1. Beyond practice-based commissioning

    Areas of work: Commissioning
    Project leads: Professor Judith Smith

    Practice-based commissioning (PbC) has been a cornerstone of the Labour government’s health service reforms in England since it was introduced in 2005. However, it has so far had limited success....

  2. Buying time: what is the scale of the financial challenge facing the NHS & how can it be met?

    Areas of work: NHS Finances and Efficiency , NHS reform
    Project leads: Anita Charlesworth, Adam Roberts

    Health and social care services are facing a huge financial challenge over the next decade – the question is whether they can respond by delivering more efficient and effective care and, if so,...

  3. Developing a national strategy for the promotion of integrated care

    Areas of work: Integrated care, NHS reform, Social care
    Project leads: Professor Judith Smith, Dr Rebecca Rosen

    The Government has made it clear that better integration of care must be at the heart of the reformed health system. The Nuffield Trust and The King’s Fund were asked by the Department of Health...

  4. Independent practitioner associations in New Zealand: surviving to thrive

    Areas of work: Commissioning, Integrated care, UK & international comparisons
    Project leads: Professor Judith Smith, Ruth Thorlby, Professor Nicholas Mays, Dr Bev O’Keefe , Pauline Barnett

    Handing control of commissioning budgets over to groups of primary care clinicians was one of the most radical reforms set out in the Health and Social Care Act 2012. Aiming to support policy-...

  5. Partnership for Older People: evaluation of impact on emergency hospital use

    Areas of work: Evaluation, Integrated care, Research methods & information tools
    Project leads: Adam Steventon, Dr Martin Bardsley

    The Partnership for Older People Projects (POPP) were established by the Department of Health in 2005, with the aim of encouraging local councils to work in partnership with the NHS and voluntary...

  6. Person-based Resource Allocation (PBRA)

    Areas of work: Commissioning, Research methods & information tools
    Project leads: Dr Martin Bardsley

    The ability to predict appropriate future expenditure for hospital care for general practices or emerging clinical commissioning groups is a major priority for the NHS. This innovative project...

  7. Predicting future costs of social care

    Areas of work: Commissioning, Research methods & information tools, Social care
    Project leads: Dr Martin Bardsley

    It is becoming increasingly important for local councils and health services to take early action to support people to remain independent and stay in their own homes. Our researchers explored...

  8. Predicting risk of hospital readmission with PARR-30

    Areas of work: Research methods & information tools
    Project leads: Dr Martin Bardsley, Theo Georghiou, Professor John Billings, Ian Blunt

    Following the Government’s announcement in 2010 that hospitals in England would not be reimbursed for some emergency hospital readmissions occurring within 30 days of discharge, the interest in...

  9. The AXA Research Project on how can private long-term care insurance supplement state systems: the...

    Areas of work: Research methods & information tools, Social care, UK & international comparisons
    Project leads: Adam Steventon

    With a growing ageing population and concerns about the affordability of long-term care, both to the individual and the state, there is an increasing debate about how to finance care. One option...

  10. The coalition Government's health and social care reforms: 2010 - 2015

    Areas of work: Commissioning, Competition, Integrated care, NHS reform, Social care
    Project leads: Anita Charlesworth, Professor Judith Smith, Ruth Thorlby

    The coalition Government has embarked on an ambitious and widespread reform programme following the 2010 general election. The centerpiece of the reforms, the Health and Social Care Act 2012,...

  11. The future of pharmacy

    Areas of work: Commissioning, Integrated care, NHS reform
    Project leads: Mark Dayan

    The role of pharmacy in the NHS has often been conspicuously overlooked, both in the provision of patient care and in policy debates about the future of the health service. NHS England’s Five Year...

  12. The impact of telehealth and telecare: the Whole System Demonstrator project

    Areas of work: Evaluation, Integrated care, NHS Finances and Efficiency , Research methods & information tools, Social care
    Project leads: Dr Martin Bardsley, Adam Steventon

    Telehealth and telecare are examples of assistive technologies that aim to improve outcomes for people with long-term health conditions or social care needs. They may also reduce use of hospitals...

  13. The quest for efficiency in the English NHS

    Areas of work: NHS Finances and Efficiency
    Project leads: Professor Judith Smith

    The NHS is facing one of the most significant financial challenges in its history, with efficiency savings of four per cent per year now required. This comprehensive programme of research aimed to...

  14. Tracking the journey towards integrated care in Trafford

    Areas of work: Integrated care, Social care
    Project leads: Natasha Curry, Dr Sara Shaw, Professor Judith Smith

    In the current economic climate it is important to explore ways of reducing the avoidable costs of care and ill health, such as through integrated care.  This project tracked the process of...

  15. UK health care information: an examination of information governance arrangements

    Areas of work: Research methods & information tools

    The use of personal NHS information for research purposes can prove highly contentious. This project examines current arrangements in information governance, and how we can best balance the rights...

  16. Understanding competition and choice in the NHS

    Areas of work: Competition, NHS reform
    Project leads: Anita Charlesworth

    The Coalition Government's reforms paved the way for more competition for the provision of health services. This joint research programme between the Institute for Fiscal Studies and the Nuffield...

  17. Understanding trends in emergency care

    Areas of work: NHS Finances and Efficiency
    Project leads: Ian Blunt, Dr Martin Bardsley, Dr Jennifer Dixon CBE

    Admitting a patient to hospital as an emergency case is costly and often avoidable, yet the number of emergency hospital admissions has been rising for some time. We examined the reasons for the...

  18. Universal access and low costs? Health and social care the Japanese way

    Areas of work: NHS Finances and Efficiency , NHS reform, Social care, UK & international comparisons
    Project leads: Natasha Curry, Holly Holder, Ruth Thorlby

    Japan has been operating in a challenging economic context since the early 1990s. Despite this, the country has succeeded in increasing investment in health and social care, resulting in major...

  19. Use of decision technology in the health service

    Areas of work: Research methods & information tools
    Project leads: Dr Geraint Lewis

    As the health service confronts the combined pressures of constrained budgets, ageing populations and rising prevalence of chronic diseases, there is a growing recognition of the need to make the...