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The projects show that, even in the most uninspiring environment, it is possible to create welcoming and comfortable spaces that are fit for purpose, good value for money and can improve the quality of care and the patient experience."],"date_published_tesim":["2011"],"date_published_ssi":"2011","official_url_tesim":["http://www.kingsfund.org.uk/document.rm?id=9252"],"pagination_tesim":["96p."],"place_of_publication_tesim":["London"],"creator_tesim":["The King's Fund","Finn, Hedley","Stanley, Eleanor","Waller, Sarah"],"date_tesim":["2011"],"date_ssi":"2011","publisher_tesim":["The King's Fund"],"subject_tesim":["prisons","palliative care","quality of patient care","terminal care","care pathways","patient experience","interior design","hospices","building design","patient care","NHS trusts","case studies","hospitals"],"thumbnail_path_ss":"/downloads/bk128989j?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":["bk128989j"],"file_set_ids_ssim":["bk128989j"],"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":["000100476"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714885167572582400,"timestamp":"2021-10-28T17:25:39.900Z","score":1.0},{"system_create_dtsi":"2021-10-27T23:27:20Z","system_modified_dtsi":"2021-10-28T15:15:31Z","has_model_ssim":["PublishedWork"],"id":"000098485","accessControl_ssim":["0b49ce1f-83be-441a-b3e4-3c40e82093c3"],"hasRelatedMediaFragment_ssim":["4b29b5974"],"hasRelatedImage_ssim":["4b29b5974"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Improving the quality of care in general practice :  report of an independent inquiry commissioned by The King's Fund"],"date_uploaded_dtsi":"2021-10-27T23:27:20Z","date_modified_dtsi":"2021-10-28T14:22:46Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["98485"],"abstract_tesim":["This report was commissioned by The King’s Fund on behalf of an independent panel. The views expressed in this report are those of the independent panel and do not necessarily\nrepresent the views of The King’s Fund","General practice is often regarded as the bedrock of the English health care system. Surveys consistently report high levels of trust in GPs and good levels of patient satisfaction with the services they receive in general practice. However, other than data available through the Quality Outcomes Framework and the GP Patient Survey, very little information is published on the quality of care in general practice. It was for this reason that The King’s Fund set up, in April 2009, an independent inquiry into the quality of general practice in England. The aim of the inquiry, which was conducted by an independent panel of experts and chaired by Sir Ian Kennedy, was to help to support the work of general practice and to provide a guide to ensure that quality is at the heart of the service that it offers to patients. Improving the quality of care in general practice is the report of the inquiry; it represents the most extensive review of quality across general practice carried out in recent years. Its work was informed by specially commissioned research and analysis of routinely available data across a range of aspects of general practice including: core elements of day-to-day practice - for example, diagnosis, referral and prescribing; non-clinical aspects of quality – for example, access to care and patient engagement; and areas where the role is shared with others – for example, maternity and end-of-life care. The recent root -and-branch reforms of the NHS also have profound implications for the future of general practice, in particular the dual role it is being asked to play as both commissioner and provider of care that will mean GPs taking on responsibility for costs as well as outcomes of care. The timing of the inquiry’s report is therefore propitious. General practice is at centre stage and quality must be the watchword. In terms of the current quality of care, the inquiry concluded that the majority of care provided by general practice is good. However, there are wide variations in performance and gaps in the quality of care that suggest there is significant opportunity for improvement. Practices need a lot of support to encourage them to seek out and address variable performance, including: appropriate data and information; skills development; protected time; and appropriate rewards for excellence (as well as consequences for poor performance). 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The broad goal of both the productivity and reform challenges is to improve NHS performance and hence the quality of patient care. But both challenges have inherent uncertainties and given the pace at which changes in service delivery and performance are likely to occur, their impact on key indicators of NHS performance will need to be understood in evaluating progress. This monitoring report is the first of a regular quarterly review, which will combine publicly available data on selected NHS performance measures with views from a panel of finance directors on the key issues their organisations are facing. It complements our monthly waiting times tracker and is a continuation of work that we have done historically to assess, analyse and report on the performance of the NHS. We have chosen the indicators that we believe are important to the public and patients and that provide measures of the impact of tackling the productivity and reform challenges confronting the NHS. 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The government has recently undertaken an evaluation of the 2009/10 quality accounts and set out their expectations for 2010/11. The King’s Fund undertook an independent analysis of a sample of quality accounts produced by a range of providers – acute trusts, mental health trusts, independent providers. The analysis focused on three particular aspects of the quality accounts: the choice of quality measures used to review performance, their reliability and presentation; the quality of the data and how far providers have participated in national clinical audits and confidential enquiries; how providers have reported patient and public feedback and  involvement of local stakeholders and what external comments have focused on.  This paper includes examples from 2009/10 quality accounts that show how the content and the presentation of information can vary. Based on these examples, we make recommendations for providers when they are developing and writing a quality account. We also have recommendations for policy-makers for future guidance on quality accounts; on data quality; on clinical audits and confidential enquiries; and on external scrutiny. We conclude that, fundamentally, quality accounts are so varied because they are having to provide commentary on a wide range of services, are serving a broad range of audiences and are also attempting to meet two related, but different, goals of local quality improvement and public accountability. The future for public accountability needs to focus more on the centralised provision of standard, consistent and comparable measures, published in forms that enable interpretation and comparison.  Individual quality accounts can then both draw on these measures and select local priorities and measures, as long as those measures can be given with benchmark or trend information to provide some context for interpretation."],"date_published_tesim":["2011"],"date_published_ssi":"2011","official_url_tesim":["http://www.kingsfund.org.uk/publications/how-do-quality-accounts-measure"],"pagination_tesim":["35p."],"place_of_publication_tesim":["London"],"creator_tesim":["Ross, Shilpa","The King's Fund","Foot, Catherine","Raleigh, Veena"],"date_tesim":["2011"],"date_ssi":"2011","publisher_tesim":["The King's Fund"],"subject_tesim":["quality of patient care","quality assurance in health services","annual reports","quality accounts"],"thumbnail_path_ss":"/downloads/05741r680?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":["05741r680"],"file_set_ids_ssim":["05741r680"],"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":["000097281"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714885029261213696,"timestamp":"2021-10-28T17:23:27.996Z","score":1.0},{"system_create_dtsi":"2021-10-27T23:14:28Z","system_modified_dtsi":"2021-10-28T15:07:58Z","has_model_ssim":["PublishedWork"],"id":"000116161","accessControl_ssim":["d6c4285a-14f0-49d8-b4bf-f6eac08c6a27"],"hasRelatedMediaFragment_ssim":["ws859f652"],"hasRelatedImage_ssim":["ws859f652"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["The NHS under the coalition government. "],"date_uploaded_dtsi":"2021-10-27T23:14:27Z","date_modified_dtsi":"2021-10-28T14:17:28Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["116161"],"abstract_tesim":["This paper explores the coalition government’s record on NHS reform by describing the situation it inherited when it came to power in 2010, the policies it has pursued, and (where available) evidence of their impact. It takes the stated aims of the reforms\nas the starting point and reviews progress in delivering them. The paper is organised around the six major themes in the government’s reform programme, namely: commissioning of care; provision of care by NHS providers; regulation of the quality of care; competition and choice; governance and accountability, and; integration of care."],"date_published_tesim":["2015"],"date_published_ssi":"2015","official_url_tesim":["http://www.kingsfund.org.uk/sites/files/kf/field/field_publication_file/the-nhs-under-the-coalition-government-part-one-nhs-reform.pdf","http://www.kingsfund.org.uk/publications/nhs-under-coalition-government"],"pagination_tesim":["81p."],"part_tesim":["Part 1 : NHS reform."],"place_of_publication_tesim":["London"],"creator_tesim":["Baird, Beccy","Alderwick, Hugh","The King's Fund","Jabbal, Joni","Gregory, Sarah","Ham, Chris"],"date_tesim":["2015"],"date_ssi":"2015","publisher_tesim":["The King's Fund"],"subject_tesim":["commissioning","privatisation","quality of patient care","Conservative Party","integrated care","Liberal Democrats","NHS reforms","health policy","NHS","evaluation"],"thumbnail_path_ss":"/downloads/ws859f652?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":["ws859f652"],"file_set_ids_ssim":["ws859f652"],"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":["000116161"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714884612563402752,"timestamp":"2021-10-28T17:16:50.602Z","score":1.0},{"system_create_dtsi":"2021-10-27T23:12:56Z","system_modified_dtsi":"2021-10-28T15:06:48Z","has_model_ssim":["PublishedWork"],"id":"000103334","accessControl_ssim":["25eb0479-2cad-425c-87a1-77d6a6292070"],"hasRelatedMediaFragment_ssim":["c534fn941"],"hasRelatedImage_ssim":["c534fn941"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["The care of frail older people with complex needs:  time for a revolution."],"date_uploaded_dtsi":"2021-10-27T23:12:56Z","date_modified_dtsi":"2021-10-28T14:16:49Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["103334"],"abstract_tesim":["In November 2011, The King’s Fund invited academics, practitioners, policy-makers and representatives from patient and voluntary organisations to discuss the care of very old frail people with complex health problems. Mindful of the work of others (NHS Confederation, the Local Government Association and Age UK 2012; The Mid Staffordshire NHS Foundation Trust Inquiry 2009), we focused exclusively on what could be done to build the confidence of vulnerable older patients with complex needs and their carers in the quality of care in hospital and at home. This report summarises the discussion, including recommendations framed in relation to levels of authority in the health and social care system. The King’s Fund is very grateful to the trustees of Leeds Castle for making the summit possible and to summit members for their contributions."],"date_published_tesim":["2012"],"date_published_ssi":"2012","official_url_tesim":["http://www.kingsfund.org.uk/publications/care-frail-older-people-complex-needs-time-revolution"],"pagination_tesim":["16p."],"place_of_publication_tesim":["London"],"creator_tesim":["The King's Fund","Cornwell, Jocelyn"],"date_tesim":["2012"],"date_ssi":"2012","publisher_tesim":["The King's Fund"],"subject_tesim":["frail older people","quality of patient care","home care","complex needs","good practices","chronic disease","hospital care","acute care"],"thumbnail_path_ss":"/downloads/c534fn941?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":["c534fn941"],"file_set_ids_ssim":["c534fn941"],"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":["000103334"],"nesting_collection__deepest_nested_depth_isi":1,"_version_":1714884550783401984,"timestamp":"2021-10-28T17:15:51.684Z","score":1.0},{"system_create_dtsi":"2021-10-27T23:00:09Z","system_modified_dtsi":"2021-10-28T15:00:29Z","has_model_ssim":["PublishedWork"],"id":"000104932","accessControl_ssim":["08a7d09c-be12-4f0e-9f0f-2fc090dea7bd"],"hasRelatedMediaFragment_ssim":["9s161618p"],"hasRelatedImage_ssim":["9s161618p"],"depositor_ssim":["batchuser@example.com"],"depositor_tesim":["batchuser@example.com"],"title_tesim":["Preparing for the Francis report :  how to assure quality in the NHS. "],"date_uploaded_dtsi":"2021-10-27T23:00:09Z","date_modified_dtsi":"2021-10-28T14:11:43Z","isPartOf_ssim":["admin_set/default"],"biblionumber_tesim":["104932"],"abstract_tesim":["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 at the front line and of those who manage and lead organisations that deliver care. 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