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The health and social care ratings review

We were commissioned by the Secretary of State for Health to review whether aggregate ratings of provider performance should be used in health and social care. Read the final report
Read our final report on whether we should use an aggregate ratings system in health & social care
In a video interview, Nuffield Trust Chief Executive Dr Jennifer Dixon discusses the findings of the review
View a slideshow of findings from Ipsos MORI focus groups looking at public attitudes to ratings

Read the final report

Following the review, read our report or executive summary outlining the key findings and recommendations for rating provider performance in health and social care.

What might ratings add today?

Read a blog by Dr Jennifer Dixon who considers what a ratings system in health and social care might add, how it could be managed, and the possible drawbacks.

What do the public think?

Ipsos MORI held focus groups exploring public attitudes towards the idea of a health and social care ratings system. Access a slideshow of the research findings.

Interview with Dr Jennifer Dixon

Nuffield Trust Chief Executive Dr Jennifer Dixon, who led the ratings review, discusses the advantages and disadvantages of a ratings system in health and social care.

Read our press statement

In our press statement we question if an aggregate ratings system will help to raise the public's awareness of the quality of health and social care.

About the review

Find out more about the scope and purpose of the Nuffield Trust ratings review, the key questions it attempts to answer, and the formal terms of reference.

Exclusive audio webinar

Catch-up on our audio webinar, hosted in partnership with the Health Service Journal, which discussed the emerging findings from the health and social care ratings review.

The ratings review on Twitter

We have pulled together reactions and comments about the health and social care ratings review on Twitter – access the Storify and join the debate: #ratingsreview

Q&A

Read our responses to many of the frequently asked questions about the ratings review, including details of the terms of reference and why it was needed.

Meet the working group

This is a Nuffield Trust review led by Chief Executive Dr Jennifer Dixon. She was assisted by colleagues at the Trust and a working group of experts. Read more.

Engagement process

We wanted to engage a range of organisations and individuals across health and social care, and beyond, via our website, events and through our survey. Find out more.

Contact us

If you can't find the information you're looking for about the ratings review, you can contact members of the project team directly. View all contact information.

Project finder

Featured project: The coalition Government's health and social care reforms

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  • Analyses of ambulatory care-sensitive conditions

    Commissioning
    Efficiency & productivity
    Quality of care
    Project leads:
    Ian Blunt
    Dr Martin Bardsley
  • Buying time: what is the scale of the financial challenge facing the NHS & how can it be met?

    Efficiency & productivity
    NHS reform
    Project leads:
    Anita Charlesworth
    Adam Roberts
  • Cancer patients' use of social care

    Predictive risk
    Research methods & information tools
    Social care
    Project leads: Adam Steventon
  • Commissioning for long-term conditions

    Commissioning
    Integrated care
    Quality of care
    Project leads:
    Dr Judith Smith
    Dr Sara Shaw
    Dr Alison Porter
  • Developing a national strategy for the promotion of integrated care

    Integrated care
    NHS reform
    Social care
    Project leads:
    Dr Judith Smith
    Dr Rebecca Rosen
  • Developing evaluation methods to help the NHS provide care more effectively

    Evaluation
    Quality of care
    Research methods & information tools
    Project leads: Adam Steventon
  • Evaluation of community matrons on hospital use

    Efficiency & productivity
    Evaluation
    Quality of care
    Project leads: Adam Steventon
  • Evaluation of the North Somerset Community Wards

    Evaluation
    Integrated care
    Project leads:
    Adam Steventon
    Dr Geraint Lewis
    Dr Martin Bardsley
  • Examining the effectiveness of Virtual Wards

    Evaluation
    Integrated care
    Predictive risk
    Project leads: Dr Geraint Lewis
  • Funding and performance of health care systems in the four countries of the UK

    UK & international comparisons
    Project leads:
    Dr Jennifer Dixon
    Professor Gwyn Bevan
    Professor Nicholas Mays
    Sheelah Connolly
  • Future challenges for primary care

    Commissioning
    Integrated care
    NHS reform
    UK & international comparisons
    Project leads:
    Dr Judith Smith
    Dr Rebecca Rosen
    Ruth Thorlby
    Holly Holder
  • Independent practitioner associations in New Zealand: surviving to thrive

    Commissioning
    UK & international comparisons
    Project leads:
    Dr Judith Smith
    Ruth Thorlby
    Professor Nicholas Mays
    Dr Bev O’Keefe
    Pauline Barnett
  • Managing the NHS through the financial squeeze: learning from international experience

    Efficiency & productivity
    UK & international comparisons
    Project leads:
    Dr Judith Smith
    Ruth Thorlby
  • National evaluation of integrated care pilots

    Evaluation
    Integrated care
    Predictive risk
    Project leads:
    Dr Martin Bardsley
    Xavier Chitnis
    Adam Steventon
  • NHS in numbers: key charts

    Commissioning
    Competition
    Efficiency & productivity
    NHS reform
    Quality of care
    UK & international comparisons
    Project leads:
    Anita Charlesworth
    Dr Louise Marshall
    Sandeepa Arora
  • NHS spending: monitoring expenditure and productivity

    Efficiency & productivity
    NHS reform
    Project leads: Anita Charlesworth
  • North West London integrated care pilot evaluation

    Evaluation
    Integrated care
    Project leads:
    Dr Martin Bardsley
    Dr Judith Smith
    Ian Blunt
    Natasha Curry
    Holly Holder
  • Nuffield Trust Data Lab: exploiting existing information in new ways

    Evaluation
    Predictive risk
    Research methods & information tools
    Project leads:
    Dr Martin Bardsley
    Theo Georghiou
  • Patterns of care at the end of life

    Commissioning
    Efficiency & productivity
    Quality of care
    Research methods & information tools
    Social care
    Project leads:
    Dr Martin Bardsley
    Theo Georghiou
    Xavier Chitnis
  • Person-based Resource Allocation (PBRA)

    Commissioning
    Predictive risk
    Research methods & information tools
    Project leads:
    Dr Jennifer Dixon
    Dr Martin Bardsley
  • Predicting risk of hospital readmission with PARR-30

    Predictive risk
    Research methods & information tools
    Project leads:
    Dr Martin Bardsley
    Theo Georghiou
    Professor John Billings
    Ian Blunt
  • Supporting the development of clinical commissioning groups and NHS England

    Commissioning
    NHS reform
    Project leads:
    Ruth Thorlby
    Dr Rebecca Rosen
    Natasha Curry
  • The AXA Research Project on how can private long-term care insurance supplement state systems: the...

    Predictive risk
    Social care
    UK & international comparisons
    Project leads: Adam Steventon
  • The coalition Government's health and social care reforms

    Commissioning
    Competition
    Efficiency & productivity
    Integrated care
    NHS reform
    Social care
    Project leads:
    Anita Charlesworth
    Dr Jennifer Dixon
    Dr Judith Smith
    Ruth Thorlby
  • The evolution of clinical commissioning: learning from local experience

    Commissioning
    NHS reform
    Project leads:
    Natasha Curry
    Holly Holder
    Dr Louise Marshall
  • The Francis Inquiry: Nuffield Trust analysis and resources

    Commissioning
    NHS reform
    Quality of care
    UK & international comparisons
    Project leads:
    Dr Judith Smith
    Dr Jennifer Dixon
  • The health and social care ratings review

    Integrated care
    NHS reform
    Quality of care
    Social care
    Project leads:
    Dr Jennifer Dixon
    Dr Martin Bardsley
  • The impact of telehealth and telecare: the Whole System Demonstrator project

    Efficiency & productivity
    Evaluation
    Integrated care
    Predictive risk
    Social care
    Project leads:
    Dr Martin Bardsley
    Adam Steventon
  • The quest for efficiency in the English NHS

    Efficiency & productivity
    Project leads: Dr Judith Smith
  • Tracking the journey towards integrated care in Trafford

    Integrated care
    Social care
    Project leads:
    Natasha Curry
    Dr Sara Shaw
    Dr Judith Smith
  • UK health care information: an examination of information governance arrangements

    Research methods & information tools
    Project leads: Dr Benedict Rumbold
  • Understanding competition and choice in the NHS

    Competition
    NHS reform
    Project leads:
    Anita Charlesworth
    Dr Jennifer Dixon
  • Universal access and low costs? Health and social care the Japanese way

    Efficiency & productivity
    NHS reform
    Social care
    UK & international comparisons
    Project leads:
    Natasha Curry
    Holly Holder
    Ruth Thorlby
  • Use of decision technology in the health service

    Research methods & information tools
    Project leads: Dr Geraint Lewis
  • Uses of predictive risk adjustment in the NHS

    Commissioning
    Predictive risk
    Research methods & information tools
    Project leads:
    Dr Martin Bardsley
    Dr Geraint Lewis

View our completed projects

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Nuffield Trust is an authoritative and independent source of evidence-based research and policy analysis for improving health care in the UK.

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