Maternity services – in common with the rest of the NHS – need to focus on new ways of working to maintain and increase levels of safety and quality of care within the resources available. There are particular pressures on maternity services because of the rise in birth rates and ...
This report provides an analysis of the NHS management workforce and how it has changed over the past 14 years, using data from the Binley’s Database of NHS Management produced by Beechwood House Publishing Ltd. The report has been produced for The King’s Fund Commission on Leadership and
Management in ...
The NHS is facing a significant financial challenge and needs to make substantial improvements in productivity if it is to provide high-quality services without additional funding. Spending on mental health accounts for around ten per cent of the overall health budget and so the mental health sector has a key ...
Over the next few years the NHS faces two unprecedented challenges: coping with the tightest funding settlement for decades and implementing top-to-bottom reforms of the system. The broad goal of both the productivity and reform challenges is to improve NHS performance and hence the quality of patient care. But both ...
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 ...
This report was commissioned by NHS Employers and the Local Government Association. and This report looks at the evidence on new roles and ways of spanning organisational workforce boundaries to deliver integrated health and social care. It finds increasing focus on roles which facilitate co-ordination and management of care, development of existing roles to increase the skill-mix and enable the provision of more ...
The King’s Fund visited six services where consultants are delivering or facilitating care outside hospital. This report presents the findings from those visits as case studies. It identifies key characteristics and challenges to this way of working and seeks out evidence of the benefits to patients and the NHS more ...
This report investigates what ‘good’ district nursing care looks like from the perspective of people receiving this care, unpaid carers and district nursing staff and puts forward a framework for understanding the components involved. It also looks at the growing demand–capacity gap in district nursing and the worrying impact that ...
This is the second in a series of four papers that aims to crystallise ideas for change in areas where, we believe, new thinking is required. The first paper focused on the NHS estate and subsequent papers will focus on the use of technology; and the role of patients and ...
This report, commissioned by NHS England, uses data from the NHS Staff Survey to assess the scale of the problem before drawing on wider work on climates of inclusion to suggest comprehensive strategies to bring about lasting and pervasive change. It showed that discrimination within the NHS was experienced between ...