This report synthesises evidence from seven case studies covering Australia, Canada, the Netherlands, New Zealand, Sweden, the United Kingdom and the United States. It considers similarities and differences of programmes that are successfully delivering integrated care, and identifies lessons for policy-makers and service providers to help them address the challenges ...
In this paper we set out our views on how the system of quality assurance, including regulation, needs to evolve, the principles on which it should be built and how it should operate. We argue that the system of quality assurance must support the actions and effectiveness of those working ...
Based on a review of the English NHS experience of Payment by Results (PbR) and international experience of similar, activity-based payment systems, this report identifies five general lessons about payment systems, draws some conclusions about whether our current Payment by Results system is fit for purpose in view of current ...
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.
The prevalence of chronic disease is rising and many health systems are now seeking to improve the way they respond to the needs of patients with chronic illnesses. The King's Fund and the Commonwealth Fund of New York sponsored a seminar bringing together leading policy-makers, clinicians and academics from England ...
An informed public debate is needed about both the level of future spending on health and social care, and how that spending might be funded. With this in mind, The King's Fund, in collaboration with Ipsos MORI, held two deliberative events with members of the general public.
This report outlines the challenges faced by general practice in London and the improvements needed in order to address them. The report is aimed at those who have a role in leading quality improvement in primary care, namely GPs working in London and leaders of primary care providers, clinical commissioning ...
This data briefing aims to highlight for commissioners the opportunity for improving the quality of care and saving costs that reducing emergency hospital admissions for ambulatory care-sensitive conditions (ACSCs) presents. It uses Hospital Episode Statistics (HES) data to examine the sociodemographic
patterns of emergency admissions for each ACSC and calculates ...
Patient choice, particularly the choice of hospital, has been at the heart of health policy for a number of years. The aim of this policy is to create competition, which in turn drives improvements in quality; for this to work effectively, patients have to make their choices on the basis ...
This paper was commissioned by The King's Fund to inform the Inquiry into the Quality of General Practice in England. The views expressed are those of the authors and not of the panel and Pregnancy is a normal physiological process, and an important life and family event. There are many professionals involved in the care of pregnant women, their babies and their families, including obstetricians, anaesthetists, midwives and GPs. Today, there are two main models of care for pregnant women in the United Kingdom: ...