The King’s Fund | July 2019 | A short history of social care funding reform in England: 1997 to 2019
Since the 1990s, funding for social care has been widely seen to be unfair, and successive governments have attempted to reform the overall approach to funding adult social care but without success. The King’s Fund outline the history of the past 22 years of attempts to reform how social care funded (Source: The King’s Fund).
The King’s Fund | June 2019 | A citizen-led approach to health and care: Lessons from the Wigan Deal
A new report from The King’s Fund provides an independent critique of the Wigan Deal – a citizen- led approach to health and care-drawing on in-depth research, including interviews with key stakeholders, focus groups with members of the public and evidence from data analysis. It explores what local authorities, NHS organisations and others can learn from Wigan’s journey of transformation (Source: The King’s Fund).
The King’s Fund | June 2019 | Insights from the spread of the primary care home
The King’s Fund has published Insights from the spread of the primary care home, a report that looks at the factors that contributed to the spread of the ‘primary care home’, a type of primary care network, from concept to more than 200 sites in a few years. The King’s Fund draw on a series of interviews with staff from the National Association of Primary Care (NAPC, who curated the primary care home concept for use in England in 2015), NHS England (who supported the work) and local sites (who delivered changes on the ground).
The report identifies factors that enabled the spread of primary care homes, as well as the factors that made the spread harder. It provides insights for the NAPC and others that can inform their health and care transformation efforts (Source: The King’s Fund).
Is the NHS adequately funded, and how should funding be raised? Harry Evans explores the findings of the British Social Attitudes survey on public attitudes towards NHS funding and taxation | The Kings Fund
This article examines the following questions:
Has concern about NHS funding fallen?
Have attitudes towards NHS taxes changed?
What are the public’s views about alternative funding measures?
Closing the gap: Key areas for action on the health and care workforce | Nuffield Trust | The King’s Fund | The Health Foundation
Staffing is the make-or-break issue for the NHS in England. Workforce shortages are already having a direct impact on patient care and staff experience. This report calls for urgent action to avoid a vicious cycle of growing shortages and declining quality. The workforce implementation plan to be published later this year presents a pivotal opportunity to do this.
In this report, experts from the Nuffield Trust, The King’s Fund and the Health Foundation set out a series of policy actions that, evidence suggests, should be at the heart of the workforce implementation plan. This report focuses on nursing and general practice, where the workforce problems are particularly severe. The authors suggest a number of high-impact policy actions which, if properly funded and well implemented across the NHS would over time create a sustainable model for general practice and help to eliminate nursing shortages. These will require investment of an extra £900 million per year by 2023/24 into the budget of Health Education England.
Since 1983, NatCen Social Research’s British Social Attitudes survey has asked members of the public in England, Scotland and Wales about their views on the NHS and health and care issues more generally. Alongside the Nuffield Trust, in this publication the King’s Fund explores the findings from the 2018 survey.
The BSA is a ‘gold standard’ survey and is conducted the same way every year, with the data provideing a rich time trend going back to 1983. This adds a depth and context to the findings that no other measure of NHS satisfaction provides. As a result, when satisfaction changes in the BSA, we are as confident as we can be that it reflects a genuine change in public attitudes.
Satisfaction with the NHS overall in 2018
Public satisfaction with the NHS overall continued to fall in 2018. Overall satisfaction was 53 per cent – a 3 percentage point drop from the previous year and the lowest level since 2007.
Older people were more satisfied than younger people: 61 per cent of those aged 65 and over were satisfied with the NHS compared to 51 per cent of those aged 18–64.
Satisfaction levels also differed between supporters of different political parties: 58 per cent of supporters of the Conservative party were satisfied compared to 51 per cent of supporters of the Labour party.
The four main reasons people gave for being satisfied with the NHS overall were: the quality of care; the fact that the NHS is free at the point of use; the range of services and treatments available; and the attitudes and behaviour of NHS staff.
The four main reasons people gave for being dissatisfied with the NHS overall were: long waiting times; staff shortages; a lack of funding; and money being wasted.
This podcast explores big ideas in health and care, and features experts from The King’s Fund and beyond discussing the NHS, social care, and all things health policy and leadership.
What can be done about race inequality in the NHS workforce? How can we ensure representative leadership happens? Helen McKenna talks with Yvonne Coghill, Director at NHS England Workforce Race Equality Standard (WRES); Dionne Daniel, Project Lead, Nursing Workforce Remodelling Research Project; and Ben Morrin, Director of Workforce at University College London Hospitals.