The King’s Fund: Delivering health and care for people who sleep rough

The King’s Fund | March 2020 | Delivering health and care for people who sleep rough: going above and beyond 

A recent publication from The King’s Fund forms the findings of a piece of research they were commissioned to produce by the Department of Health and Social Care and the Ministry of Housing, Communities and Local Government. The King’s Fund looked at what four nominated areas were doing to improve health outcomes for people sleeping rough repeatedly or on a routine basis and explore what insights they might offer to other areas.

  • People who sleep rough have complex and multiple health and care needs that all too often are not met. They have some of the worst health outcomes in England.

  • The NHS alone cannot reduce poor health outcomes for people sleeping rough. Tackling rough sleeping involves improving people’s health, social wellbeing and housing situation as well as supporting them to find long-term solutions.

  • As part of current government efforts to reduce rough sleeping, there is a focus on improving health care for people sleeping rough. Our research explored how four different local areas are delivering effective health and care services to people sleeping rough and what other areas might be able to learn from them.

The King’s Fund identified five shared principles that the four areas had in common. We think that any area can make progress if it: takes steps to find and engage people sleeping rough; builds and supports its workforce to go above and beyond existing service limitations; prioritises relationships; tailors the local response to people sleeping rough; and uses the full power of commissioning.

The research conducted by researchers at the University of York involved focus groups with individuals with lived experience of homelessness; members of the King’s Fund also interviewed stakeholders including commissioners and health managers, clinicians and managers of housing and adult social care.

Full details are available from The King’s Fund

Delivering health and care for people who sleep rough [summary]

Delivering health and care for people who sleep rough: going above and beyond

Thinking differently about commissioning

In recent years, national policy within the English NHS has promoted collaboration as a
key tool for improving health services. This report explores the implications of these ways of working for the development of integrated care systems, how NHS England and NHS Improvement’s regional teams operate, and wider ways of working among NHS national bodies.  


This report aims to understand the approach being taken by some CCGs and local systems that are rethinking the role of commissioning; draw out learning for other areas as they work to change their approach; and explore the national policy implications of this new way of working and what national NHS bodies can do to support its development.

It is based around two CCGs (South Tyneside and Tameside and Glossop) and one group of CCGs (Bradford district and Craven).

Full report: Thinking differently about commissioning: learning from new approaches to local planning | The King’s Fund

Towards better, fairer health and care

The King’s Fund strategy for 2020-24: Towards better, fairer health and care 

The work of the King’s Fund spans the breadth of health and care policy and practice, giving the organisation a unique understanding of the strategic context for health and care now and in the future. This document outlines how the organisation will focus it’s resources on specific priorities where it believes it can maximise impact.

Working with it’s staff and people from across the health and care system, the King’s Fund have chosen three areas of focus for the next five years where they have the greatest opportunity to use their skills and resources to improve health and care:

  • Healthier places and communities
  • Tackling the worst health outcomes
  • Supporting people and leaders

See also: Our strategic priorities for 2020–24 | The King’s Fund

The economic influence of the NHS at the local level

The King’s Fund | January 2020| The economic influence of the NHS at the local level

A new long read from the King’s Fund has been written to help people working in the NHS understand the level of economic influence their organisations can have and the benefits this can bring to local populations, in a way they may not have considered before (Source: The King’s Fund).

The long read available from The King’s Fund The economic influence of the NHS at the local level

Leading For Integrated Care

This report explores the progress, challenges and opportunities the move towards greater integration presents, through interviews with 16 people leading or chairing an integrated care system or sustainability and transformation partnership | The Kings Fund


The report underlines that these local systems are still evolving. But it is important
to note that the interviewees did believe that it was evolving: progress is being
made towards a more integrated way of working. This has meant major changes
for leaders, many of whom have spent their careers within a world where
organisational autonomy was key and success was based on your organisation’s
own performance.

Full report: Leading For Integrated Care: ‘If You Think Competition Is Hard, You Should Try Collaboration’ | The Kings Fund

King’s Fund: A short history of social care funding reform in England: 1997 to 2019

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).

See The King’s Fund for the timeline

A citizen-led approach to health and care: Lessons from the Wigan Deal

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).


Download the full report