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365 results found

Hindsight 2020: Lessons on setting targets in health and social care

Report 08/01/2020Billy Palmer | Helen Buckingham | Nadia Crellin | Camille Oung

After the 2015 general election, the NHS and social care were set a number of targets on where they needed to be by 2020. Now that year has started, this briefing looks at how they have fared over that time, looking at a sample of key targets. Which have been met, which are being missed, and which b...

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Stopping the staff we need? Migration choices in the 2019 general election

Report 04/12/2019Mark Dayan | Billy Palmer

Both Labour and the Conservatives have recognised the vital importance in this election of solving the staffing crisis that threatens the NHS and social care. But policies to end the current system of free movement from Europe after Brexit could cause a major slowdown in migration towards vital jobs...

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Social care: the action we need

Report 28/11/2019Natasha Curry | Nina Hemmings | Camille Oung | Eilís Keeble

Social care in England is at a crossroads. All three major political parties in the 2019 general election have recognised in their manifestos that the social care system is in need of change. So what needs to be done?

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Delivering general practice with too few GPs

Report 11/10/2019Dr Rebecca Rosen

With an increasing number of GPs leaving clinical practice or working part time, and many practices unable to fill vacant GP posts, this briefing presents some ideas on how general practice can continue to be provided as the shortage of GPs becomes chronic.

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What can England learn from the long-term care system in Germany?

Report 11/09/2019Natasha Curry | Laura Schlepper | Nina Hemmings

The current social care system in England is widely regarded as unfair, complex, confusing and failing to meet growing care needs in the population. Germany was in a similar situation 24 years ago, but successfully brought about far-reaching reform. As the UK government promises to fix our social ca...

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Change or collapse: Lessons from the drive to reform health and social care in Northern Ireland

Report 10/07/2019Mark Dayan | Prof. Deirdre Heenan

Three years after Rafael Bengoa’s blueprint for improving the Northern Irish health service, this report uses interviews with health service leaders in Northern Ireland as well as outside experts and clinicians to assess which factors are helping or hindering Northern Ireland's efforts to change i...

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Achieving a digital NHS: Lessons for national policy from the acute sector

Report 31/05/2019Sophie Castle-Clarke | Rachel Hutchings

As a new body, NHSX, becomes established to lead national policy for technology, digital and data, and with the Secretary of State firmly behind plans to create a fully digital NHS, this report seeks to understand how national policy for digitisation is working from the perspective of acute trusts....

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Improving access out of hours: Evaluation of extended-hours primary care access hubs

Report 20/05/2019Helen Crump | Sandeepa Arora | Chris Sherlaw-Johnson | Holly Holder | Dr Alisha Davies | Silvia Lombardo

Could schemes aiming to increase the availability of primary care health care access out of hours improve the overall quality of services and patient experience in outer east London? The Nuffield Trust was commissioned by Barking, Havering and Redbridge CCGs to evaluate the impact of access programm...

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What can the NHS learn from learning health systems?

Report 15/05/2019Sarah Scobie | Sophie Castle-Clarke

Drawing on a seminar held at the Nuffield Trust and on evidence and experience from the UK and internationally, this briefing identifies opportunities for local organisations and systems to make better use of health data, and recommends ways that national policy could promote the collaboration and g...

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The gender pay gap in the English NHS: Analysis of some of the underlying causes

Report 13/05/2019John Appleby | Laura Schlepper

This briefing looks at differences in basic pay between men and women employed by the NHS in England, based on data from the NHS electronic staff record for one month. As well as drawing on previous analyses to describe the extent of overall pay differences by staff group, pay band, age and ethnicit...

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