes Framework (QOF), which rewards GP practices for achievement against a range of indicators of clinical quality, and the GP Patient Survey, which asks patients about their experience of using GP services. Using data ...
The white paper ‘Equity and excellence: liberating the NHS’ (Department of Health 2010) sets out a wide-ranging set of proposals to reform the NHS. The King’s Fund and Doctors.net.uk have carried out a survey to ascertain doctors’ opinions of the impact of these reforms. This paper summarises the main findings ...
Clinically led approaches to planning and designing health services are more likely to be both innovative and effective. For this reason, clinical commissioning groups (CCGs) were set up to put GPs at the heart of NHS planning decisions. What progress have CCGs made in implementing their clinically led model and ...
This paper was commissioned by The King's Fund to inform the Inquiry into the Quality of General Practice in England. The views expressed are those of the authors and not of the panel. and A range of factors contribute to whether patients feel they have good access to general practice care, including practice location, opening times, ease of arranging appointments, and speed of access. Performance by access criteria is now part of the quality-monitoring system for general practice. But patients still complain of trade-offs, ...