The NHS is entering a period of acute financial pressure and needs to find up to £20 billion in productivity improvements over the next few years. There are particular challenges for the many hospital trusts that enter the ‘cold’ financial climate with deficits and legacy debt. Reconfiguring Hospital Services: Lessons ...
The NHS is facing a significant financial challenge and needs to make substantial improvements in productivity if it is to provide high-quality services without additional funding. Spending on mental health accounts for around ten per cent of the overall health budget and so the mental health sector has a key ...
The King’s Fund was commissioned by Oxleas NHS Foundation Trust to work with their quality board to facilitate an assessment of its existing approaches to quality improvement and to develop a strategy for future work. This case study details the approach and philosophy behind this work, which involved working with ...
This report summarises the main findings of the Francis Inquiry into the failings of care at Mid Staffordshire in relation to NHS leadership and culture. It sets out what needs to be done to avoid similar failures in future, focusing on the role of three key 'lines of defence' against ...
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 ...
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 ...
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 ...
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 ...
The King's Fund and the Nuffield Trust are working together to assess the implementation and impact of clinical commissioning groups. Between 2012 and 2015, we are following the evolution of clinical commissioning in six case-study sites and will publish the findings annually. This first report is based on fieldwork conducted ...