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 ...
Although the coalition government has pledged to protect funding for the NHS, the pressures to meet rising demand will put a strain on spending. Building on a previous analysis produced in association with the Institute for Fiscal Studies, this paper examines the gap between the likely available funding and the ...
General practice plays a central role in ensuring patients receive a timely and accurate diagnosis, either directly from a GP or from an appropriate specialist as a consequence of a GP referral. Failure, or delay, in correctly identifying and referring patients who need secondary care can have profound clinical consequences. ... 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.
This paper was commissioned by The King’s Fund to inform its review of leadership in the NHS. and This paper explores the role of medical leadership and engagement as a means to improve productivity. It looks at the evidence about how doctors may best improve productivity, and how doctors practising today feel about this.
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.
Since internal markets were created in the NHS, commissioners have purchased health care on behalf of patients and the public from a variety of competing providers. Commissioning was intended to drive improvements in the quality, accessibility and cost-effectiveness of services, but has so far largely failed to achieve these objectives. ...