In the past 50 years, spending on the NHS in the United Kingdom has increased from 3.4 per cent to 8.2 per cent of gross domestic product (GDP). If the next 50 years follow the same trajectory, the United Kingdom could be spending nearly one-fifth of its entire GDP on ...
The King’s Fund has come together with the Nuffield Trust and the Health Foundation to publish a briefing on the impact of the Spending Review on health and social care. The briefing aims to ensure that the debate is informed by a clear and objective analysis of the funding position ...
This case study explores community virtual wards based in GP practices within South Devon and Torbay Clinical Commissioning Group (CCG). Community virtual wards were first introduced by Devon Primary Care Trust in 2010 to proactively identify those at high risk of emergency admissions using a predictive risk tool and to ...
Our first report identified five key themes that the health and social care system must embrace to be sustainable and to ensure quality. This second report is intended to offer a clear strategic direction to achieve the transformational change that is so urgently needed. We have worked with The King’s ... and This article is the collective effort of ten of the leading health and social care organisations in the voluntary sector. The organisations worked with The King’s Fund to establish a common position.
This paper tells the story of the journey made by the District Health Board for Canterbury, New Zealand, towards its goal of providing integrated care for all. It looks at the drivers for change, the leadership values shown by key players and considers the lessons that can be learned from ...
This report synthesises evidence from seven case studies covering Australia, Canada, the Netherlands, New Zealand, Sweden, the United Kingdom and the United States. It considers similarities and differences of programmes that are successfully delivering integrated care, and identifies lessons for policy-makers and service providers to help them address the challenges ...
This is the second in a series of four papers that aims to crystallise ideas for change in areas where, we believe, new thinking is required. The first paper focused on the NHS estate and subsequent papers will focus on the use of technology; and the role of patients and ...
This case study looks at integrated teams of health and social care professionals, known as community resource teams (CRTs), who work to co-ordinate care for people living at home in the largely rural county of Pembrokeshire. This model of care is one aspect of a wider strategic programme of integrated ...
Age-related chronic and complex medical conditions account for the largest and growing share of health care budgets in all industrialised nations. However, people living with multiple health and social care needs often experience a highly fragmented service leading to sub-optimal care experiences, outcomes and costs. To address this, strategies of ... and .
The fact that health and social care services are currently commissioned separately is a major obstacle to the development of integrated care. Support is growing for a new settlement based on a single ring-fenced budget and a single local commissioner – as recommended by the independent 'Commission on the Future ...