Southcentral Foundation in Alaska is widely regarded as one of the best examples of health system redesign in the United States and internationally. It delivers state-funded health care to a minority population with high levels of need, with funding and responsibility for services resting with local people. Southcentral is a ...
The aim of this report is to describe the approach taken to integrated care in Northern Ireland, Scotland and Wales with a view to drawing out the lessons for England. The report has been written at a time when policy-makers in England have made a commitment to bring about closer ...
Our health is determined by a complex mix of factors including income, housing and employment status, and lifestyle. There are significant inequalities in health, including life expectancy, between individuals and groups in society. So what creates those inequalities and what are the implications? This report revisits and updates some of ...
The Labour Party came to power in 1997 promising to 'save' the NHS. Since then, it has found unprecedented increases in funding for the health service, but Prime Minister Tony Blair has emphasised that the extra money must be linked to a 'step-change' in reform. This reform has taken four ... and This independent audit was commissioned by the Sunday Times and is published with their kind permission.
As part of its continuing efforts to reform the NHS, the government has introduced a number of incentives to help the health sector meet national targets and objectives for improving care. This paper examines whether these incentives are helping or hindering progress. Its findings are based on interviews with health ...
Local authorities have been given renewed responsibility for public health as part of the health and social care reforms introduced in April 2013, alongside dedicated funding and a new public health outcomes framework. But given the scale of need and the challenges facing different local communities, how can councils decide ...
While the principles behind resource allocation in the English NHS have changed little since the mid-1970s, the NHS has changed considerably. This paper argues that the resource allocation system needs to change accordingly.
This paper argues that the NHS in England cannot meet the health care needs of the population without a sustained and comprehensive commitment to quality improvement as its principal strategy. Despite a succession of well-meaning policy initiatives over the past two decades, the paper argues that the NHS in England ...
Although the coalition government has pledged to protect funding for the NHS, the pressures to meet rising demand will put a strain on spending. Building on a previous analysis produced in association with the Institute for Fiscal Studies, this paper examines the gap between the likely available funding and the ...
Two key elements of the quality of health care provided by GPs are the Quality and Outcomes Framework (QOF), which rewards GP practices for achievement against a range of indicators of clinical quality, and the GP Patient Survey, which asks patients about their experience of using GP services. Using data ...