Written as a contribution to the government's current listening exercise, this paper sets out the challenges facing the NHS and identifies the reforms we believe are needed to meet these challenges. We offer suggestions for revisions to the current Health & Social Care Bill and future policy development but we ...
The aim of this paper is to describe the different forms of integrated care and to summarise evidence on their impact. The paper is based on a major review published by The King's Fund and has been prepared in the light of the increased interest in integrated care arising out ...
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 ...
The aim of this report is to provide an update on the service changes taking place in the NHS in London, and in particular to address the question of who will lead these changes in the NHS structures that came into effect in April 2013. The report builds on an ...
Although the coalition government has pledged to protect funding for the NHS, the pressures to meet rising demand will put a strain on spending. Building on a previous analysis produced in association with the Institute for Fiscal Studies, this paper examines the gap between the likely available funding and the ...
The NHS five year forward view (Forward View), published by NHS England and other national NHS bodies, sets out a shared view on how services need to change and what models of care will be required in the future. While the direction set by the Forward View has been broadly ...
In 2014 The King's Fund was approached by the health department in the Australian state of Victoria to undertake an independent review of the model of the state's devolved governance of health services. This report presents the findings of our review, drawing on three visits to interview key stakeholders 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 ...
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 ...
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.