This research sought to understand the current state of community services and to explore how the health and care system needs to change to enable these services to meet the needs of the population now and in the future.
This report examines the content of the 44 sustainability and transformation plans (STPs) that were submitted in October 2016. STPs are the main vehicle for transforming health and care services in England in line with the NHS five year forward view. The report discusses the main challenges that lie ahead ...
As the NHS seeks to move away from competition towards integration and to develop new models of care, individuals and organisations across the health and care system need to learn to work together to make the best use of collective skills and knowledge. This paper offers those who are leading ...
This report looks at the reality of caring for acutely ill medical patients at the NHS front line and asks how care in hospitals can be improved. It comprises a series of essays by frontline clinicians, managers, quality improvement champions and patients, and provides vivid and frank detail about how ...
Sustainability and transformation plans (STPs) are key to the future of health and care services. This report, commissioned by the Mayor of London and based on work completed in March 2017, looks at the five STPs in London, their contents and common themes.
The authors, from The King’s Fund and ...
This report, commissioned by the Mayor of London, reviews the progress made over the past year by the capital’s five sustainability and transformation partnerships (STPs), new bodies established to implement local plans for the future of health and care services. It finds evidence of improvements in services for patients in ...
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.
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 ...
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.
This paper summarises presentations made at a seminar held at The King’s Fund in April 2010. The seminar brought together case studies from the NHS in England, Kaiser Permanente in California and the independent sector, as well as research evidence, to explore what has been tried and what has worked ...
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 ...
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 ...
With a growing number of health care providers in deficit and others placed in special measures because of concerns about the quality of their care, the search is on to find ways in which they could be supported. Sir David Dalton’s forthcoming review provides a timely opportunity to explore the ...
This collection of essays, published jointly by the All-Party Parliamentary Health Group (APHG) and The King’s Fund, maps out health priorities for the next parliament, as seen from the perspective of key stakeholders in the world of health.
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 ...
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 ...
This paper argues that the NHS in England cannot meet the health care needs of the population without a sustained and comprehensive commitment to quality improvement as its principal strategy. Despite a succession of well-meaning policy initiatives over the past two decades, the paper argues that the NHS in England ...
The aim of this report is to describe the approach taken to integrated care in Northern Ireland, Scotland and Wales with a view to drawing out the lessons for England. The report has been written at a time when policy-makers in England have made a commitment to bring about closer ...
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 ...
The aim of this paper is to support the process of ‘making it happen’ by summarising the steps that need to be taken to make integrated care a reality; we have drawn on our own work and that of others in areas where local leaders have identified
integrated care as ...