How have public attitudes to the NHS changed over the past three decades?

The British Social Attitudes (BSA) survey began in 1983 and through this the British public has shared its views on the NHS, this covers almost half of the NHS’s 70-year history. The Kings Fund has published a piece looking at how attitudes have changed over this time period. On the whole, the belief that the NHS should be available to all and free at the point of use has remained the same. However, there has been some differences in how satisfied the public are with the NHS over the same period.

To read the piece in full please go to :



Demand for hospital services outstripping NHS funding – King’s Fund Report

Chris Ham, Chief Executive of The King’s Fund, said: ‘The NHS is treating more patients than ever before, which is a tribute to the hard work and commitment of its staff. However, our analysis provides more evidence that the health system is buckling under the strain of trying to meet rising demand and maintain standards of care within constrained resources.

‘With the gap between funding and hospital activity set to grow over the next few years, the NHS needs to do everything it can to moderate demand for hospital care. We know that some of this demand can be avoided if alternative services are available – the challenge is to provide the right care in the right place at the right time and to ensure hospitals are only used when necessary and appropriate.

‘This means increasing investment in community services to provide more care closer to people’s homes and focusing on prevention to reduce the need for treatment in the first place. Successive governments have promised this over the years but fallen well short of their ambitions. This time failure is not an option, which is why it is essential to grasp the opportunity provided by sustainability and transformation plans to implement fundamental changes to the delivery of health services.’

Read the press release and full report

The Reconfiguration of Clinical Services

The Reconfiguration of Clinical Services, what is the evidence?

The King’s Fund have produced a paper to help those planning and implementing major clinical service reconfigurations to ensure that change is as evidence-based as possible.
It investigates the five key drivers:






It summarises the research evidence and professional guidance across 13 clinical service areas. It builds on a major forthcoming analysis of reviews of service reconfigurations commissioned by the National Institute of Health Research and conducted by the National Clinical Advisory Team (NCAT).

 Reconfiguration of Clinical Services

Guidance on Prevention and Management of Stress at Work

Guidance on prevention and management of stress at work

NHS Employers –
For the past two years, 38 per cent of staff have told the NHS Staff Survey that they have suffered stress in the previous 12 months. NHS Employers also estimates that over 30 per cent of all sick leave is now caused by work-related stress in the NHS, costing up to £400 million each year. This guidance aims to help managers throughout the NHS reduce stress in the workplace and better support staff who experience it.



Young Man with His Hand on His Forehead


NHS Stress At Work Guidance



Are NHS Trust Boards in tune with what clinicians and managers are feeling?

According to a survey conducted by the King’s Fund  in February and March 2014 about leadership, culture and compassionate care in the NHS there is a discrepancy between the views of executive directors and those of other NHS staff.  Aimed at clinicians and managers the survey asked such questions as  Is high quality care given enough priority? and What do you think of the quality of leadership in the NHS?

Patient feedback

The report indicates that 89% of staff now feel that patient feedback is encouraged and 61% feel that patient feedback is acted upon.

King’s Fund May 2014.  Culture and Leadership in the NHS