Two years on from the publication of the NHS five year forward view, we assess how much progress has been made and what still needs to be done to align policies with the plan.
In October 2014, NHS England and other arms-length bodies published the NHS five year forward view (Forward View). The Forward View set out a vision of how NHS services need to change to meet the needs of the population. It argued that the NHS should place far greater emphasis on prevention, integration of services, and putting patients and communities in control of their health.
The Forward View differed from previous policy documents; instead of setting out a blueprint for the future, it outlined a number of care models that can be adapted to put in place services appropriate to the needs of local populations. The emphasis was on ‘diverse solutions and local leadership, in place of further structural distraction’ supported by ‘meaningful local flexibility in the way payment rules, regulatory requirements and other mechanisms are applied’ (p 4).
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Filed under: NHS, NHS five year forward view, The Kings Fund
The Health Foundation and The King’s Fund both support the concept of a Transformation Fund for the NHS in England. The two organisations came together to undertake a programme of work detailing the key aspects of such a fund.
Making change possible: a Transformation Fund for the NHS draws on analysis conducted by the two organisations, in particular six case studies of funding transformation, in the health sector and beyond, along with examples of local NHS initiatives. We also captured the experience of NHS leaders and some of those organisations across the NHS that have been at the forefront of efforts to implement changes in the delivery of care.
Appendices to the report give more details of the work underpinning it.
- Appendix 1 provides full information about the case studies.
- Appendix 2 explains the methodology used to calculate the size of the Fund and gives details of the local NHS examples of change that we examined.
- Appendix 3 looks at the potential for realising value from surplus NHS estate.
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Filed under: NHS, NHS, Research report, The Health Foundation, The Kings Fund, Transformation Fund
As the NHS begins a new financial year and we move from one parliament to another, it is clear from the performance on key headline targets and standards and from our latest survey of finance directors that the NHS will face huge challenges this year.
It now seems certain that hospitals and other NHS providers in England overspent their budgets in 2014/15 by more than £800 million. This is despite nearly £900 million being provided by the Treasury or switched from capital budgets to plug the growing black hole in NHS finances. According to the regular survey undertaken for the report, almost 60 per cent of trust finance directors said that they were dependent on additional financial support or had drawn down their reserves in 2014/15.
The financial outlook for 2015/16 is even gloomier, with two-thirds of hospitals concerned about staying within budget over the next year. Although commissioners are more optimistic, 40 per cent of finance leads from clinical commissioning groups are also concerned about whether they will be able to balance the books in 2015/16.
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Filed under: NHS, NHS, QMR, The Kings Fund
During its lifetime our health system has undergone profound change, with the recent Health and Social Care Act introducing the most wide-ranging reforms since the NHS was founded in 1948
In the wake of the Health and Social Care Act 2012, introduced by Andrew Lansley, there was a lot of confusion about the new structure – and funding systems – within the NHS.
This video, produced by the King’s Fund think tank, gives an idea of what the reforms were originally meant to achieve, and of the situation that has resulted.
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Filed under: Uncategorized, NHS, The Kings Fund
The NHS is going through the biggest financial squeeze in its history. Since 2010, its budget has effectively been frozen, increasing by just enough to cover inflation. While this is generous compared to other areas of public spending, increasing demand for care means that services are under huge pressure.
The NHS has responded well to these challenges but financial pressures are growing, with large numbers of hospitals now in deficit. Looking further ahead, pressure to spend more will grow as the costs of treatment rise, public expectations increase and the population continues to age. Here is a selection of our research, analysis and other content relating to NHS funding and finances.
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Filed under: Uncategorized, financial squeeze, NHS, The Kings Fund