Reforms of the NHS are changing the role of the state in the provision of health care. Competition within the NHS (and with private providers) and the introduction of foundation trusts change the way in which providers should be regulated. This paper explores the impact of market incentives in the ...
This paper reviews the impact of three approaches to NHS reform in England since the late 1990s: targets and performance management, inspection and regulation, and competition and choice. It argues for a fundamental shift in how the NHS is reformed, learning from what has worked (and what has not) in ...
In this paper we set out our views on how the system of quality assurance, including regulation, needs to evolve, the principles on which it should be built and how it should operate. We argue that the system of quality assurance must support the actions and effectiveness of those working ...
The Commission for Health Improvement was launched in November 1999 as the monitor in the National Health Service. It will be wound up in April 2004, when its responsibilities will be passed to the Commission for Healthcare Audit and Inspection (CHAI). This three year study analyses CHI's methodology, activities and ...
The aim of this paper is to support the process of ‘making it happen’ by summarising the steps that need to be taken to make integrated care a reality; we have drawn on our own work and that of others in areas where local leaders have identified
integrated care as ...
The NHS five year forward view (Forward View), published by NHS England and other national NHS bodies, sets out a shared view on how services need to change and what models of care will be required in the future. While the direction set by the Forward View has been broadly ...
We welcome the opportunity to contribute to the Care Quality Commission (CQC) consultation on changes to the way it regulates, inspects and monitors care. This short paper sets out the views of The King’s Fund.
In this briefing, we look at how much the health service spends in total on medicines, both generics and branded medicines, based on publicly available data. In recent years, spending on branded medicines has been constrained by the Pharmaceutical Price Regulation Scheme a new instalment of which is currently under ...
The CQC introduced a new approach to inspecting and rating health and social care providers in 2013. Our report with the Alliance Manchester's Business School is the first major evaluation of this approach.