This report summarises the main findings of the Francis Inquiry into the failings of care at Mid Staffordshire in relation to NHS leadership and culture. It sets out what needs to be done to avoid similar failures in future, focusing on the role of three key 'lines of defence' against ...
The Patient-Centred Care Project aimed to improve the experience and quality of care for patients receiving treatment for breast cancer and lung cancer at Guy’s and St Thomas’ NHS Foundation Trust and King’s College Hospital NHS Foundation Trust. The project was supported by King’s College London and The King’s Fund. ...
Age-related chronic and complex medical conditions account for the largest and growing share of health care budgets in all industrialised nations. However, people living with multiple health and social care needs often experience a highly fragmented service leading to sub-optimal care experiences, outcomes and costs. To address this, strategies of ... and .
The 'Working Together in London' programme was set up by the King's Fund, the Sainsbury Centre for Mental Health and the Department of Health to establish assertive outreach teams and develop new ways of working that can bring about the social inclusion of people with severe and long-term mental health ...
The Wanless review Securing our Future Health, published by the Treasury in 2002, concluded that the United Kingdom would need to spend substantially more on health care and that fundamental reform would be needed to enable those resources to be used effectively. Five years on, The King's Fund has commissioned ...
The fact that health and social care services are currently commissioned separately is a major obstacle to the development of integrated care. Support is growing for a new settlement based on a single ring-fenced budget and a single local commissioner – as recommended by the independent 'Commission on the Future ...
There are unprecedented challenges arising for the medical profession from the changing expectations of patients, government and managers. Doctors remain 'professionals' but the traditional image of what this means in practice is increasingly outdated. While individual doctors remain highly trusted, the profession as a whole needs to demonstrate better its ...
This paper explores factors that might be driving the significant variation in use of hospital beds by patients over 65 admitted as an emergency. It considers the contribution made by patient-based (demand-side) factors, hospital (supply-side) factors, the availability of community services and resources, and broader system relationships (how care systems ...
In 1998, the Secretary of State approved nine PMS pilots to offer 'nurse-led' primary care. They were designed to maximise the use of nursing skills and to allow nurses to exercise leadership within the primary health care team. This report describes the experiences of the nine nurse leads as they ...
Nine NHS walk-in centre pilot sites opened in London during 2000. Six of the nine centres are located in hospital sites. The other three centres are in Soho in central London, the High Street in Croydon, and Parsons Green in Fulham. NHS walk-in centres are nurse-led and offer primary care ...