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To achieve these improvements, the NHS and public health need to work together to diagnose more cancers at an early stage and GPs need to use information about their referral rates and use of diagnostics to understand how their performance compares with others. 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It investigates the five key drivers – quality, workforce, cost, access and technology – across 13 clinical service areas, and summarises the research evidence and professional guidance available in each. 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This typical day in the life of a GP draws on the experiences of several GPs working in different practices who we spoke to as part of the research for this report. It has been reviewed by a number of GPs to ensure it accurately reflects a day working in primary care.","Increasing demands on general practice over the past five years - not just a heavier workload but the increasing complexity and intensity of work - have led to a feeling of crisis. The NHS is finding it difficult to recruit and retain sufficient GPs who want to do full-time, patient-facing work. This report looks at patient factors, system factors and supply-side issues to see what lies behind this increasing pressure on general practice. 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In London, meeting the mental health needs of the large and diverse population poses major challenges, and the London Health Board has identified improving the mental wellbeing of Londoners as a priority. But so far, there has been little consideration of what is required to meet the future mental health needs of London’s population and how this can be achieved. This report describes a vision for the future of mental health provision in London, generated through a process of engagement with key stakeholders in the capital. 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Using data for more than 8,000 general practices in England, this paper examines the association between patients’ perceptions about the non-clinical aspects of care and practice performance on measures of clinical quality.\n\n"],"date_published_tesim":["2012"],"date_published_ssi":"2012","official_url_tesim":["http://www.kingsfund.org.uk/publications/improving-gp-services-england"],"pagination_tesim":["18p."],"place_of_publication_tesim":["London"],"creator_tesim":["Frosini, Francesca","The King's Fund","Raleigh, Veena S."],"date_tesim":["2012"],"date_ssi":"2012","publisher_tesim":["The King's Fund"],"subject_tesim":["access to health services","general practitioners","quality of patient care","general practice","patient experience","performance indicators","London","England","clinical effectiveness","health outcomes"],"thumbnail_path_ss":"/downloads/c821gj77m?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["c821gj77m"],"file_set_ids_ssim":["c821gj77m"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000106272"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714883356518252544,"timestamp":"2021-10-28T16:56:52.744Z","score":1.0},{"system_create_dtsi":"2021-10-27T21:55:11Z","system_modified_dtsi":"2021-10-28T14:26:58Z","has_model_ssim":["PublishedWork"],"id":"000095291","accessControl_ssim":["021425ed-f56c-4c38-ab4d-3febf7586276"],"hasRelatedMediaFragment_ssim":["cz30ps64c"],"hasRelatedImage_ssim":["cz30ps64c"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["A rapid view of access to care."],"date_uploaded_dtsi":"2021-10-27T21:55:11Z","date_modified_dtsi":"2021-10-28T13:48:27Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["95291"],"abstract_tesim":["A range of factors contribute to whether patients feel they have good access to general practice care, including practice location, opening times, ease of arranging appointments, and speed of access. Performance by access criteria is now part of the quality-monitoring system for general practice. But patients still complain of trade-offs, for instance between speed of access and seeing the practitioner of choice. To inform its work, the Inquiry panel commissioned a research project to describe what good-quality access to GP care looks like, and how it can best be measured. This research paper provides a framework for assessing access, and looks at the implications for future general practice provision.","This paper was commissioned by The King's Fund to inform the Inquiry into the Quality of General Practice in England. The views expressed are those of the authors and not of the panel."],"date_published_tesim":["2010"],"date_published_ssi":"2010","official_url_tesim":["http://www.kingsfund.org.uk/sites/files/kf/field/field_document/rapid-view-access-care-gpinquiry-research-paper-mar11.pdf"],"pagination_tesim":["49p."],"place_of_publication_tesim":["London"],"creator_tesim":["Boyle, Seán","Harrison, Anthony","The King's Fund","Appleby, John"],"date_tesim":["2010"],"date_ssi":"2010","publisher_tesim":["The King's Fund"],"subject_tesim":["access to health services","general practitioners","general practice","primary care"],"thumbnail_path_ss":"/downloads/cz30ps64c?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["cz30ps64c"],"file_set_ids_ssim":["cz30ps64c"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000095291"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714881729173389312,"timestamp":"2021-10-28T16:31:00.787Z","score":1.0},{"system_create_dtsi":"2021-10-27T21:39:30Z","system_modified_dtsi":"2021-10-28T14:14:08Z","has_model_ssim":["PublishedWork"],"id":"000125483","accessControl_ssim":["5bfae2eb-6997-4d2d-bf97-59207cc8a958"],"hasRelatedMediaFragment_ssim":["j6731377h"],"hasRelatedImage_ssim":["j6731377h"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Understanding NHS financial pressures :  how are they affecting patient care?"],"date_uploaded_dtsi":"2021-10-27T21:39:30Z","date_modified_dtsi":"2021-10-28T13:43:02Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["125483"],"abstract_tesim":["This report finds that access to and quality of care are both being affected in different ways across the NHS. While public attention tends to focus on high-profile examples of rationing such as restricting access to some types of treatment, the report warns that financial and other pressures are also affecting patient care in ways that go unseen. In an analysis of sexual health services, district nursing, hip replacement and neonatal care, we have found that community and public health services have been hit the hardest, while acute and specialist services have so far been relatively protected."],"date_published_tesim":["2017"],"date_published_ssi":"2017","official_url_tesim":["https://www.kingsfund.org.uk/publications/understanding-nhs-financial-pressures"],"pagination_tesim":["123p."],"place_of_publication_tesim":["London"],"creator_tesim":["Wenzel, Lillie","The King's Fund","Charles, Anna","Thompson, James","Robertson, Ruth"],"date_tesim":["2017"],"date_ssi":"2017","publisher_tesim":["The King's Fund"],"subject_tesim":["health rationing","access to health services","neonatal services","genitourinary medicine clinics","quality of patient care","hip joint replacement","staff levels","district nurse services","public expenditure cuts","orthopaedic surgery","resource allocation","NHS","evaluation","financial problems","survey results","economic crises"],"thumbnail_path_ss":"/downloads/j6731377h?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["j6731377h"],"file_set_ids_ssim":["j6731377h"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000125483"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714880786960744448,"timestamp":"2021-10-28T16:16:02.223Z","score":1.0},{"system_create_dtsi":"2021-10-27T21:38:51Z","system_modified_dtsi":"2021-10-28T14:13:37Z","has_model_ssim":["PublishedWork"],"id":"000133320","accessControl_ssim":["fe983d33-2164-48f5-a7a1-7bc641412b7e"],"hasRelatedMediaFragment_ssim":["qb98mf45k"],"hasRelatedImage_ssim":["qb98mf45k"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Clicks and mortar :  technology and the NHS estate. "],"date_uploaded_dtsi":"2021-10-27T21:38:51Z","date_modified_dtsi":"2021-10-28T13:42:48Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["133320"],"abstract_tesim":["With the NHS and social care experiencing growing demand for services and financial pressures, there is a need for the system to work differently. Technology and the physical estate are essential for delivering change, with the potential to transform the way patients interact with services and support different ways of working for staff. Despite this, however, technology and the estate have historically remained near the bottom of NHS organisations’ priority lists, and are rarely considered together.\n\n'Clicks and mortar: technology and the NHS estate' reports on research carried out by The King’s Fund, supported by NHS Property Services, on the impact of changing technology on the NHS estate and highlights the need for joined-up thinking as part of plans for wider clinical change. The report provides an overview of where we are now – how technology is currently being used across the NHS and how the estate has adapted.\n\nIt also considers what the estate might look like in the future and the opportunities and challenges the NHS faces in delivering this, including working as a system to develop a vision and plans for the future, learning from other sectors, securing the required funding, and ensuring the right skill mix.","This report was commissioned by NHS Property Services."],"date_published_tesim":["2019"],"date_published_ssi":"2019","official_url_tesim":["https://www.kingsfund.org.uk/publications/technology-NHS-estate"],"pagination_tesim":["71p."],"place_of_publication_tesim":["London"],"creator_tesim":["Wenzel, Lillie","The King's Fund","Evans, Harry"],"date_tesim":["2019"],"date_ssi":"2019","publisher_tesim":["The King's Fund"],"subject_tesim":["access to health services","working environment","information technology","organisational infrastructure","patient experience","estate management","electronic patient records","NHS"],"thumbnail_path_ss":"/downloads/qb98mf45k?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["qb98mf45k"],"file_set_ids_ssim":["qb98mf45k"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000133320"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714880747238588416,"timestamp":"2021-10-28T16:15:24.341Z","score":1.0},{"system_create_dtsi":"2021-10-27T21:33:31Z","system_modified_dtsi":"2021-10-28T14:08:43Z","has_model_ssim":["PublishedWork"],"id":"000130523","accessControl_ssim":["45c0b2ec-e412-4858-93af-c079d09fed22"],"hasRelatedMediaFragment_ssim":["w9505044z"],"hasRelatedImage_ssim":["w9505044z"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["How good is the NHS? 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It looks at three aspects of what we might mean by a good health care system: the speed and accessibility of care, the efficiency of the system, and the outcomes delivered for patients. It also sets the scene by looking at what the health service has to work with, so that we can consider whether it is doing a good job given the circumstances. The report finds that the NHS performs neither as well as its supporters sometimes claim nor as badly as its critics often allege. Compared with health systems in similar countries, it has some significant strengths but also some notable weaknesses."],"date_published_tesim":["2018"],"date_published_ssi":"2018","official_url_tesim":["https://www.kingsfund.org.uk/publications/nhs-70-how-good-is-the-nhs","https://www.kingsfund.org.uk/projects/NHS70/research-group"],"pagination_tesim":["49p."],"place_of_publication_tesim":["London"],"creator_tesim":["Kelly, Elaine","The King's Fund","Institute for Fiscal Studies","Ward, Deborah","Nuffield Trust","Dayan, Mark","Health Foundation","Gardner, Tim"],"date_tesim":["2018"],"date_ssi":"2018","publisher_tesim":["The King's Fund","Nuffield Trust","Health Foundation","IFS"],"subject_tesim":["access to health services","international comparisons","health outcomes","efficiency","health systems","NHS"],"thumbnail_path_ss":"/downloads/w9505044z?file=thumbnail","suppressed_bsi":false,"actionable_workflow_roles_ssim":["admin_set/default-default-managing","admin_set/default-default-approving","admin_set/default-default-depositing"],"workflow_state_name_ssim":["deposited"],"member_ids_ssim":["w9505044z"],"file_set_ids_ssim":["w9505044z"],"visibility_ssi":"open","admin_set_tesim":["Default Admin Set"],"human_readable_type_tesim":["Published Work"],"read_access_group_ssim":["public"],"edit_access_group_ssim":["admin"],"edit_access_person_ssim":["batchuser@example.com"],"nesting_collection__pathnames_ssim":["000130523"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714880447267209216,"timestamp":"2021-10-28T16:10:38.266Z","score":1.0},{"system_create_dtsi":"2021-10-27T21:32:54Z","system_modified_dtsi":"2021-10-28T14:08:09Z","has_model_ssim":["PublishedWork"],"id":"000130554","accessControl_ssim":["ed677823-de4c-483c-a212-892973785b0a"],"hasRelatedMediaFragment_ssim":["9880vq97f"],"hasRelatedImage_ssim":["9880vq97f"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Are we expecting too much from the NHS?"],"date_uploaded_dtsi":"2021-10-27T21:32:54Z","date_modified_dtsi":"2021-10-28T13:40:39Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["130554"],"abstract_tesim":["To mark the BBC's coverage of the NHS's 70th birthday in July 2018, The King's Fund, the Health Foundation, the Institute for Fiscal Studies and the Nuffield Trust have been asked by the BBC to look at five key topics, covering the relative strengths and weaknesses of the health service, the state of social care, NHS funding, the public’s expectations of the NHS and the potential of technology to change things in future. 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