Expectations: The hidden driver of healthcare demand
How well do we understand changing expectations and implications for the NHS?
A missing element in ‘shifting care’
Our Director, Peter Spilsbury, outlines the scale of the task when it comes to making ‘the shift from hospital to community’.
New care models - what's the evidence
High level findings from a series of evidence reviews on new care models.
Why community alternatives to hospital admission don’t (typically) reduce total admission levels
Repeatedly, published evaluations show that community/primary care services interventions with a stated intention to reduce total (or forecast total) emergency admissions to hospital don’t achieve the expected result**
Integrating health and care services - what works? It’s complicated…
Coinciding nicely with the NHS 70th Birthday celebrations and the parallel discussions of ‘where next and how to do it better’ for the NHS, last we
Do you like to integrate horizontally or vertically? NHS positions examined
Our latest research paper explores the impact of the different options for integration implemented as a result of the Transforming Community Services policy in 2010. This accompanying commentary reflects on potential implications for the current policy drive towards Integrated Care Systems.
Horizontal or Vertical: Which way to integrate?
In 2011, Primary Care Trusts faced a difficult choice. The Transforming Community Services policy required a complete break of commissioner and provider functions. But what should PCTs do with the community health services they delivered; vertically integrate with an acute trust, horizontally integrate with a mental health trust, or set up a stand-alone community trust or Community Interest Company? Seven years on, this report explores the impact this choice had on the level and growth in emergency hospital use in older people and considers the wider implications for the NHS as it develops new models of care and integrated care systems
What works for primary care led integration?
We recently shared highlights from our realist synthesis on primary care-led integrated models, at the Health Policy and Planning Network workshop. Take a look at our presentation for a flavour of our findings ahead of publication later in the summer.
Scoping study: the economics of caring
There is a clear moral case for supporting unpaid carers.
Integrated care: rapid evidence scan
Exploring what integration can mean in different contexts, we have summarised evidence on effectiveness and cost effectiveness of integrated care, alongside lessons for implementation and considerations for measurement and evaluation.