This paper assesses the challenges commissioners face, identifies the factors and tools that are particularly relevant to commissioning effective general practice, and suggests what can be done to address weaknesses in general practice commissioning. and This paper was commissioned by The King’s Fund to inform the Inquiry panel. The views expressed are those of the authors and not of the panel.
Given the wide and persistent variation in spending on cancer services, this project aimed to identify and quantify sources of variation in primary care trust (PCT) cancer spending and provide PCTs and cancer networks with a systematic way of framing decisions about the appropriate share of their total budgets to ...
WSD Action Network has been commissioned by the Whole System Demonstrator Programme at the Department of Health and through the Department of Health’s Policy Research Programme. The Network is hosted by The King's Fund and DH Care Networks on behalf of the Department of Health. and This paper, the second in a series of WSDAN briefing papers, provides guidance about how to carry out good-quality evaluations of telecare and telehealth interventions. We
identify different types of evaluations, and briefly review the evidence from systematic reviews of telecare and telehealth to illustrate key issues to be addressed ...
The reforms set out in the coalition government’s White Paper have wide ramifications, particularly for GPs. NHS Lincolnshire decided to help GPs to understand the issues and behaviours that might emerge as a result of the reforms by running a simulation exercise with This report offers observations about individual and ...
Case management is a well-established way of integrating services around the complex needs of people with long-term conditions. It is a targeted, community-based and pro-active approach that identifies individuals at high risk of hospital admission, assesses their needs, produces a personal care plan, and ensures co-ordination of that plan. However, ...
The health care system needs to respond to the growing burden of chronic illness. Many NHS researchers, managers and clinical leaders believe that increased integration within the health service will help to achieve this, and the government has made clear its ambitions that the health reforms should encourage integrated care. ...
NHS hospitals face mounting financial and workforce pressures. Reconfiguration of hospital services can provide a powerful means of improving quality in an environment where money and skilled health care workers are scarce. In some places, reconfiguration is needed urgently, in order to protect patient safety. However, the current reconfiguration process ...
The Bill will introduce a step change in the application of market-based principles in the health system, a radical reform of commissioning, and the biggest reorganisation of the NHS since it was established. While ministers are right to stress the need for service change if the NHS is to be ...
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 ...