With the Budget set to confirm that the NHS is facing the most significant financial challenge in its history, new analysis from The King’s Fund shows the extent of the productivity gap it needs to address.
This report, published in partnership with NHS Providers, draws on the views and experiences of twelve departed or departing chief executives, or those changing jobs within health care. It aims to illuminate the realities of leadership in today’s NHS. The interviews illustrate both the positives of the job and its ...
This report describes the current financial state of the NHS and the reasons for the deterioration in financial performance and ultimately financial failure. These include weak leadership, legacy costs, payment by results (PbR), and the impact of the wider health economy.
Unaudited figures indicate that NHS commissioners (clinical commissioning groups and NHS England) and providers in aggregate ended 2015/16 in deficit for the second year running. This briefing draws on data from our quarterly monitoring reports, secondary research and interviews with health care leaders to consider commissioner and provider finances in ...
The briefing warns that unless additional funding is found, a growing black hole in NHS finances could have significant consequences for patient care. Although there are opportunities for the NHS to improve productivity, the briefing argues that initiatives to reduce spending on agency staff and increase financial control will not ...
The need for reform and a sustainable funding settlement for social care has never been more urgent, with local government and NHS finances under significant pressure and demand for services increasing as the population ages. The government must move quickly to bring together its response to the Dilnot report and ...
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 ...
NHS hospitals face mounting financial and workforce pressures. Reconfiguration of hospital services can provide a powerful means of improving quality in an environment where money and skilled health care workers are scarce. In some places, reconfiguration is needed urgently, in order to protect patient safety. However, the current reconfiguration process ...
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 ...
This briefing has been prepared ahead of the Queen's Speech debates and it outlines the key issues for health and social care in the new parliament. It emphasises the need for long-term sustainable options for social care and for greater funding for the NHS to address spending pressures and increased ...