The government's recent announcement to introduce a new funding model for adult social care, based on the recommendations of the Dilnot Commission, is the latest
development in the long history of many attempts to review the way in which social care is funded and how the costs of these services ...
This report, published jointly with the Nuffield Trust, looks at the current state of social care services for older people in England, through a combination of national data and interviews with local authorities, NHS and private providers, Healthwatch and other groups. It considers the impact of cuts in local authority ...
Local authorities have been given renewed responsibility for public health as part of the health and social care reforms introduced in April 2013, alongside dedicated funding and a new public health outcomes framework. But given the scale of need and the challenges facing different local communities, how can councils decide ...
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.
Health and wellbeing boards are an important feature of the reforms introduced by the government in the Health and Social Care Act 2012. Unlike other aspects of the changes, the creation of these new bodies has been widely welcomed and enjoys cross-party support. All upper-tier local authorities set up boards ...
The creation of health and wellbeing boards is one aspect of the NHS reforms that enjoys overwhelming support. The boards offer new and exciting opportunities to join up local services, create new partnerships with GPs, and deliver greater democratic accountability.
Our view is that the creation of health and wellbeing ...
This document gives the King's Fund thoughts on the Communities and Local Government Committee inquiry on the role of local authorities in health issues. The Health and Social Care Act 2012 fundamentally alters the relationship between local government and the NHS. Responsibility for many public health and health improvement functions ...
In 2011, Wigan Council had to make unprecedented savings after significant cuts in funding from central government. Drastic measures were needed, including a radical reshaping of the relationship between the council and residents. This became known as the Wigan Deal. This report provides an independent critique of the Wigan Deal, ...
This document sets out The King's Fund's consultation response to the Mayor of London's draft health inequalities strategy. Overall, the draft is a good start, but we believe as the strategy is finalised its commitments need to be more tightly focused on inequality reduction than they currently are.
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 ...