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Our reports

These reports summarise fast turnaround, responsive projects on a variety of topics, using the most appropriate feasible methods, given time constraints.

Read our completed reports:

Local NHS equity trends and their wider determinants: A pilot study of data on emergency admissions

People living in deprived neighbourhoods are more likely to have an emergency stay in hospital that could potentially have been avoided had high-quality care outside hospital been available. NHS England produces local health and care equity improvement indicators based on deprivation-related inequality in these potentially avoidable emergency admissions.

This pilot study explores trends in these indicators, alongside changes in local public expenditure and local economic conditions, to learn lessons for health and care system quality improvement.


Read (Summary) Local NHS equity trends and their wider determinants (Summary) (PDF , 689kb)

Read (Full report) Local NHS equity trends and their wider determinants (Full report) (PDF , 2,877kb)

See our local equity data packs

Health and Care Services for People Sleeping Rough

Rough sleeping and health problems can be mutually reinforcing, and some people who sleep rough have high and complex health and care needs. Patterns and causes of homelessness, and the intersections between rough sleeping, health and wellbeing, are complex and varied. In this report, following a review of relevant literature, the views of people with lived experience of sleeping rough on accessing health and care services are explored.

Read Health and Care Services for People Sleeping Rough (PDF , 1,017kb)

The King's Fund have also published a related report.

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


Women’s experience of gynaecological and urogynaecological services in primary and secondary care (the King's Fund)


The Department of Health and Social Care commissioned The King’s Fund to undertake a scoping review of the published evidence about women’s experience of health services with a specific focus on gynaecological and urogynaecological services in primary and secondary care.

Read Women’s experience of gynaecological and urogynaecological services (PDF , 339kb)

Housing and Technology Capital Fund Scoping

The Department of Health and Social Care (DHSC) and NHS England are supporting partnerships with local housing providers and other stakeholders to develop, remodel and adapt accommodation for people with a learning disability, autism or both. This includes a substantial investment in capital grants to support housing delivery. DHSC commissioned this rapid scoping study to draw learning from the projects during their implementation, to inform future housing and accommodation interventions and to identify and share good practice.

Read Housing and Technology Capital Fund Scoping (PDF , 1,256kb)

Understanding drivers of litigation in health services

Current systems for seeking compensation are widely considered to be costly and protracted. Costs to the NHS are rising, but it is important to note that only a small proportion of people who have suffered any form of harm while in receipt of health care choose to pursue litigation. Evidence - mainly from outside the UK - suggests that many factors can sway people’s decisions about whether or not to take legal action.

Read Understanding drivers of litigation in health services (PDF , 1,548kb)

“Spice” use among offenders supervised in Approved Premises and Community Rehabilitation Companies: a preliminary qualitative study

This study provides a rapid, cross-sectional, mainly qualitative exploration of Synthetic Cannabinoid Receptor Agonist (SCRA) use among ex-prisoners being supervised in Approved Premises (APs) and Community Rehabilitation Companies (CRCs). The central question underlying this research was whether the widespread use of SCRAs in prisons - which has been reported by an increasing number of studies, inspections and media articles - is spreading into the community, with consequent implications for community drug treatment. The study was also designed to explore the particular impacts of SCRA use in APs, which as supervised residential facilities, can be seen as ‘semi-carceral’ institutions, with the potential to experience similar problems to prison.

Read Spice use among offenders (PDF , 1,120kb)

Tackling multiple unhealthy risk factors (the King's Fund)

Since the 2012 King’s Fund report on this issue, the responsibility for many public health services in England, including behaviour change, has been transferred to local authorities as part of the Health and Social Care Act 2012. This has given local authorities an opportunity to reassess behaviour change in the light of their population needs, taking into account The King’s Fund’s work and other research. At the same time, many services have seen their budgets shrink in the face of recent squeezes on public health spending (Buck 2017), and this has motivated public health teams to think differently about how to deliver their services.

Read Tackling multiple unhealthy risk factors - full report (PDF , 948kb)

Commissioner perspectives on working with the voluntary, community and social enterprise sector (the King's Fund)

The King’s Fund was commissioned by the Department of Health to conduct research that would explore how and why clinical commissioning groups and local authorities chose to engage with the voluntary, community and social enterprise sector. This report first sets out the methodology we used and then presents our findings on the factors that underpin the adoption of different approaches. We discuss how commissioners’ perceptions of their own strategic role, as well as their views on what role the VCSE sector plays in the local area, appear to exert a strong influence on commissioning decisions.

Read Commissioner perspectives on voluntary, community and social enterprise (PDF , 231kb)

Understanding domiciliary care in England

Understanding Domiciliary Care In England - cover image

Concerns about the inadequate quantity and quality in supply of home care have been reported by central government and directors of local authority social care departments, as well as managers in acute hospital settings, where access to home care packages is essential for timely discharge of older and disabled patients.

The objectives of our research, and this report, are to better understand the mechanisms of purchasing and delivery of home care, including the current state of supply and demand and key drivers of current market dynamics.

Read Understanding Domiciliary Care In England (PDF , 1,536kb)

Adult social care local authority commissioning behaviours

Adult Social Care Local Authority Commissioning Behaviours report image

There is a wide variation in the type, amount, quality and cost of adult social care commissioned by local authorities across England.

Some of this variation can be explained by demography and geography, but for many areas, the degree of variation may reflect differences in policy and commissioning approach. This report seeks to better understand what lies behind the variation in fees paid to provide care for people aged over 65 in need of equivalent levels of support, and the role commissioning plays in determining the fee rate paid for local authority purchased care.

Read Adult Social Care Local Authority Commissioning Behaviours (PDF , 1,352kb)

Amenability of health burdens to digital interventions

While there is substantial and growing digital activity in the health sector, robust evidence of its benefits to patients and clinicians, and to relieving pressure on the NHS, remains patchy. In this report, commissioned by the Office for Life Sciences, we explore whether areas of high disease burden are amenable to digital (particularly mobile health) interventions.

Read the summary: Amenability of health burdens (Summary) (PDF , 845kb) 

Read Amenability of health burdens to digital interventions (Full report) (PDF , 2,223kb)

User feedback in maternity services (the King's Fund)

This report draws on evidence from interviews with maternity service providers and non-NHS stakeholders and from a review of relevant literature relating to user feedback and experience. It is based on research commissioned by the Department of Health to explore the benefits of locally developed approaches to collecting and using feedback, with a particular focus on real-time feedback.

Read User feedback in maternity services (PDF , 976kb)

Estimating the costs of Female Genital Mutilation services to the NHS

Over recent years, the UK Government has given the issue of female gentital mutilation (FGM) a high priority, both in terms of raising awareness of the illegal and harmful nature of the practice and in considering the extent of health care and other needs for women who have experienced FGM. This report provides an analysis of the current health care landscape for women with FGM as well as an estimate of the costs of treatment of FGM in England and Wales. It also provides some thoughts on data collection and tariff implications for the English NHS Payment by Results mechanism.

Read Estimating the costs of FGM services to the NHS (PDF , 1,048kb)