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  • The reconfiguration of clinical services, what is the evidence?

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    Abstract:
    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 ...

  • Service transformation, lessons from mental health.

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    Abstract:
    This report takes mental health services for adults in England as a case study and examines the relevance of this experience to current policy. It focuses on understanding the dramatic changes to mental health services and the factors that enabled that change to happen.

  • time for a radical response., Leading health care in London

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    Abstract:
    The aim of this report is to provide an update on the service changes taking place in the NHS in London, and in particular to address the question of who will lead these changes in the NHS structures that came into effect in April 2013. The report builds on an ...

  • Community services, how they can transform care.

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    Abstract:
    This paper looks at the changes needed to realise the full potential of community services for transforming care. The Transforming Community Services policy, launched in 2008, was mainly concerned with structural changes. While the emphasis on moving care closer to home has resulted in some reductions in length of hospital ...

  • The reconfiguration of hospital services in England.

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    Abstract:
    The reconfiguration of hospital services in England has been a contentious issue. There have been local public protests against hospital closures and more recently a concerted effort by the government to communicate the clinical case for change. The final report of the NHS Next Stage Review is due for publication ...

  • Sustainability and transformation plans in London, an independent analysis of the October 2016 STPs (completed in March 2017).

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    Abstract:
    Sustainability and transformation plans (STPs) are key to the future of health and care services. This report, commissioned by the Mayor of London and based on work completed in March 2017, looks at the five STPs in London, their contents and common themes. The authors, from The King’s Fund and ...

  • Innovative models of general practice.

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    Abstract:
    This report looks at innovative models of general practice from the UK and other countries and identify the key features the authors believe will be important in designing effective GP services in the future.

  • from ambitious proposals to credible plans., Delivering sustainability and transformation plans

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    Abstract:
    This report examines the content of the 44 sustainability and transformation plans (STPs) that were submitted in October 2016. STPs are the main vehicle for transforming health and care services in England in line with the NHS five year forward view. The report discusses the main challenges that lie ahead ...