The white paper ‘Equity and excellence: liberating the NHS’ (Department of Health 2010) sets out a wide-ranging set of proposals to reform the NHS. The King’s Fund and Doctors.net.uk have carried out a survey to ascertain doctors’ opinions of the impact of these reforms. This paper summarises the main findings ...
This is an overall response and reflection on the White Paper Healthy Lives, Healthy People (Department of Health 2010) and the associated consultations on the outcomes framework and commissioning and funding mechanisms. We welcome the opportunity to respond to the Department’s proposals in the spirit of improving them further and ...
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 ...
This paper summarises presentations made at a seminar held at The King’s Fund earlier this year. The seminar brought together commissioners, policymakers, providers and others to summarise some of the available evidence about demand management. It aimed to provide practical, evidence-based
advice to help commissioners and providers develop effective demand ...
Health care commissioners will need to deliver a sustainable system in the face of the most challenging financial and organisational environment seen in decades. They must shift the current emphasis on acute and episodic care towards prevention, self-care and integrated and well co-ordinated care to cope with an aging population ...
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.
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 ...
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. ...
This report finds that the market for home care providers is extremely fragile, with squeezed margins and low fees forcing providers to leave. In 2017 providers handed back home care contracts in more than one in three local authorities, and some of the largest providers have withdrawn from the publicly ...