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.
In recent years, the digital agenda in health care has been the subject of an array of promises and plans, ranging from the Secretary of State’s challenge to the NHS to ‘go paperless’ to the commitment set out in the NHS’s Five Year Forward View to ‘harness the information revolution’. ...
This Briefing explains the purpose and remit of the Commission. It will consider whether the post-war settlement, which established separate systems for health and social care, remains fit for purpose. What sets it apart from other reviews past and present is that it will fundamentally re-examine the terms of the ...
The financial pressures in the NHS are being felt particularly harshly by acute hospital trusts. A number of trusts and foundation trusts have been rated as at financial risk, and some trusts have declared themselves not financially sustainable as currently configured. These trusts will therefore not be able to achieve ...
Over the past decade a number of health policies have sought to put the patient first and to improve health outcomes. Choice and competition have been key elements of these policies, but the importance of integrated care was highlighted by Lord Darzi in the final report of the NHS Next ...
Since 1983, NatCen Social Research’s British Social Attitudes survey has asked members of the public about their views on, and feelings towards, the NHS and health and care issues generally. The latest survey was carried out between July and October 2015 and asked a nationally representative sample of more than ...
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 ...
Emergency admissions to hospital are costly to the NHS and also cause disruption to planned health care. Considerable efforts have been made within the health service to reduce emergency admissions, but few primary care trusts have been successful, with some primary care trusts recording an increase. In order to successfully ...
Based on interviews with eight of the 'first wave' integrated care systems, this report seeks to understand how they are developing and to identify lessons for local systems and national policy-makers.
The King's Fund's vision for population health is to reduce inequalities and achieve health outcomes on a par with the best in the world. We have developed a framework for population health based on four pillars: the wider determinants of health; our health behaviours and lifestyles; the places and communities ...