This paper aims to help those planning and implementing major clinical service reconfigurations ensure that change is as evidence-based as possible. 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 ...
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 ...