The Routes project was commissioned by The King’s Fund in partnership with the Joseph Rowntree Foundation, the Social Care Institute for Excellence, the Association of Directors of Adult Social Services and the Local Government Association. and The health and social care system is currently tackling three inter-related challenges: coping with rising demand and reduced funding; handling NHS restructuring; and transforming social care. How can these challenges be seen as an opportunity to achieve fundamental change to the system? The Routes project, a simulation exercise created by ...
This paper tells the story of the journey made by the District Health Board for Canterbury, New Zealand, towards its goal of providing integrated care for all. It looks at the drivers for change, the leadership values shown by key players and considers the lessons that can be learned from ...
With a growing number of health care providers in deficit and others placed in special measures because of concerns about the quality of their care, the search is on to find ways in which they could be supported. Sir David Dalton’s forthcoming review provides a timely opportunity to explore the ...
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 ...
Hypothecation – the earmarking of a tax to be spent on a specific area of public expenditure – is back on the political agenda. All the major parties seem agreed that a longer-term and sustainable settlement for NHS expenditure – and quite possibly one for social care as well – ...
This working paper is produced as part of the Social Care Funding Options project, a joint project between the Health Foundation and The King’s Fund. and This paper considers the following approaches to funding social care for older people in England: improving the current system; the Conservative Party’s proposals at the time of the 2017 general election (a revised means test and a cap on care costs); a single budget for health and social care; free ...
This technical paper offers an understanding of the different contracting, reimbursement and incentive mechanisms available to deliver value and outcomes-based healthcare in a UK context.
Since the 1950s, the NHS has been looking at ways of improving care coordination. Lord Darzi’s NHS Next Stage Review introduced a new concept, that of the integrated care organisation (ICO). Since then, the Government has begun piloting schemes that offer different models of integrated care. This report, published jointly ...