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 aim of this discussion paper is to give the reader an understanding of the issues involved in rationing in the evolving context of the contemporary NHS in England. Our paper is not intended as a primer: we provide no advice about how rationing decisions ought to be made. Nor ...
The 23 vanguard sites chosen to develop the multispecialty community provider (MCP) and primary and acute care system (PACS) new care models have been working to pool budgets and integrate services more closely. Some are continuing to use informal partnerships, but others are opting for more formal governance arrangements. Commissioners ...
The creation of the £3.8 billion Better Care Fund offers a real opportunity to lay the foundations for a much more integrated system of health and care. This paper summarises the evidence from work by The King’s Fund and other research about which
approaches are likely to offer commissioners maximum ...
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.
The commission, chaired by Dame Kate Barker, proposes a new approach that redesigns care around individual needs regardless of diagnosis, with a graduated increase in support as needs rise, particularly towards the end of life. The twelve recommendations set out a vision for a more integrated health and social care ...
This is the interim report from the independent Commission on the Future of Health and Social Care in England. In it, the commission explains why it believes England needs a single health and social care system, with a ring-fenced, singly commissioned budget, and more closely aligned entitlements. Drawing on accounts ...
The King's Fund's written briefing in advance of the Chancellor's Autumn Statement to parliament, calling for an additional £2 billion in funding for the NHS to prevent a financial crisis in 2015/16.
This report finds that access to and quality of care are both being affected in different ways across the NHS. While public attention tends to focus on high-profile examples of rationing such as restricting access to some types of treatment, the report warns that financial and other pressures are also ...