Despite the rapid growth of funding, in 2005/6 NHS trusts in aggregate overspent by more than £1.2 billion, and the NHS as a whole overspent by more than £500 million. More than 60 trusts incurred significant deficits, and turnaround teams were sent in to find out why. Although until recently ...
Despite initially rejecting the notion of an internal NHS market when it came to power in 1997, the Labour government has reintroduced competition to health services over the last three years. But, as it is the product of a series of separate policy developments, including extending choice of provider, expanding ...
The Commission for Health Improvement was launched in November 1999 as the monitor in the National Health Service. It will be wound up in April 2004, when its responsibilities will be passed to the Commission for Healthcare Audit and Inspection (CHAI). This three year study analyses CHI's methodology, activities and ...
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 ...
'Never Again?' tells the story of how and why the Health and Social Care Act 2012 - by far the most controversial piece of NHS legislation in more than two decades - became law.
This case study is part of a research project undertaken by The King’s Fund and funded by Aetna and the Aetna Foundation in the USA to compare five successful UK-based models of care co-ordination (see Appendix 1 for methods used to collect the study data). The aim of each case ...
Medical revalidation of doctors became a statutory obligation for all employing organisations in 2012, but its origins stretch back to 2000. In that period, the NHS has undergone many changes and been scrutinised by several reviews. It was against this shifting context that The King's Fund carried out a qualitative ...
This report is based on case studies of four NHS trusts with acknowledged high levels of medical engagement. It aims to help other organisations that are seeking to create cultures in which doctors want to engage more in the management, leadership and improvement of services. Based on interviews with a ...
In June 2015, The King’s Fund was commissioned by the Department of Health to review how the performance of local health systems could be assessed. Our review looks at how to measure the performance of health services within CCG areas, including how well these services work with social care and ...
The primary task of the health service is to improve people's health. A fundamental goal within this is to improve patients' health-related quality of life (HRQoL). But, while measuring and monitoring many aspects of its performance, the NHS does not routinely measure the impact of its care on patients' HRQoL. ...