This guide sets out some basic facts on the health of England's population, including the main drivers of health, how it varies and is expressed in inequalities, and relevant comparisons with other countries.
This report takes mental health services for adults in England as a case study and examines the relevance of this experience to current policy. It focuses on understanding the dramatic changes to mental health services and the factors that enabled that change to happen.
This paper reviews the impact of three approaches to NHS reform in England since the late 1990s: targets and performance management, inspection and regulation, and competition and choice. It argues for a fundamental shift in how the NHS is reformed, learning from what has worked (and what has not) in ...
Medical revalidation of doctors became a statutory obligation for all employing organisations in 2012, but its origins stretch back to 2000. In that period, the NHS has undergone many changes and been scrutinised by several reviews. It was against this shifting context that The King's Fund carried out a qualitative ...
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 ...
The commission, chaired by Dame Kate Barker, proposes a new approach that redesigns care around individual needs regardless of diagnosis, with a graduated increase in support as needs rise, particularly towards the end of life. The twelve recommendations set out a vision for a more integrated health and social care ...
This is the interim report from the independent Commission on the Future of Health and Social Care in England. In it, the commission explains why it believes England needs a single health and social care system, with a ring-fenced, singly commissioned budget, and more closely aligned entitlements. Drawing on accounts ...
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.