This paper summarises the results of a small research study designed to capture the experiences of and reflections on revalidation of responsible officers (ROs) in London. The results provide a snapshot of what the implementation of revalidation has meant for the new ROs six months in. The paper also draws ...
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 ...
Complementary medical practitioners may be a distinct minority in places such as Europe, North America and Australia, but in other countries the number of practitioners and the people who use their services are in the majority. Many practitioners practise without qualification or adequate training, and in response to this 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 ...
Agenda for Change is the most ambitious pay reform introduced into the NHS. In addition to simplifying the system of pay, its objectives were to improve the delivery of patient care as well as staff recruitment, retention and motivation. This paper examines progress in implementation based on interviews with key ...
Compulsory community-based treatment orders require patients at risk of harming themselves or others to comply with a set of conditions, such as taking their medication, while living in the community. The draft Mental Health Bill 2004 incorporates plans to introduce compulsory orders in England and Wales, but it is not ...
This paper tells the story of the journey made by the District Health Board for Canterbury, New Zealand, towards its goal of providing integrated care for all. It looks at the drivers for change, the leadership values shown by key players and considers the lessons that can be learned from ...
As part of our work tracking, analysing and commentating on the changes and challenges facing the NHS, The King’s Fund published its first Quarterly Monitoring Report in April 2011. Just
over a year on, this fifth report aims to take stock of what has happened over the past year – ...
This new analysis of data for the final quarter of 2012/13 shows that nearly six per cent of patients waited four hours or longer in A&E departments, the highest level since 2004. It shows that 313,000 patients (5.9 per cent) spent four hours or more in A&E in the period ...
The King’s Fund published its first Quarterly monitoring report in April 2011 as part of its work to track, analyse and comment on the changes and challenges the health and social care system
is facing. This is the 10th report and aims to take stock of what has happened over ...