First introduced into health care in the 1980s in the United States, and later developed and championed by Monitor in England as part of its function to support good financial and performance governance in foundation trusts, service-line reporting (SLR) and service-line management (SLM) are one approach to informed clinical leadership ...
This paper aims to help those planning and implementing major clinical service reconfigurations ensure that change is as evidence-based as possible. It investigates the five key drivers – quality, workforce, cost, access and technology – across 13 clinical service areas, and summarises the research evidence and professional guidance available in ...
The King’s Fund visited six services where consultants are delivering or facilitating care outside hospital. This report presents the findings from those visits as case studies. It identifies key characteristics and challenges to this way of working and seeks out evidence of the benefits to patients and the NHS more ...
This case study explores community virtual wards based in GP practices within South Devon and Torbay Clinical Commissioning Group (CCG). Community virtual wards were first introduced by Devon Primary Care Trust in 2010 to proactively identify those at high risk of emergency admissions using a predictive risk tool and to ...
This case study looks at the Sandwell Esteem Team, part of the Sandwell Integrated Primary Care Mental Health and Wellbeing Service (the Sandwell Wellbeing Hub) in the West Midlands. The hub is a holistic primary and community care-based approach to improving social, mental and physical health and wellbeing in the ... and 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 United States to compare five successful UK-based models of care co-ordination.
Our first report identified five key themes that the health and social care system must embrace to be sustainable and to ensure quality. This second report is intended to offer a clear strategic direction to achieve the transformational change that is so urgently needed. We have worked with The King’s ... and This article is the collective effort of ten of the leading health and social care organisations in the voluntary sector. The organisations worked with The King’s Fund to establish a common position.
This case study looks at integrated teams of health and social care professionals, known as community resource teams (CRTs), who work to co-ordinate care for people living at home in the largely rural county of Pembrokeshire. This model of care is one aspect of a wider strategic programme of integrated ...
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 .
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 ...
Community health care services provide vital care out of hospital for millions of people. From children’s services to care for older people and end-of-life support, the community sector plays a key part in meeting the challenges facing our health and care system. This report presents findings from a small-scale study ...