Index Catalog // The King's Fund Digital Archive

18-week waiting times target : an update

Author:: Harrison, Anthony, King's Fund, and Thorlby, Ruth
Publication date:: 2007
Abstract:: The War on Waiting for Hospital Treatment (Harrison and Appleby 2005) examined the government's record on reducing the number of people on waiting lists for elective care in England, and the time they had to wait. This briefing provides an update on that analysis. The waiting times targets currently in ...

Practice-based commissioning

Author:: King's Fund
Publication date:: 2006
Abstract:: Practice-based commissioning is a policy that aims to give more influence and control to GP practices in England over how money is spent on health care services. At the moment, the bulk of NHS money is allocated to primary care trusts (PCTs) who then commission and reimburse hospitals (and other ...

Local variations in NHS spending priorities

Author:: King's Fund
Publication date:: 2006
Abstract:: While the 'postcode lottery' of accessing drugs such as Herceptin on the NHS attract media headlines, there has been growing awareness of more fundamental variations in spending by primary care trusts (PCTs), the organisations responsible for purchasing the bulk of NHS care for people living in their catchment areas. This ...

Improving the patient experience : celebrating achievement : enhancing the healing environment programme 2003-2005

Author:: King's Fund and Department of Health (Great Britain)
Publication date:: 2006

NHS continuing care : Health Committee new inquiry : evidence from the King's Fund

Author:: King's Fund
Publication date:: 2005

Enhancing the healing environment : a guide for NHS trusts

Author:: King's Fund, Finn, Hedley, and Waller, Sarah
Publication date:: 2004
Abstract:: This guide sets out to show how teams of NHS staff can plan and deliver their own medium-sized design projects in hospitals by making better use of existing resources. It is aimed at a wide audience, including the frontline employees, such as nursing and estates or facilities staff, who may ...

Tackling racism in medical careers : the role of consultants

Author:: Hunt, Beverley and King's Fund
Publication date:: 2004
Abstract:: Evidence from the King's Fund to the British Medical Association's 'Tackling racism in medical careers: the role of consultants' consultation.

The NHS workforce

Author:: King's Fund
Publication date:: 2004
Abstract:: Improving health and social care is a political priority in the United Kingdom. Boosting the number of health care workers and making better use of their skills are central objectives of the Government's plans for reform. However, recruitment and retention are major problems for the NHS, particularly in inner cities ...

King's Fund memorandum to the Public Administration Select Committee "Choice, Voice and Public Services"

Author:: King's Fund
Publication date:: 2004

How much should we spend on the NHS? : issues and challenges arising from the Wanless review of future health care spending

Author:: King's Fund, Office of Health Economics, and Centre for Health Economics (University of York)
Publication date:: 2004
Abstract:: Derek Wanless' 2002 report on the future course of NHS spending was immensely important. Not only did it directly inform the Chancellor's spending plans for the NHS for the next five years - which gave the NHS an unprecedented real increase of over 40 per cent by 2007/8 - but ...

In capital health? : creative solutions to London's workforce challenge

Author:: North West London Workforce Development Confederation, Buchan, James, S.H.R.I.N.E. (Network for NHS London Human Resources Managers), King's Fund, Finlayson, Belinda, South West London Workforce Development Confederation, Gough, Pippa, South East London Workforce Development Confederation, Queen Margaret University College Edinburgh, North Central London Workforce Development Confederation, and North East London Workforce Development Confederation
Publication date:: 2003
Abstract:: This new policy paper, which follows up an interim report published in 2002, aims to take a fresh look at the issues facing planners, policy makers and managers responsible for maintaining and developing the health care workforces in London, and to tease out some of the opportunities, as well as ...

Great to be grey : how can the NHS recruit and retain more older staff?

Author:: Meadows, Sandra and King's Fund
Publication date:: 2002
Abstract:: This research summary examines a key aspect of NHS staffing: that of the loss of experience from health services as older staff, who are valuable and much needed, leave early in ever-increasing numbers. With a workforce where about 150,000 of the one million employed are aged 50 or over, and ...

Hidden assets : values and decision-making in the NHS

Author:: King's Fund
Publication date:: 2002
Abstract:: This book is based on a series of King's Fund seminars which looked at what values mean for a modern, publicly owned health organisation. It highlights specific value conflicts and argues that for values to 'live' as an organisational reality, trade-offs must be visible, managed and explicit. Topics include: the ...

Working for health : the NHS as an employer and its role in regeneration

Author:: Belman, Jane, King's Fund, Edmans, Teresa, and Levenson, Ros
Publication date:: 2001
Abstract:: This summary draws on 'Working for Health : the NHS as an employer and its role in regeneration' published in February 2001, and a public seminar, 'New routes to health through employment' held on 7 February 2001, organised by the King's Fund and the London Regeneration Network.

Public-private relations in health care

Author:: Mays, Nicholas, Keen, Justin, Light, Donald, and King's Fund
Publication date:: 2001
Abstract:: The Labour Government's commitment to making more use of the private sector in health care is proving controversial. Opponents are concerned that it signals the end of the NHS as we know it. Yet public-private relationships are as old as the NHS. This book analyses existing relationships and the regulatory ...

Making the right connections : the design and management of health care delivery

Author:: Harrison, Anthony and King's Fund
Publication date:: 2001
Abstract:: In recent years, new health care delivery initiatives have emerged that promise to overcome some of the long-standing difficulties that hinder the various parts of the NHS from working efficiently and effectively together. These include national service frameworks, care pathways and NHS Direct. However, their full implications have yet to ...

Racism in medicine : an agenda for change

Author:: Gillam, Stephen, McClenahan, John, Neuberger, Julia, King's Fund, and Unwin, Lyndsey
Publication date:: 2001
Abstract:: This book presents the reality of racism in today's NHS. It attempts to tackle the discrimination and injustice some people from minority ethnic groups working in the health service and particularly medicine currently endure. Using a range of anecdotal accounts, historical perspectives and research by contributors from culturally diverse backgrounds, ...

Health care UK : the King's Fund review of health policy

Author:: King's Fund
Publication date:: 2001
Abstract:: This publication is a comprehensive review of health care policy issues. It contains a calendar of events from August 2000 to January 2001 and articles on areas of health policy such as: setting targets for health spending; allocating resources to reduce health inequalities; health policy developments in Europe; the politics ...

Health care UK : the King's Fund review of health policy

Author:: King's Fund
Publication date:: 2001
Abstract:: This publication is a comprehensive review of health care policy issues. This edition takes London as its theme. It contains a calendar of events from February to May 2001 and articles on areas of health policy such as: public health; mental health services; refugees and asylum seekers' health experience; public ...

NHS Direct : learning from the London experience

Author:: Pearce, Katherine, King's Fund, and Rosen, Rebecca
Publication date:: 2000
Abstract:: NHS Direct is a nurse-led telephone helpline which was launched in three pilot sites in 1998. An evaluation of the first three sites is still underway and, although preliminary results show high satisfaction among service users, it is too early to draw conclusions about the impact of NHS Direct on ...

The NHS : facing the future

Author:: King's Fund, Dixon, Jennifer, and Harrison, Anthony
Publication date:: 2000
Abstract:: Because the NHS was founded to provide equal access to all on the basis of need rather than the ability to pay, price was eliminated as a method of bringing demand for services into line with supply. This means that the Government has to make decisions about the amount of ...

Contested decisions : priority setting in the NHS

Author:: McIver, Shirley, Ham, Chris, and King's Fund
Publication date:: 2000
Abstract:: This book is a sequel to 'Tragic Choices in Health Care: the case of Child B', and continues the examination of ethical questions and conflicts of interest arising from priority setting and treatment decisions. Discussing five cases where funding of a treatment was refused or questioned, it assesses whether lessons ...

Use of complementary medicine within the primary care group setting, The use of Ayurvedic medicine

Author:: King's Fund, Love, Lynne, and Corea, Ivan
Publication date:: 2000
Abstract:: A series of information handouts and leaflets given out to delegates attending the Conference on complementary medicine held at the Royal Society of Medicine, London on 26th September 2000.

What's gone wrong with health care? : challenges for the new millennium

Author:: King's Fund
Publication date:: 2000
Abstract:: Based on the deliberations of a Leeds Castle Foundation medical conference, this book looks in depth at five examples of how the NHS by choice or by accident has behaved with inhumanity, and seeks to draw lessons for the whole health system from these events. It reaches radical conclusions about ...

Health care UK : the King's Fund review of health policy

Author:: King's Fund
Publication date:: 2000
Abstract:: This publication is a comprehensive review of health care and policy issues. It contains a calendar of events for the months June to August 2000 as well as discussion of key policy issues. Specific areas dealt with in this issue include: the NHS Plan; public attitudes towards the NHS between ...

Health care UK : the King's Fund review of health policy

Author:: King's Fund
Publication date:: 2000
Abstract:: This publication is a comprehensive review of health care and policy issues. It contains a calendar of events for the months March to May 2000 as well as discussion of key policy issues. Specific areas dealt with in this issue include: the National Beds Inquiry; consultants' contracts; National Institute for ...

Health care UK : the King's Fund review of health policy

Author:: King's Fund
Publication date:: 2000
Abstract:: This publication is a comprehensive review of health care and policy issues. From 2000, there will be three issues per year. It contains a calendar of events for the months October 1999 to February 2000 as well as discussion of key policy issues. Specific areas dealt with in this issue ...

Clinical leaders : clinical partners : an internal evaluation report

Author:: Shakespeare, Regina, Mumford, Peter, and King's Fund
Publication date:: 1999
Abstract:: This report focusses on the fifth and final cohort of doctors who participated in the Clinical Leaders : Clinical Partners programme. It included experimental learning, reflection, relevant case material, bespoke and other simulations and shadowing

Living values in the NHS : stories from the NHS's 50th year

Author:: Malby, Becky, King's Fund, and Pattison, Stephen
Publication date:: 1999
Abstract:: The stories in this publication were told as a part of a King's Fund project that aimed to uncover some of the values that shape day-to-day action and behaviour in the NHS. In one-day storytelling workshops, staff were asked to recount recent experiences that mattered to them, and service users ...

Health care UK 1999/2000 : the King's Fund review of health policy

Author:: King's Fund
Publication date:: 1999
Abstract:: This publication is a comprehensive review of health care and policy issues. It includes a detailed description of health events in the last twelve months, as well as discussion of key policy issues. Specific areas dealt with in this issue include: influencing the diffusion of new medical technologies; the future ...

Improving health care : the political, managerial and professional challenges of raising health care quality

Author:: King's Fund and Taylor, David
Publication date:: 1998
Abstract:: The 1997 white paper 'The New NHS: modern, dependable' promised to put quality at the heart of the health service, announcing the formation of a National Institute of Clinical Excellence, a Commission for Health Improvement, evidence based National Service Frameworks, a new system of clinical governance in NHS trusts and ...

Our nation's future health services : a second better chance : a report on the deliberative Citizens' Groups on the future of the NHS prepared for the NHS 50th Anniversary Conference

Author:: King's Fund and Sang, Bob
Publication date:: 1998
Abstract:: This report describes the planning, implementation and outcomes of a process for involving local citizens and users and their organisations in informing the NHS Confederation's conference 'All Our Tomorrows' in July 1998, to celebrate 50 years of the NHS. The King's Fund was invited to contribute to the design and ...

From cradle to grave : fifty years of the NHS

Author:: King's Fund and Rivett, Geoffrey
Publication date:: 1998
Abstract:: This book is published to mark the 50th anniversary of the NHS. It traces chronologically the major achievements and events in medicine, nursing, hospital development, primary health care and health management. The introductory chapter describes the health services in 1948. The next five chapters each cover a decade, and begin ...

Two cheers? : reflections on the health of NHS democracy

Author:: New, Bill, King's Fund, and Klein, Rudolf
Publication date:: 1998
Abstract:: This paper explores the many meanings of democracy, seeks to define some criteria for assessing whether or not there is a 'democratic deficit' in the NHS, and examines the policy options that have been put forward for making the NHS more 'democratic'. The first section analyses the various ways in ...

London Monitor : the guide to health services in the capital

Author:: King's Fund
Publication date:: 1996
Abstract:: This is the third edition of this publication which was published for the first time in 1994. This edition is structured in three parts. The first is a calendar of events in London's health care during 1995, followed by a commentary by the editor. The second section presents the relevant ...

The war on waiting for hospital treatment : what has Labour achieved and what challenges remain?

Author:: Harrison, Anthony, King's Fund, and Appleby, John
Publication date:: 2005
Abstract:: The need to wait for health care has been a feature of the NHS since its inception. When Labour came to power in 1997, total numbers of patients waiting stood at 1.3 million: the highest since the NHS began in 1948. The government announced its 'war on waiting' and pledged ...

Should primary care trusts be made more locally accountable? : a King's Fund discussion paper.

Author:: Dixon, Jennifer, King's Fund, Thorlby, Ruth, and Lewis, Richard
Publication date:: 2008
Abstract:: Local accountability has been a significant policy issue within the NHS generally. However, primary care trusts are in the main accountable to the centre and there have been calls to review this. This paper discusses a range of options for reforming the relationships between PCTs and their public. It explores ...

Improving health in London : case study : health talks for elderly Latin Americans.

Author:: King's Fund
Publication date:: 2006
Abstract:: While working as a volunteer at the Latin American Elderly Project, a day centre in Islington, Lucrecia Janowicz recognised that the older members of the project were unable to access the health information that they needed because they didn't speak English. She therefore decided to organise a series of talks ...

Executive summary : Great to be grey : how can the NHS recruit and retain more older staff?

Author:: King's Fund and Meadows, Sandra
Publication date:: 2002
Abstract:: This is the executive summary of a research summary which examines a key aspect of NHS staffing: that of the loss of experience from health services as older staff, who are valuable and much needed, leave early in ever-increasing numbers. With a workforce where about 150,000 of the one million ...

What is the real cost of more patient choice?

Author:: Harrison, Anthony, King's Fund, Devlin, Nancy, and Appleby, John
Publication date:: 2003
Abstract:: This publication lays out the questions the government must answer if it wants to place patient choice at the heart of a taxpayer-funded health care system, including how extra costs will be met, whether patients are willing and able to exercise choice in their own best interests, and what kinds ...

Realising the benefits? : assessing the implementation of Agenda for Change.

Author:: King's Fund, Evans, David, and Buchan, James
Publication date:: 2007
Abstract:: Agenda for Change is the most ambitious pay reform introduced into the NHS. In addition to simplifying the system of pay, its objectives were to improve the delivery of patient care as well as staff recruitment, retention and motivation. This paper examines progress in implementation based on interviews with key ...

Our future health secured? : a review of NHS funding and performance.

Author:: Harrison, Anthony, Wanless, Derek, King's Fund, Patel, Darshan, and Appleby, John
Publication date:: 2007
Abstract:: The Wanless review Securing our Future Health, published by the Treasury in 2002, concluded that the United Kingdom would need to spend substantially more on health care and that fundamental reform would be needed to enable those resources to be used effectively. Five years on, The King's Fund has commissioned ...

Measuring NHS success : can patients' views on health outcomes help to manage performance?

Author:: Dr Foster. Ethics Committee, King's Fund, Devlin, Nancy, and Appleby, John
Publication date:: 2005
Abstract:: The primary task of the health service is to improve people's health. A fundamental goal within this is to improve patients' health-related quality of life (HRQoL). But, while measuring and monitoring many aspects of its performance, the NHS does not routinely measure the impact of its care on patients' HRQoL. ...

The last straw : explaining the NHS nursing shortage.

Author:: King's Fund, Meadows, Sandra, Baeza, Juan, and Levenson, Ros
Publication date:: 2000
Abstract:: There are significant recruitment and retention problems in nursing in the NHS. Nurses are leaving the NHS at a faster rate than they are being recruited. A review of the existing literature and research undertaken over the last 15 years has highlighted a number of apparently consistent themes in barriers ...

An independent audit of the NHS under Labour (1997-2005).

Author:: King's Fund
Publication date:: 2005
Abstract:: This independent audit was commissioned by the Sunday Times and is published with their kind permission. and The Labour Party came to power in 1997 promising to 'save' the NHS. Since then, it has found unprecedented increases in funding for the health service, but Prime Minister Tony Blair has emphasised that the extra money must be linked to a 'step-change' in reform. This reform has taken four ...

How to regulate health care in England : an international perspective.

Author:: Mays, Nicholas, King's Fund, Alvarez-Rosete, Arturo, and Lewis, Richard
Publication date:: 2006
Abstract:: The National Health Service (NHS) in England is in a state of transition as the government pushes forward a programme of significant reform. If the government achieves its stated objectives, the NHS will be transformed from a state-owned commissioning and provision system to one in which care is delivered by ...

Government and the NHS : time for a new relationship?

Author:: King's Fund and Dewar, Steve
Publication date:: 2003
Abstract:: A wide range of public services - including higher education, housing associations and public service broadcasting - are now either funded, delivered, or regulated through agencies working at 'arm's length' from government. Is it time to consider a similar model for the modern NHS? Does the health service need to ...

Has the government met the public's priorities for the NHS? : a King's Fund briefing for the BBC 'Your NHS' day 2004.

Author:: Gough, Pippa, Robinson, Janice, Appleby, John, Dewar, Steve, and King's Fund
Publication date:: 2004
Abstract:: This briefing provides a review of progress made since the BBC's 2002 'Your NHS' day on the five top priorities voted for by the public as the issues that mattered most in the NHS. These priorities were: free long-term care for older people; better pay for NHS staff; shorter waiting ...

The future of the NHS : a framework for debate.

Author:: Haskins, Christopher, Baron Haskins of Skidby and King's Fund
Publication date:: 2002
Abstract:: In the wake of the NHS Plan, the King's Fund brought together a group of commentators, academics and practitioners from health and other sectors to consider the best ways forward. This discussion paper presents a broad analysis of current problems and three approaches to change. It identifies three immediate and ...

Cutting NHS waiting times : identifying strategies for sustainable reductions.

Author:: King's Fund and Appleby, John
Publication date:: 2005
Abstract:: This research summary outlines recent King's Fund work on waiting times, supported by the Department of Health. The research set out to learn from three groups of hospitals: those that have proved able to sustain reductions in waiting times; those with variable performance and those with a poor record on ...

Practice-based commissioning.

Author:: Curry, Natasha, King's Fund, and Thorlby, Ruth
Publication date:: 2007
Abstract:: Practice-based commissioning (PBC) is a policy intended to give more decision-making power over NHS resources to general practitioners (GPs), and allow them to design and deliver completely new services or commission others to do so. It has a number of underlying policy objectives including delivering more cost effective and convenient ...

NHS finances 2006/7 : from deficit to a sustainable surplus?

Author:: King's Fund, Maybin, Jo, and Thorlby, Ruth
Publication date:: 2007
Abstract:: The NHS has moved from an overall net deficit to a net surplus within a year, according to the figures released by the government in June 2007 (Department of Health 2007), reversing a three year trend towards increasingly large gross deficits. The government argues that these latest figures show that ...

Deficits in the NHS.

Author:: King's Fund
Publication date:: 2006
Abstract:: The NHS has rarely managed to balance its books exactly; in many years it has overspent, and in some it has carried a surplus. In the financial year 2005/6 it is likely to record a substantial overspend - in gross terms, around £900 million, equivalent to around £700 million net ...

Patient choice.

Author:: King's Fund, Thorlby, Ruth, and Robertson, Ruth
Publication date:: 2008
Abstract:: Attempts to give more choice to users of public sector services has been a major theme of the Labour government's public sector modernisation programme. Policies have been developed in health care, education and social housing that aim to give users a greater choice of publicly or privately owned providers, and ...

Free choice at the point of referral.

Author:: King's Fund, Thorlby, Ruth, and Gregory, Sarah
Publication date:: 2008
Abstract:: 'Free choice' - allowing patients being referred for non-urgent treatment to choose a hospital anywhere in England - begins in the NHS in England in April 2008. It is another milestone in a policy that aims, among other things, to use consumer pressure to improve the quality of hospital services ...

King's Fund response to Health Select Committee inquiry on NHS deficits.

Author:: King's Fund
Publication date:: 2006
Abstract:: This paper is a response by the King's Fund to the Health Select Committee NHS deficits inquiry.

The King's Fund response to the Department of Health's review of the consequences of additional private drugs for NHS care.

Author:: King's Fund
Publication date:: 2008
Abstract:: This note responds to the Department of Health's review, led by Professor Mike Richards, into the consequences of additional private drugs for NHS care.

Wider review of regulation in health and social care.

Author:: King's Fund
Publication date:: 2005
Abstract:: This paper is a response by the King's Fund to the Department of Health's review of the regulatory framework for the health and social care sector.

Sustaining reductions in waiting times : identifying successful strategies : final report to the Department of Health.

Author:: Harrison, Anthony, Harley, Mike, King's Fund, Devlin, Nancy, Great Britain. Department of Health, Appleby, John, Thorlby, Ruth, Locock, Louise, and Boyle, Sean
Publication date:: 2005
Abstract:: This report brings together the findings and conclusions from three strands of research that addressed different aspects of the main research topic, which is the identification of successful strategies for sustaining reductions in waiting times. They are: identifying successful strategies for sustaining reductions in waiting times; the impact of waiting ...

Can market forces be used for good?

Author:: Dixon, Jennifer, King's Fund, Le Grand, Julian, and Smith, Peter
Publication date:: 2003
Abstract:: As the government seeks to accelerate change in the NHS and make services more responsive to public demands, the argument for market discipline versus planned provision is being hotly debated: can a highly centralised system sit comfortably alongside a market-led approach?; can market forces provide an effective response to the ...

Top-up payments for drugs in England.

Author:: Harrison, Anthony, King's Fund, and Maybin, Jo
Publication date:: 2008
Abstract:: How are top-ups distinct from other charges in the NHS and why have they become such a contentious issue now? This briefing gives some background on the relevant legislation and guidance in this area. [Introduction]

Paying the price : the cost of mental health care in England to 2026.

Author:: McCrone, Paul, Lawton-Smith, Simon, King's Fund, Patel, Anita, Dhanasiri, Sujith, and Knapp, Martin
Publication date:: 2008
Abstract:: Recognising the significance of mental health in terms of both expenditure and the overall health of the population, the King's Fund commissioned a review. This report presents current and projected needs for mental health services and their related costs. It gives details on a number of specific disorders, including depression, ...

NHS spending : local variations in priorities : an update.

Author:: King's Fund, Appleby, John, and Gregory, Sarah
Publication date:: 2008
Abstract:: Primary care trusts (PCTs) spend around 75 per cent of the NHS budget in England. How do they decide on their spending priorities? This paper examines the data collected by the Department of Health on the amounts PCTs spend on the 23 programmes of care based on medical conditions such ... and An update to the briefing "Local variations in NHS spending priorities" published in 2006.

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