This paper seeks to take a dispassionate look at the potential lessons for the development of economic regulation in health care that can be learned from the experiences of both countries that have already implemented it and those of other market sectors in the United Kingdom. It will be essential ...
Cancer survival rates in England are improving, but they still lag behind those in the best-performing countries in the world. The current government has identified cancer survival rates as an area for improvement and the cancer strategy commits to saving an additional 5,000 lives by 2015, but how can these ...
In this paper we set out our views on how the system of quality assurance, including regulation, needs to evolve, the principles on which it should be built and how it should operate. We argue that the system of quality assurance must support the actions and effectiveness of those working ...
Based on a review of the English NHS experience of Payment by Results (PbR) and international experience of similar, activity-based payment systems, this report identifies five general lessons about payment systems, draws some conclusions about whether our current Payment by Results system is fit for purpose in view of current ...
Given the wide and persistent variation in spending on cancer services, this project aimed to identify and quantify sources of variation in primary care trust (PCT) cancer spending and provide PCTs and cancer networks with a systematic way of framing decisions about the appropriate share of their total budgets to ...
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 ...
This research was carried out by The King's Fund for NHS South of England. and The problem of growing demand for urgent care continues. There have been overall improvements in urgent and emergency care performance but there is wide variation in performance in NHS South of England in both organisations and local systems and signs of decline nationally. This report brings together the key findings ...