The coalition government wants to encourage health care providers to consider employee ownership, and the development of mutuals, with the aim of creating ‘the largest and most vibrant social enterprise sector in the world’ (Department of Health 2010a, p 36). These plans are part of a broader programme of public ...
NHS and voluntary sector providers have a key role to play in delivering the priorities set out in the NHS Mandate, alongside commissioners and others in the wider health and care system. This report, commissioned by the Foundation Trust Network (FTN) and the Association of Chief Executives of Voluntary Organisations ...
The NHS workforce is the primary driver of future health costs. Given the substantial changes in population demographics and health care needs, the workforce needs to be fit for purpose. That means responding to immediate needs and financial pressures while adapting to deliver the future care models outlined in the ...
As England’s population both expands and ages, so the demands on primary care will grow. Within the current commissioning and funding system innovative models of primary care provision are already being used. This report describes examples of these through four case studies in different areas of England. It also highlights ...
This report describes the different types of accountable care organisations (ACOs) emerging in the United States. It presents some early evidence on their performance, assesses the future for ACOs, and discusses the implication of these developments for integrated care initiatives in England.
Health care commissioners will need to deliver a sustainable system in the face of the most challenging financial and organisational environment seen in decades. They must shift the current emphasis on acute and episodic care towards prevention, self-care and integrated and well co-ordinated care to cope with an aging population ...
The government’s health reforms propose radical changes to the structures and processes within the National Health Service (NHS) in England that have provoked unprecedented debate, protest and opposition. One of the core issues is how providers and commissioners of care will be held to account in the future if many ...
This report describes how clinical commissioning groups (CCGs) in England are innovating with two broad models – the prime contract and alliance contract. It draws on experiences from five geographical areas, covering different population and disease groups (cancer, end-of-life care, musculoskeletal services, mental health rehabilitation, and older people’s services). It ...
This research paper was commissioned by The King's Fund to inform the panel of the Inquiry into the Quality of General Practice in England. The views expressed are those of the authors and not of the panel. and Recent government guidance, "End of Life Care Strategy: Promoting High Quality Care for All Adults at the End of Life" and "Guidance on Cancer Services: Improving Supportive and Palliative Care for Adults with Cancer", has raised the profile of end-of-life-care (EOLC). However, historically care has been poorly organised, with large ...